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Home My WebLink About2015-00173 � CITY OF ORONO * 2 0 1 5 — PJ 0 1 7 3 * 2750 KELLEY PARKWAY �ATE�ssu��: 02/10/2015 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2040 NORTH SHORE DR PIN : 10-117-23-31-0002 LEGAL DESC : LINPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345- TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER ERICKSON, MR.& MRS. 2040 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AIYD SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. AII provisions of laws and ordinances governing this type oPwork shall be compied with whether or no[specified herein."I'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1 �,' i �� ' � � -�� c�i/� 2, ��, /�� Applicant Permitee Signature Date Issued By Si nature Date 02/09/2015 14:a5 FA% 9529�35049 CULLIGAN MNTAA I�002 FOR GTTY USE ONLY a¢O'�O P 6ox 66rono �e Rexeived: Ptcmic# e�,�, 2750 Keticy Parkway ��C� Crystel BFry,MN 553� Approved 6y: Amo�mt S: ,�i (952)249-460U CITY OF ORONO—PLUMBING PERMI'f (Al!Commercial pennits mus�be opproved by�he Building OtFicial or tnspocwr) GENER.AL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a penmit will be issued within two working days. 2. Peraiit cards will be sent by return mail after a review is completied. PERMITS ARE N�T VALID UNI'IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.,TAE PERMIT CARD I5 PQSTED ON THE JOS STTE. 3. Plumbing permits may be issued ONLY to licensed plumbins contra.ctors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a s�parate building permit must bc obtained. 5. All work must be done in accordance with State Code requirements. 5. All work must be inspected and air tested befare it is covered. Call(952)249-4600. (Z4-48 6our noiice required) T�rn�oF rE�rr ' . Check All That A 1 �Residendal ❑Commercial(Approva!Reyuired) � ❑New ❑Additional ❑Repairs �Rcplacc 0 In Accessory Structure? �`You will need�rior a�uroval and may need CUP_(Per Orono City Code,Chaptcr 78,Article IV) . Job Site/�wrxer Information: SiteAddress. �04D I�u{�'� S1-,�,►rc. I�� Owner: �1'1 h�n ��c�4.So✓� Mailing Address: City: Zip: �..��7 Home Phone: 95a - k�3 • 70 5+ A[ternate Phone: Contractor Information; C�eE�:y�q�E_R CQNDITIONING Contact Person: 6030 CULLlGAN WAY Add�I�iVETONKA, IV1iV 55345 State Bond #: (952) 933-7200 'City: Zip: Expiration Date: Phone: Alternate Phone: �'S a - 9�c� �7� �� ❑ Insurance—Current: 1 02/09/2015 14:a5 FA% 9529a35049 CULLIGAN MNTKA f�003 r�'�Y+i'�YLI�f4'l��,.i��t�.�i��••.`vy�:i+.�. ia �.� � ; I.�'i7!�/�� 4�. X � �"'^�5?�k'�irl��!�,'}�n•'.''�y':1�Y•.`I 4 ru �� '��;;�� r��,kr�4d, „c.w>r FIXTURE BSMT l 2 OTF�R FIXTURE BSMT 1 2 OTHER '1"YPE FL FL TYPE FL FL Water Closct . Floorl7rains Lavatory Sewer Ejector Ba�tub Laundry Tray Shower Washer Kitchen Sink Water lieaier Disposal Water Softener � Dishwashcr Wet�ar Sillcocks Misccllaneous �_roi'�a9+�':,i �W-'{,•c�ta��.�j.r.�. •.�b�• "vm:au� ��y��r ��+�,�.� �: • : r w;�� f',i� n'ti• r iu �Fr'� � :d " ;� •�;�`�'�,��y�`:'�'�1;�'i,i,.lJ.:�„' '* �� r°r � ",,$;� 1Yn�:r�c!` d,:. y�,�,,�L• l �5 ;��be{y� f'�r��,A , � � �' , '�f,.,�.',!:u:.�-`,4.!;�i�'4 �r�,r .W�•.� a,; , r •r�,�R`��;; •(-�. ,�;,�= 'r.�, �, `��r,.. T ,,,,:; ,..�:�, t;r,.�; �S: 5 iM' i r i1� '�'�, �1,�� 4 �a. N 4 .r;•.,f a e. N• •r..s�N �i.ln. ' .�: �i,, i i•� �� in;i�aV'��;,T�'�i�r�''�;,TI^"IStI�:��µ.:tiev �� ^� �+y�,y;+� .}nI a{�°, '7'x,.,�,��i!�r+�,�� ,��".' ;.,�,�L1�� ,�'(r{Fr�' �, �� •�''r� A� ;P,n?j-"�, aq�/I��G'.� .ti'� i � r o In� t. i,• ��.1"; ��''��,�' ^!"%'tai,f :e.,9k'L �r^ ,�i„ ��' �4�'�1.r'JJ„�J�r��i4�f��i:l��j..l',�''i„►7`1Cl��,i+'� :1��di, �a�.'f�.w�,:q',�,�;,�;'; ❑ Yes,this section applies The replaccment of a Residenti�l fixture or appliance that meets a�l three of the follawing rcquirements: l. Does not require modi�ication to electrical or gaa scrvice. . • 2. Has a total cost of$SOOAO or[ess;excludin¢t�7e eost of the fixt�ue or appliance:and 3_ Is IInprove�jnst�alled or roplaced by the homeovvrer or licensed contractor. Slop next scction,if this applies; Cost of Permit $ ]5.00 State S�charge $ 5_00 � Mail-Ia Fec(If Applicable) $� Total Permit Fee S (Pcrmit Fces Contivaed On lYext Page) 2 02/09/2015 14:�5 FAX 9529�a5049 CtTLLIGAN MNTKA �004 ;+.f ��fAr�"��t��y1�1��,',[`r�3i'�.,:i++%w!;��'' � � �' � W�j�ir .��',�v�^�t� '��y�7;`�'`';�'�;'1�r�.`,*M� S��i. r •a 1 a��v i „ui� ..G.,� .:.�A+d.tiiF7. ��M�.,�°�j'. "�iJ`�.''� If above does not apply;follow guidelines below: 1. CONTRACT pRICE *is 1.25%o�contract pricc with�a(Minimum Fee of$50.00) x.0]2S$ ' (conqaC[p�Ce) (minimum$50,00) 2. 'f' TE SURCHAItG� '�*Add thc State Bldg Code Div.Surcharge(Minimum Fa otS5.00) x.00OS $ (contra�t prieC) (minlmum S 5.00) 3. POSTAGB&HANDLfNG(Qnly on Mail-In Applications) � 2.00 4. TpT,a1X,PERMIT FEE(Add Lines 1-3 Above) $ Q� ■ * CONTRACT PWCE or )dB COST means the actual or estimated dollar amount charged for the permitted work including materials, IAbor,profit,and other fixed casts. It is the amount to be charged to the customer foc ihe work done. If any material,equipment, labor or instatlations are furnished by the owner,tenant or any othcr party,t�e reasonable markat value of sueh itcros must be added to the es�imated cost or contract priee for permit fee pwpnses. In the event that thert is a dispute on rho amrnmt of the job eost,the City may reqvcst the submission of a signed copy of the actual contract. ■ "*The STATE SURCFTARC:E is.0005 of the contt'act price�mder$1,000,000 or$5.00—whichtvcr is greatet. For vaivation,s over$1,000,00U call the$uilding Departrnent ai(952)249-4600 for the pricc. � � '��,•� ` �!�'y�,�, `�l'` ' '�� u'�' �' . '.'• .��.��', I �'��r`/'�A�'711��if��r.��Vl�.�f��h The undersigned hereby applies to the Ciry for issuance of a Plumbing Permit, agrees to do a11 work in strict aeeordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that a11 sratements made on this a�plication are complete, true and correct. Applicant's Signature; Date: � � ! - ��_ ,��a' � i4� � � �ri!aMr�P'r;:!n .��S,RfJ'I�II 3 �� c�— DATE TIME �f 5 ;�—�' CITY OF ORONO CALLED IN `L� _s� INSPECTION I�QT��' �/�SCHEDULED ' PERMIT NO. �� COMPLETED ADDRESS �� /`� '`s OWNER LEP ONE NOl�� 'f'7✓� 7�� CONTRACTOR � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �'.FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j G!/.�e�' Sd ��e✓ F��e..,ca.l� — 0 a � ` � ° Gl '' �il�,p �v'��iu�� — W � Q � Z � l��b r K C'o��/�� rz w c �'�� c4✓ rr<< c j W ❑WORKSATISFACTORY:PROCEED �R�JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next inspection 24 hours in advance. (g52) 249-46�� ner ntractor on site: ��-"�'� � - Inspector. � ��- l�— White Copyllnspector's Flle Canary CopylSite Notice