HomeMy WebLinkAbout2015-01550 - plumbing 111IE111MIIIIIIIII1111IIl IIS
CITY OF ORONO * 20 1 5 - 0 1 550 *
2750 KELLEY PARKWAY DATE ISSUED: 12/14/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2339 OLIVE AVE
PIN : 17-117-23-44-0075
LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA
: LOT 017 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : 1A,'1GL.W.S°:-F+he►"
NOTE: WATER SOFTENER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 1.00
CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA,MN 55345- TOTAL 18.00
(952)912-7379 Payment(s)
CREDIT CARD 8645 18.00
OWNER
PRATT,ANDREW&JAMIE
2339 OLIVE AVE
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
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. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This 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.
.0.
Applicant Permitee Signature Date Issue Signature Date
12/14/2015 14:05 FAX 9529335049 CULLIGAN MNTKA Z002
• F7),BEONLY �(�LO`. City ofOr0n0 � p�`re ✓P.O.Box 6b Date Recei�<'ii75 Permit# J
d G 2750 Kelley Parkway
) Crystal Bay,MN 55323 Approved By Amount d
‘•14 (952)249.4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION _
I. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE,
3. Plumbing pennits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4_ When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
Residential ❑Commercial(Approval Required)
1ZLNew d Additional ❑Repairs D Replace
❑ In Accessory Structure? •
'You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: _9?33 9 Q (►v�
Owner: t� w1 Yr a Mailing Address:
City: Zip: -5-53 4
Home Phone: e:15 a-0.7o- l l y 7 Alternate Phone: _
Contractor Information: •
Contractor: Contact Person;
CULLIGAN WAI LH GONDITtONING
Addre6030 CULLIGAN WAY State Bond#:
MINNETONKA, MN &r345
City: (952) 933-7200 Zip: Expiration Date:
Phone: Alternate Phone: 95a- cf to - 13
El Insurance—Current:
1
12/14/2015 14:05 FAX 9529335049 CULLIGAN MNTKA [1003
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FIXTURE BSMT 15T 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL.
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
-:•.;L�.I��. '�'�RR�'i%T%i�'���t%."3" '�'f'itl'r, r �,,, iuI ^s�riihl.;,�.,,,�rr r RC: � ^,,.+1+
'Iy'il;c!i S17R+nry1•�Ayil,IfgVIVr^,li''a l,. �9,rr„�,I;l iro•IIi •Ih;r 1,T ,I,•,,,, r.al� .q,,�s,�r�r:'• L.,�" `.1 k.H'i,'1='FI�h;,l:"ri'�"ll�!n;;•f'
'%4.a n,,:,ry;,l.t."J,Y '; ",;l'•, ,.•.;$.� ED�;O ' '„ .Ll l),2'STA.T, $.TtJTi!. 1'w �:., ,;;y; q,° :.
0 Yes,this section applies
The replacement of a Residennt'al fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total l�of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
(Permit Fees Continued On Next Page)
2
12/14/2015 14:05 FAX 9529335049 CULLIGAN MNTKA iiP 004
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125 S
(contract price) (minimum t50.00)
2, STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00)
•
x.0005 $
(contract price) (minimum$ 5,00)
3. POSTAGE&HANDLING(Only on Mail-1n Applications) $ 2.00
4. TOTAL PERMIT PEE(Add Lincs 1-3 Above) $ I g• C b
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment,labor or installations are furnished by
the owner,tenant or any other party,the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
��yr'b ��� t O�yyu��; ((�!�yy''���pt��ri�,,�qq��,�� Y�' ;�,�,{; y��,y+�, �T��n � -i'dc . . ,;:'v�i���� �Id K` {W17.i•rb'�q�:
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�d i i •��'' I@1, �;'";"i,"71'��.er,JIYYi,o,.�'�{Lt''..r:'.�,
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: 97G Date: 11- 11- I I____
y6 es' ,hlror,' F1c
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. �5 - bL6-5-4) GT
COMPLETED
ADDRESSo�2
33 ? ob b o e ,4 e
OWNER TELEPHONE NO.
CONTRACTOR C�!/, 4 4
DESCRIPTION kkit-ev e ", mac,ii
tta 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
'
0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
"4 0 FINAL 0 WATER HOOK-UP ,FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
..1
• 0 DEMO-SITE 0 SEPTIC INSTALL
• OWNERICONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS:
cc
14,
cc Permit has expired per MN Building Code Sec. 1300.120 subp. 11
• Expiration, no record of a Final inspection.
km
CC
W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
itt
CI• 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN 0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal for the next Inspection 24 hours In advance. (952) 249-4600
Owner/Contractor on site:
Inspector. ()
Whim Copylinapootor's File Canary Copy/Site Notice