The URL can be used to link to this page

Home My WebLink About2014-00293 - plumbing - . R CITY OF ORONO * Z 0 1 4 - 0 0 2 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 1980 SPATES AVE PIN : 10-117-23-42-0021 LEGAL DESC : TOURGANEAU ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)DEIONIZER VALUATION OF PLUMBING 5150 APPLICANT PLUMBING FIXTURE FEE 6438 STATE SURCHARGE PLBG(VALUATION) 2.58 FREEDOM MECHANICAL TOTAL 66.96 8382 172ND AVE SE Payment(s) BECKER, MN 55308- CREDIT CARD 4420 66.96 (612)363-6190 Minnesota State License#: mech-004042PM OWNER CREAR, MR. & MRS. 1980 SPATES AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related wark which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked any time for due cause. � 6��'-�� yl8/��y � � �', Applicant Permitee Signature Date Issu By tgnature Date �, �OR TI' USE ONLY City of Orono '�r,/� D �93 �-��O P.O.Box 66 Date Re d Permit#��f� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: + (952)249-4600—Main (952)249-4616—Fax yF�q ��` CITY OF ORONO-PLUMBING PERMIT KFsyo� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/P.DF/ 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 PE�MIT (Check All That A 1 j �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional f�Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) 7ob'Site/Owner Information: Site Address: /J c�O •S/,J�1-7��5 �v-� r Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: }'" �� Contact Person: v.f�� /�� Address: b'38� /7� � State Bond#: City: �'�� Zip�3�+�� Expiration Date: �v�/3/�/Y Phone: �f� �d3 6l SD Alternate Phone: ❑ Insurance-Current: y�5 1 �� "��-� � ` �aa.�r ' �_ `,,. - a,'� »� �� tw4" ,� � '�` =�x�' , , _,.� .. .. 2. '� �a� �S� ;:.� `r",', � ��t ;�.s „�" y, �.y: FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory 1 Sewer Ejector Bathtub / Laundry Tray l Shower l Washer Kitchen Sink Water Heater Disposal Water Softener / r ze/L Dishwasher Wet Bar Sillcocks Miscellaneous ;;;� �,�;:: � � �� ,�.�.. ❑ 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;excludins 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 r � ��'�#��`��c.'`�'� 'x��y � �� `�'" °:t k�� k��-a w ,,�'��', 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) (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. �,; � , . . � „�,. � � ..�.. .. , � � .,�, .. . .._ . _, ,,..� �. , , � �.-, � � , � . �w.,,t .. . � �..r ., , ._ , x. �-� �,� _. ,� � „ �� .�,. . . �� 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: �4 'i�� Date: ��i�3��y 3 � ��{/7 C.�_�E/ TIME V )F OR�NO CALLED IN / CTION N�TIC CHEDULED - �/>—�f�-� T NO.o<<J� � OMPLETED ADDRESS / '�I �� OWNER TEL PHONE NO��"-3�3-�O��V CONTRACTOR r� ��!'L�� i � DESCRIPTION / � � ❑ FOOTING ❑ PLU IN FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M H NICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ M HANICAL FINAL � TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. /. � O � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑' RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours' advance. � -46QQ OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice � �y� ATE TIME � CITY O RONO CALIED IN � �� INSPECTION OTIC SCHEDULED — — � PERMIT NO. ! �3 COMPLETED ADDRESS OWNER TELEP ONE NO. � -�D� CONTRACTOR � DESCRIPTION �� ❑ FOOTING �LUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA L 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: a �lSl�krec ' S�� -� 5��` � �G( G.�orlC Ca�d�e�� — 0 a � ° t F��4D p�,�, � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED y�P�Wi6�7 COMPLETE W ❑CORRECT WORK&PROCEED �� ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. h-- Wh e Copyllnspector's File Canary CopylSite Notice