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Home My WebLink About2013-01108 - plumbing , � CITY OF ORONO * 2 0 1 3 - 0 1 1 0 B * 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4225 SIXTH AVE N PIN : 31-118-23-12-0012 LEGAL DESC : LJNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT: 1 WC, 1 LAV, 1 TUB, 1 LAUNDRY TRAY, 1 WATER SOFTNER, 1 IRON FILTER 1ST FL: 1 WC, 1 LAV, 1 TUB, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, REPLACING FIXTURES SUPPLIED BY OWNER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 PETERS PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.75 20455 MAOR ROAD EXCELSIOR,MN 55331- MAIL-IN FEE 2.00 (612)803-5066 TOTAL 52.75 Minnesota State License#: PM093027 OWNER DATTILO,GRANT 4225 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due c �� 2/ �Zv/3 / / A c t e itee Signature Date Issued By ignature SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED E. � � FOR CITY USE UNLY � 1 City of Orono �-0� P.O.Box 66 Date Received: Permit# 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y�'�q ��` CITY OF ORONO-PLUMBING PERMIT k�sHo� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . 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. 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 work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) ...TYPE OF PERMIT � � �� "�heck�Al��That A t��)� � � �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Smzcture? *You will need arior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: SiteAddress: �22✓� � �v� /5/�E /vU Owner: ��T Mailing Address: City: Zip: Home Phone: �O/`� ��'�� Alternate Phone: Contraetor Information: s G UD��F.-7ee,.,C�' Contractor: �� Contact Person: Address: �'�� d�� State Bond#: �� G��2 3 City: �X�`'d2 Zip:6�� Expiration Date: �� 3 i z0�3 Phone: ��2��D3 -�6� Alternate Phone: ❑ Insurance-Current: 2v�/�� °�as��8s33 1 � � r � _ _, , , . � . �"� �� ,�� , p , � . � - � ,� ° , 4, . r_��,t. � ..�;.� �� _, ,• �� „ . � , FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet f 1 Floor Drains Lavatory � � Sewer Ejector Bathtub ! r Laundry Tray � Shower Washer Kitchen Sink � Water Heater Disposal � Water Softener ` Dishwasher � Wet Bar Sillcocks Miscellaneous �L/�it� � �� . ❑ Yes,this section applies . The replacement of only one Residential fixture or appliance that meets all three of fhe 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 Next Page) � ' . 2 � � . � ,�,_ , . . . - � � � " _ �sa ,,.:, �� r.. ,.. ,,. �� . �M �� > ..� ,�� . �R .�, _.ti ,� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) � x.0125$ (contract price) (minimum 550.00) 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 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. �� 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: Date: �p -2�2oi3 3 � / e'�`� DATE TIME � CITY OF ORONO CA ED IN 7 INSPECTION NO HEDULED PERMIT NO. � � COMPLETED - ADDRESS Z ZS OWNER TELEPHON N ��"��-�S� CONTRACTOR � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TAEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W � ` � , O � O � W � Q � W � W � � J W ❑WORKSATISFACTORY:PROCEED RWECTCOMPLEfE � ❑CORRECT WORK&PROCEED I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN �STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours adva 49-460� OwneHContractor on site: inspector: White Copyllnspector's File Canary CopylSite NWice DATE TIME CITY OF ORONO�3-�77� CALLED IN INSPECTION NO��'! SCHEDULED PERMIT NO.a"�Ot3- o�/o� COMPLETED 3"3G'�CS ADDRESS�a.Z '�l s.ec�l �l�/�/ • OWNER G� ��ELEPHONE NO. CONTRACTOR � DESCRIPTION �� f �<< �� y� �y ❑ FOOTING ❑ DEMO-FINAL �� "[J PT,IC IN ~� � ❑ POURED WALL ❑ PLUMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YiDU:_YES_NO . � COMMENTS: /�I3 ' Ol�77 � - GC� �a✓�.L.r � j 0 a� ° o'�b/3- 66 434�- s�•:.� - W � Q � 2 � a�/�—:_ " �� - � P��.s� co•�b�id o�aHe «'y �..�! � ��.�l,� W� �f�.�q! ��Il��t or we�IE i�sy �..a .ao,�.s O WORKSATISF TORY:PROCEED � ROJECT COMPLETE � ❑CORRECT VIfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑�iTOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED `j�ECT10N REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site• inspector: � �-- � White CopyMnspecto�'s Ffle Canary CopYlSite Noties �`.� TE TIME `� CITY OF ORONO CALLED IN � �' � INSPECTION�LOTIC SCHEDULED i - �- PERMIT NO.olD I -Dl D co Ereo � ADDRESS OWNER � PHONE Npt��'��'�?� CONTRACTOR S �� DESCRIPTION L /� � W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL � ❑ POURED WALL Q ❑ PLUMBING RI EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO � � COMMENTS: �� ..`b�i�s� '�.EI/�Gl4G / ��4,i�.�s.P � a �or G�,s�clwr�� /�hes — _ O — C fJr �� f- �O�Ma,•� �i�.r.��,� � � /,� 7 `['/L(/ f N. � L � ioc e� �ccsL`iw�✓��l�'ao� ° � k�t�,(��,. — W � Q � 2 wGo r rG c� �t/S-t ��.v►�� 'r.*.t/e� jn � o w� ,D��r�� /�cJ_x.�� ❑WORK SATISFACTOFi�F.PROCEED ROJECT COMPLETE w ��CT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. all brthe next inspection 24 hours in advance. (g52) 249-46�� ctor on site• �Q3.Se. Inspector: � �^-' White CopyAnspecMr's Flle Canary CopylSite Notke