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Home My WebLink About2015-00018 - plumbing CITY OF ORONO * z 0 1 5 - 0 0 0 1 8 * � ,�•► 2750 KELLEY PARKWAY DATE ISSUED: OU07/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1480 SIXTH AVE N PIN : 26-118-23-32-0008 LEGAL DESC : DOUGLAS ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET AND(1)LAVATORY VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 SAM HENDRICKSON PLBG&HEATING INC TOTAL 50.25 29901 725TH AVE DASSEL,MN 55325- Payment(s) CHECK 12636 50.25 OWNER GULBRANDSON,DAN&ERICKA 1480 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORI�T STATEMENT 1'he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shali be compied with whether or not specified herein.l'his permit will expire and become null and void if conswction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the e Building Code.This permit may be revoked at any time for d ca �--�ti � / / /�J Applicant Permi ee Signature Date Issu y Signature Date . �_ Tt/J�tCt3`Y�(TS�`QI�Y-:.. ... /�� City of Orono �:; .,::,........-; .. . . . .... : �'`V� P.O.�mc 66 �libaived:, :�rnFit'i� '�,: 2750 Kelley perkway ..' '�� Crystal$ay,MN 55323 ,AFt�ed�r:: :�;,;TM.A;ni�rtt S„ . .. (952)249-4600—Msin ' ` ` ` .t K5. (953)249-b616—�'ax � o'' CITY OF ORONO—PLiJMBYNG 1'E�T � �''F�3Hp�`� (All Commercia]Permits Must be Approved by ihe State.Prior to City Approval) htt ://vrww.dli.mn. ov/CC F/ e lumb lanrev . df ,. GEi�RA�,Ii�'f3RMA'�`�C��::. ; : :. . ,:;:., . ,.. : : 1_ You may appl�+for plurnbing permits by mail or in person at the City offices. Applications will be revicwed and s pern�it r�vill be issued with�in two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMTTS ATtE NOT VALIb CINTTL YOCJ 1t�C�T'V�A PERMCT. 'WQRK MUST NOT BEGIN ONTIL TH� PERMIT CARD 1S POSTEb ON THE JO�SIT�. 3. plumbing permits may be issued QNLY to ficensed plumbing contractors and to property owners residing in the dwelling_ 4. When any new construction or remodeling is involved,a Sep&rBte building permit must bC obtained. 5_ All work must be done in accordattce with State Code requirements. 6. All work must be ittspected and air tested before it is covered. Call(952)349-a60p. (24-48 hour notice requfred) ,..: . , . .:.. - . . '�Y�'��F PER�' '.- ,. .��eck,A�l'�a�. 1 . .. . .:.. � �Ttesidential ❑Commercial(Approval Required) ❑New ❑Additional �Repa�rs ❑Replace Q In Accessory S[ructure? 'You'will need nrior aoorovai and may need CUP.(1'er Orono City Code,Chapter 78,Arcicle IV) �'l?UTIf�I'�i"!�`Q!i`111�tIQ'it:. .. ... .: ..:.:.:...,..:: ::.: . J4b.Sit�� .... .. .: .., :.. . Site Address: �� (� �/'r� �� Ovvner:��'/G �.��1� Mailing Address: City: » � Zip: Home phone: Alternate Phone: ; ..,;.. ,; , :'�;:;:'` ` ` C�ntraeta�Tn�'c�ta�a�; .. , , � .:. ,., Contractor� ��9�'�ontact Persan: �J�/�n ��4n`"}�� Address:��/ /�� State�ond#: ��J��[P City: ��`�-'� Zip��xpiration ba#e: � � Phone: ��"�� Q� /� Aleemate Phone: /�/ �� ❑ Insurance—Current: �� l S,Z:a6pd 9Z9b6bZZS6ti��l LbZ�SZZOZ� H'8d uos�o?.apuaH weg:wo.�� L��Oi ST02-Z0-Nd!' -- - „� a..>.. _ ,,:,,��_.�,, ,.:: FIXTLTRE $SM.T 1 2 OTHER FT�C'C"URE BSMT 1 2 OTf�R TYPE FL FL T'YPE �, FL Water Closet ' �1oor Drains La�vatory t Sewer�jector / Bathtub Laundry'rray Shower Washer Kitch�n Sink WRter T�eate►' Disposal Water Softener bishwasher W��' Sillcqcks Miscellaneous ) �� ,"��1.�c��n��i� �� _ _ _ <r4i' .� ��' :.�•��-,.`t�Y?•• = 9..._t ir ❑ Yes,this stction applies The replacement of only one Residential fixture or appliance thaC meets al l three of Che following requirements: 1. Does n require modification to electrical or gas sewvice. 2. Has a total cost of SS00.00 or less;excludin the cost of the fixtur�or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing convactor. Skip next section,if this applies; Cost of Permit $ 15.00 $tate Surcharge $ 5.00 Mail•In Fte(lf Applicable) $ 2.0 Total Permit Fee $ � (Permit Fees Continued On 1Ve�ct Page) 2 S,Z:a6pd 9Z9b6�22S6I��l Zb2ZSLZ02� H'8d uos��t,�puaH weg:wo.�� Z£:0i SZOZ-LO-Ndf _ " "''�.,�"�."'�"y�;.+,; ';y,¢g�,:�; " -- Tf above does not appl�;follow guidel'rnes below: 1. CONT�t.A�C'r'PrtYC� *�s 1-25%of contract price yrith a(Minimum Fee uf$50.00) ,�-,-a�/'� Q1J ,�(/C/� x.0125$ (contract price) (mioimum 550.00) 2. STATE SC1YtCAA.$SY� x.0005 $ (Contrfltt prite) 3. POSTAGE c$HANDLING(Only on Mail-ln Applications) $ __2.00 4. TOTAY,p�RMC'E'��(Add 1,ines 1-3 Above) $ ■ � CONTRACT PRCC.� or 1'pB COST means the actual or�stimated dollar amount charged for tht permitted work including materisls,labor,proflt,and otl�er frxed costs_ Tt is the�mount to be Charged to the customer for the work done. Tf any material,equipmCnt,iabor or installaTions are furnished by the owner,tenant or any other parry,the reasonable market value of such items must be add�d 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 Ciry may request the submission of a signed copy of the actual contract. 'k., 's,i��.., The undersigned hereby appties 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 regulatipns of the State o� Minnesota, and certifies that all sta#ements matie on this applicat'►on are complete, true and correct. �'� i 7�1� Applicant's Signature: �J Date: 3 S,�:a6pd 9�9b6bZZS6I��l ZbzZSZZOZ� H'8d uos��?.apuaH weS:wo.a� Z�:OS SiOZ-ZO-Ntif , � Z O� � DATE TIME� � v CITY OF ORONO CALLED IN \ �� I�� \ �'•ca�„�..' INSPECTION NOTIGE �� SCHEDULED \/ �5 I �`� �'-c� 1��r� PERMIT NO.�Ul� -� ADDRESS �`�`��= J�''" ��— ' " OWNE��G--��>��--�s°��TELEPHONE NO. C�TRACTOR c�� ,s��.,�n.� — �-1 �� — ��`i � — CoCo� ��. � DESCRIPTION �lurnb �-�Z � k� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � � O u� W � Q � 2 W W 1 � � j W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ O ECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hou in advance. 249-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �-�� _ DATE TIME CITY OF ORONO CALLED IN � v'- � INSPECTION N TIC ^^��SCHEDULED '� PERMR NO. �-r-� C�MPLET�D ADDRESS l �� V.-��'�� '� � OWNER ELE HONE O. S� a a�0�� CONTRACTOR � � DESCRIPTION �`-K.� t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/ ING y ❑ FOUNDATION WATERPROOF �,�RLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �tiIECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIFiEPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: W � �i�.tG ��c. �r L .�_�.E�.� � o k.b�K L°.s..,r.n/PE�– �. � � /�C�s�Ks� a.�t,�/�aO — W � Q � W � W � j O � ❑WORK SATISFACTORY:PROCEED �BpJECT COM PLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: / �-.. White CopyAnspectoNs Flle Cenary CopyfSite Notiee