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Home My WebLink About2015-01097 - plumbing CITY OF ORONO * Z 0 1 5 — 0 1 0 9 7 * . 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2015 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2135 S[XTH AVE N PIN : 27-118-23-31-0005 LEGAL DESC : UNPLATTED 27 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : F[XTURES-MULTIPLE NOTE: 1 LAVATORY, 1 BATHTUB, 1 SHOWER VALUAT[ON OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 1.50 TOFTELAND, RYAN&MARTHA 2135 SIXTH AVE N TOTAL 51.50 LONG LAKE, MN 55356- Payment(s) CREDIT CARD 1955 51.50 OWNER TOFTELAND,RYAN&MARTHA 2135 SIXTH AVE N LONG LAKE, MN 55356- AGREEMEIVT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved p►ans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be ,f) �/� revoked at any time for due cause. V LY� ` '1 � �._ }� � t� a I 5 I ��L�� ,, /2 / Applicant Permitee ignature D te Issued B Signatur Date FOR Y US Y , �� City of Orono ' —�( O P.O.Box 66 Date Received: �� ermit# � �� 2750 Kelley Parkway ,,,i , �� Crystal Bay,MN 55323 Approved By: ',� Amount$:�,�-� (952)249-4600-Main (952)249-4616-Fax ��'�� c�� CITY OF ORONO–PLUMBING PERMIT '��+��`� (All Commercial Permits Must be Approved by the State Prior to City Approval) l�tt ./IrF�w�v.dli.r��n. €�vICCLI}I�'UF1 c lu�nb I�nrc:ra . df GENERAL INFORI�IATION 1. 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 permits 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 wark must be inspected and air tested before it is covered. Call (952)249-4600. (24-48 hour notice required) ' TYPE(�F PERMIT (Check All That A` 1 ) QSI Residential ❑Commercial (Approval Required) /� ❑ New ❑Additional ❑ Repairs �Replace i� ❑ In Accessory Structure? *You will need qrior aunroval and may need('[11'.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Infarmation: ' Site Address: 2 �J5 �� Lo C9�ke l�I N 55 3 5l� Owner:�1I�OuA�ha t�1�aM ��1'-{£�ar�Cl Mailing Address: ,� �� city: �-�q �•ake zip: 55351� Home Phone: (��2�`��•��20 Alternate Phone: � w Contractr�r ir�nrrnation: '' Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance–Current: 1 a,��c`.�`- �`` �,� "¢ � ��, ��:l � ,�� ,..�„�,,,, . � � FIXTURE BSMT I ZN� OTHER FIXTURE BSMT 1 T 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains , Lavatory Sewer Ejector . Bathtub Laundry Tray i Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sil lcocks Miscel laneous d�, a �' 3 ��:: �' uR r�/, „�. �� ',�t �\ __ � �� 5� � � �` � . � . � �3�'�'�' k� ., ,� � t� � 5�� SS s'/� /% 1*i A' f �-. Y4��. / �� ,�'� �`��.�,�� F,,,"� � k x„ ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture ar appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . ` ' `� t.�'�x.f? ..,��„�'°��•�� t � ,��,�� ':1 �� :,�� x . s. , • ` . � '' - If above does not apply;follow guidelines below: , 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) .✓�� x .0125$ (contract price) (minimam$50.00) 2. STATE SURCHARGE �� i x .0005 $ (contrac[price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ❑ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work induding 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 actuai contract. _��°, ,� �� 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: Date: 2 0�5 3 1�4.1 ,� DATE TIME CITY OF ORONO CALLED IN INSPECTION OTI E SCHEDULED �� a_ PERMIT NO. ��' �� COMPLETED ADDRESS � � 3 S' � ' x�� - OWNER ��a- � �� TELEPHONE NO.��a -�`�` g L� CONTRACTOR s�� ; DESCRIPTION � � � ��- ��`�`� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ LUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �LUMBING 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � a .�a�� roow� rc••�ed�a� - ohPw �w 5 � r�w �i'�y• �!/G ��- �a - �. . � �j'�4 .tv ��•cQ �De�S�iac l,J •� • �l¢..«j� � � - ��st`�-•; U w v �'d' Vs s.�7 S•%� � W � - 'D K� �o��✓ Q � 2 W � W � j W G�V06RKSATISFACTORV:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�1 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. i White Copyllnspector's Flle Canary CopylSite Notice � � DATE TIME� CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. Zl7�� O��R � COMPLETED ADDRESS Z � � CJ � S �r,•��_ f-e N � OWNER _�n�� I �S TELEPHONE NO. � ��-' ��F�� CONTRACTOR � DESCRIPTION �� h � � ��-�' 4� ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W UILT-SURVEY ❑ SF�VER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO- ITE S PTIC INSTALL � OWNERIC RACTOFi TO MEET YOU: YES_NO ` c�., COMMENTS: � � � W a � y � � � � �L W � Q � 2 W � W � � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) -46�� OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice