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Home My WebLink About2015-00319 - plumbing ' CITY OF ORONO * Z 0 1 5 - 0 0 3 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 99 SIXTH AVE N PIN : 25-118-23-44-0012 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS (3)LAVATORIES (1)SHOWER (1)BATHTUB VALUATION OF PLUMBING 4475 APPLICANT PLUMBING FIXTURE FEE 55.94 STATE SURCHARGE PLBG(VALUATION) 2.24 NOWTHEN PLUMBING MAIL-IN FEE 2.00 19960 FERRET ST. TOTAL 60.18 ELK RIVER,MN 55330 (763)753-5216 Payment(s) CREDIT CARD 3512 60.18 OWNER BRISCOE,MR.&MRS. 99 SIXTH AVE N WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with e State Building Code.This permit may be revoked at time for du2�caus . �.-�J �'�/� Applicant Permitee Signature Date Issued y Signature Date , C URE(3t�tLY q ,r'� City of Ot'ttif4 Uate Rr.cei`oc ;�v � Pexmit# A�/ ' •� / / �.�.��+y P.Q.F3ox 56 ,/ t1 2750 Keiley Parkway �p Q• / � � ` Crys�ml Bay,MTt 55323 Appmved By: Amount$: i f �; ^ � (952)244-AGW._Mxln � �� (952)2A9-A6[b—Fa�c '"� �, CITY OF ORUNC?—FLUMBING PERMIT �'��st►u�`% (All Cotnxnercial Permits Mnst bcApprnved by the State Prior to City Approval) ...- � hE�y:llc�`ww.cita.mn, ov/C'CLD1P1)�'1 c lumb ��nre�r� . tI� G�E�.,irr�o�raz torr i. You may�tpply for pinmbing permits by mail or in persan at the Gity affice.s. Apptications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail afker a review is c,ompleted. PERMITS ARE N�T VALTD UNT[L YOU RECETVE A PERMIT. WOItK MUST NOT BEG1N UNTIL THE p�RMIT CARD!S PpST'ED OlY 7'HE JDB 5ITE. 3. Plumbsng permits may be isst�ONLY to licensed plumbing ctintractocs and to pro}�erty awners residing in the dwelling. 4. When any new canstruction or remodeling is involv�a separate buitding pernn�it must be obtained. S. A1l work must t�e dane in accordance with Sta#e Code requirements; 6. A11 work must be inspected and air tested before it is covered. Cali(952)244-�C�. {Zd-48 hoar not�ce raquired) TYPE OF PERM.IT Check All That A 1 �esidential ❑Commercial(Appresval R�quired) ❑New ❑Additionai ❑Repairs r��place ❑ In Accessnry Strurxure? "°You wilt nced or[or augrovsl and may need CtJP,(Pcr Orono City Cocie,£hapter 78,Article N} Job Site(Owner lnformatian: Site Address: � � ��-� f�� Owner: +' � ,�;.�_.. Mailing Address: '�l � 1�� Y 1 � City: '� Iip: .✓�- . .,._,..,_,. Home Phone: Alt�rnate Phone: . Contra.ctor Information: Contractor: �' �t�t� ��1�'V1�i d��- Contart Person: C't GNt{'V� .�_. Address: �� '� State Bond#: �t� �� City: ��.�}1/`P�1/ Zip:��1�xpizat.ion Date: �� ''t� Phone: ��- �� ' �)�� Alternate Phone: �. `� lnsurance—Current: U W � �+��'V!�i . G 1�° ` 1 PLUM�ING�I�TURES'BETATG INSTALLED FTXT'URE BSMT 1 2 ClTHER FTX1'lJR.E BS.MT t 2 4THER. TYPE FL PL TYPE FL FL Wacer Closet � � Pl�r Drains ___._._ _._.�....._._�..�:. ._____..------- [,a�atory } � Sewer Ejector Bathtub � � Laundry Tray Shower � Washe�' Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bt►r Silicocks Miscellaneous ----- ' �'�RMIT FEE GAI,CULATION�S} Bt�1��J t3F�-��?U2'S'�'�►'�'�STATUE ❑ Yes,this seCtion applies The re.pla�nnent of ouly orte Resid�ntiai�xture�a 1�iance tha#meets atl three of the�oltowing r�uirements: t. Dces nat x�quire m�fication ta electrical or gas serv�ce. 2. }ias a total cast of$SUQ.UO or tess;excludin�the cost oftt►e fixt�u�or a}spliance:and 3. Js improved,insta3led ar replaced by the hom�wnec or Iicensed piumbing contractor. Skip next seckion,xf this applies; Cost of Permit $ 15.00 Stsie Surchacge $ S.UO Mail-:Itt Fee(If Applicable) $ 2.00 Total Permit Fce S {Permit�ees Continued On Next Page} 2 PERMiT�E�CALCULA'I'IaON S --J+DBS UVER':$SUO.UQ If above does not appiy;fatlow guidefines t�law: 1. CONTRAC["PRiCE *is 1.25%of can�act price with a(Minimum F ee of 550.0l1 � �� r �� .1 X.�12$�_____�G� (amUact price} (minimum$St1.00) z. sTa�rE suR��,�� _!....�. t 1 �X.aoos $ �. �'� ._.._. (contract price) 3. POSTAGE&H�4NI7T.TNG(Qnly on Mait-In Applications} $ 2.UU �_'"� ��/' �� 4. T'UTAL PERMIT kEE(Add i,ines 1-3 Above) $ ` ] } � D � • * CONTRAC'T PRICE or J(7T3 COST' means the actual or �timated dolfar amount charge�i far tlse � permitted work including rstaterials,labor,profit,and other fixed casts. It is the amount to I�char�al to the custamer far the wark donc.. IF any material,equipment, tabor or installations are furnished by the owner,tenant or any other party,the rea.sonable market value of such items must tye added io the estimated cost or contract price for �cmit fee purposes, In the event ihat there is a disp�te on the amount of tfiie job cost,the City may request the submission af a sign�capy nf the actua! con#ract. PLUMB�NG:PERMI'T'APPI.IC�ITION Af'rREEMEN7' The undersigned hereby applies to the City for issuance af a Plumbing Permit, agrees to dc� all work in strict accordance with the ardinances of the City and the regu2ations of the State af Minnesota, and cetifies that all statem+ents made on this a{�plication are complete, true and correc� Applicant's Signature: Date: � ��` ��f 4 , 3 �-( d�- CITY OF ORONO CALL �� -� TIME INSPECTION N IC � SCHEDULED ' PERMIT NO. .� COMPCETED / A��RESS ?� �+�1,�� —� OWNER TELE NE NO. ��3 7S�'��i6 CONTRACTOR D �— � DESCRIPTION �� G'`�� 4~j ❑ FOOTING ❑ DEM FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 y COMMENTS: � /G� � W a �C � O � � �O W � Q � � W � W � � d W ❑ RK SATISFACTORY:PROCEED ❑ PROJ ECT COM PLETE � CORRECT W'ORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w 0 ❑ ECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in advance. 9 2 9-46QQ OwnerlContractor on site: Inspector: White CopyllnspectoPs File Canary CopylSke Notice \ / ��d� DATE TIME� � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ' O PERMIT NO. cOMPLEfE4 ADDRESS �` `l S�,�C�%t , OWNER TELEPHO E NO. CONTRACTOR / �8(,��1��'1 �� DESCRIPTION l �--/Yl L� j�/n � f ly ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YOU:_YES�NO �— C�a-� e��r y COMMENTS: �'`J� ir �� W a j O � � � O ' - ^ � .o ��lit� W 2 Q � 2 W � W � ' � J `�, W ❑WORKSATISFACTORY:PROCEED C3/PROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advance. 249-46�� OwnerlContractor on site: � Inspector. �� '� � � White Copyllnspector's File Canary CopylSite Notice