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Home My WebLink About2014-00179 - plumbing � CITY OF ORONO * z 0 1 4 - 0 0 1 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: 03/03/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3185 SIXTH AVE N PIN : 28-118-23-32-0006 LEGAL DESC : UNPLATTED 28 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO"1'1�: PLUMB[NG PIXTURES: (3)WATER CLOSETS,(�F)LAVATOR►ES,(1)I3ATHTUB AND(1)SHOWER VALUATION OF PLUMBING 8500 APPLICANT PLUMBING FIXTURE FEE 106.25 STATE SURCHARGE PLBG(VALUATION) 4.25 RICK'S PLUMBING SERVICES LLC TOTAL 110.50 14015 SPRING LAKE ROAD MINNEAPOLIS, MN 55402- Payment(s) (952)933-3132 CREDIT CARD 2641 110.50 Minnesota State License#: PLUM-PC648723 OWNER BRANTINGHAM, HENRY&NANCY 3185 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and speciYications,applicable City approvals,and the State Building Code. "This permi[is for only the work described and does not grant permission for additional or related work which rcquires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. "I he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked an time for due cause. � n I ` - i _-� J � �_ �° � _<, r -- � � _. ` �v,� ,� � Applicant Permitee Signature ate �� Iss � By Signature Date ` F�CITY USE ONLY • r �O A.�\ City of Orono � / �y P.O.Box 66 Date Received. Pernvt# � ��, 2750 Kelley Parkway //D � i '� Crystal Bay,MN 55323 Approved By: Amount$: � (9�2)249-4600- Main 1 � �� ,� (952)249-4616--Fax � � .` ' CITY OF ORONO—PLUMBING PERMIT ��k�E�H��`�� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) � htt,://��r��,dli.inn.��o��ICCLU/PUt�/ e �lunlb�larireva �. df GENERAL INFORMATION 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. Pcrmit 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 licenscd plumbing contractors and to property owners residing in the dwelling. 4. When any new constiuction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code reyuirements. 6. All work must be inspectcd and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior annroval and may need CUP.(Per Orono Ciry Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: -3i �5 �l�lj�l,•�.�,� � (�� Owncr: ��7r�1 �r�a�C�{ ��.l��i�1��n�Mailing Address: City: �--�� Gtk,r. '�'� � zip: �5 3 5 � Home Phone: �/Z' ��' � �-3� y l Alternate Phone: Contractor Information: Contractor: �_v1�s f�u�nbin� S�✓�� Contact Person: �� '��-�" , Address: ��"° 15 SP'�'n�l �`''� �- State Bond#: � 15t� I Z- S �(� 3 � c�r�: M�n ru..�l�o-w��L- Z�p: 55 3�Expiration Date: i I � ` ��'I� Phone: � '�� 1�3 - 3 i 3 z-- Alternate Phonc: �5 z`�0� '2�� t ❑ Insurancc—Current: 1 �LUMBING FIX'I'L3ItES BEIP+fG INSTALL�1� '` FIXTURE BSMT 1 T 2ND OTHER FIXTURE BSMT 1 T ZND OTHER TYPE FL FL TYPE FL FL Water Closet Z ' Floor Drains Lavatory .3 � Sewer Ejector Bathtub , Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FE�CA�.CULATIOI�(S) '`BASEI7 OFF -�002 ST.ATE STATU� ❑ Yes,this section applies The replacement of only one Residential 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 cost of$500.00 or less;excludine the cost of the fixture or 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Negt Page) 2 PERMIT FEE�ALCULAT'T(?�I S -JC}�3S�UV�ER$�UQ.flO ' If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%f contract price with a(Minimum Fee of$50.00) ��0� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract 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 esrimated dollar amount charged for the permitted wark 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 fumished 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. PLUMBTNG P�RMIT AFPLICA'T'IQI�T-At'r12EEMEI�TT 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: 3 �3 — ! � 3 �JI _�� D TE // TIME , / CITY OF ORONO CALLED IN � ��'� T v INSPECTION OTI `� SCHEDULED — � PERMIT N� ` MPLETED� ADDRESS � 1� �'V OWNER TELEPFFONE NO. ^ - o d D / CONTRACTOR � � �� : DESCRIPTION �� V - � � ❑ FOOTING ❑ PLUMB G FINAL� ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECH AL RI ❑ LAKESHORENVETLANDS ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W � � � O >. � O � W � Q 2 ^ � W � W � j d W� WORKSAT�SFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. 952� 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSfte Notice v� ATE TIM� CITY OF ORONO CALLED IN —� INSPECTION NOT SCHEDULED - � % �� PERMIT NO. " D � COMPLETED ADDRESS S�� 952 270 53za OWNER TELEPHONE NO. CONTRACTOR !C� G1�1�-� � DESCRIPTION ��'�'� �`"� � ❑ FOOTiNG O PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ 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 0 SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �-PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W ! a Q,S �� ,t.L, h�tl��vo�,. �c�.ca�i� o - -i- - v .�.� .C� . '� �w ✓. - C3S ,5�� a - � - 0 � � � . Q ��h ��K - ve.�t�� - iKs4i. � � b,� -� ��¢✓ W CC � J � �Q�YORK SATISFACTORY:PROCEED O PROJECT COMPLEfE � ❑CORRECT VYORK�PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY � ❑CORRECT NfORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advaru:e. (952) 249-4600 OwnerlContractor on site: Inspector: � White Copyflnspector's File Canary CopylSite Notke ��l �� 1 �� .\D�T� TIME CITY OF ORONO CALLED IN �� INSPECTION ICE SCHEDULED � PERMIT NO "'� 1 COMPLETED ADDRESS S(?( V e- OWNER TELEPHONE NO. r �� CONTRACTOR � �k � � � , � DESCRIPTION � ❑ FOOTiNG ❑ PLUMBING ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y p FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNbATiON/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: o� a � � O �. � 0 � W � Q � 2 W � W 2 J W ❑YYORKSATISFACTORY:PROCEED O PROJECT COMPLEfE � ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours adva �9 49-46�� OwnedContractor on site: Inspector: White Copyllnspector's File Canary CopylSite Not'