HomeMy WebLinkAbout2014-01388 - plumbing � CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 12/02/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 440 STUBBS BAY RD N
PIN : 32-118-23-13-0006
LEGAL DESC : STUBBS ADD[TION
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: WATF,R SOFTI?NI;R
VALUATION OF PLUMBING 2100
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG (VALUATION) 1.05
BENJAMIN FRANKLIN PLUMBING
1424 3RD STREET N MAIL-IN FEE 2.00
MINNEAPOLIS, MN 55411- TOTAL 53.05
(763)755-6468 Payment(s)
CHFCK 22501 53.05
OWNER
OLMSCHEID, LEE & MELISSA
440 STUBBS BAY RD N
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or rela[ed work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime alter work has commenced.
I'he applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e[3uilding Code.This permit may be
revoked at any time for due cause.
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Applicant Perrnitee Signat Date Issu By Signature Date
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I�I P O.l3ox 66 ��- Date Received: Permit#
2750 Kelley Parkway "���, '
Crystal 13ay,MN 55323 Approved By: Amount$:
(952)249-4600—Mam
� �. (952)249-4616—Fax �- �
''F c` CITY OF ORONO–PLUMBING PERMIT
��K�st����� (All Commercial Permits Must be Approved by the State Prior to City Approval)
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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 TNE
PH:RMIT CARD IS POSTFD ON THE JOB SITF..
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 remodcling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. r`,li work mast�e inspecte�7 anu air tested'ueiore it is cuvereii. Call(�:i�j 249-4000.
(24-48 hour noticc required)
TYPE OF PERMIT
Check All That A 1
�esidential ❑Commercial (Approval Required)
❑New ❑ Additional ❑ Repairs �eplace
❑ ln Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site /Owner Information:
Site Address: 1'� �' J�U J 5 � � � �
Owner: �'�e �I ✓v�SG h e r�� Mailing Address: S ��
City: (`1� Zip: ��'�� �O
�l�n�e Phone: �`�o F ���� `�/,3(� .Alternate Ph�ne: �+ —
Contractor Information:
Voah Acquiation;.11C ��n 1� `Q. � ��`�I
Contractor: Contact Person: �
1�2�3rd St l� � ^��� � � �
Address:
h.�;,,,,z��„i;;.n�n ss�i i State Bond #: Y
C��y: Zip: _ Expiration Date:
Phone: �Ql�` '� 3� ���� Alternate Phone: �r
❑ Insurance– Current: ��,�i(`e� �5 �h dJ(����-�
1
� PLUMBING FIXTURES BEING INSTA�L�T� ���
FiXTURE RSM"T l�� 2ND O"I�III?R FIXTURE BSMT 1 2"D O"1'HER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher
Sillcocks Miscellaneous
-- -- - --- - � �� a�-e- C i►�on �I �Tei'
PERMIT FEE CALCL�LATION(,' � '
� BASF_,D OFF - 2002 STATE ST�UI;
❑ Yes,this section applies
The replacement of only one Residential fixture or a lia ce that meets all three of the following
requirements:
1. Does not require modification to elec ical or gas service.
2. Has a total cost of$500.00 or less; cludin=the cost of the fixture or appliance: and
3. Is improved, installed or replace y the homeowner or licensed plumbing contractor.
Skip next section, if this ap �es; Cost of Pern�it $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continucd O ext Page)
2
, ' i PERMIT T'EE CALCULATION(S)-JOBS OVER $500.00
If above does not apply; follow�uidclines bclow:
1. CONTRACT PR1CF, * is 1.25%of contract price with a(Minimum Fee of$50.00)
� � 0� x .0125 $ mlrl �b
(contract price) (minimum�50.00)
2. S7'ATE SUKCHARGE � �� /� 1 ��
V x .0005 $ •
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. "TOTAL PERMIT FEF;(Add Lines 1-3 Above) $ � / • U s
■ * CONTRACT PR10E or JOB COST means the actual ar 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 sucn 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.
PLUMBING PERMIT APPLICATION'AGREEMENT `
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
carrect.
Applicant's Signature: Date: �� �� �� ��
3
DATE TIME �
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�' b�3� COMPLETED ���l
ADDRESS �� ���s Qt� .�O itl.
OWNER TELEPHONE NO.
CONTRACTOR /d�•��E��ti ����l��t �
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� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
"j ❑ FOUNDATION WATERPROOF L:�WMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP
LIOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET 11�U:_YES_NO
c�.� COMMENTS:
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W O WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT W'ORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑f�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN p CITATION ISSUED
� TOP ORDER POSTED.CALL INSPECTOR
CTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerfContraator on site:
Inspector: M--�
White Copyllnspectw's File Canary CopylSNe Notk�
� � �.�' pq TIME✓
ITY OF ORONO CALLED IN %�
INSPECTION OTICE (�',�CHEDULED � �- U u
PERMIT N . '�� � c0 P EfED
ADDRESS �
OWNER 'TE E ONE •Z�SD" ,�
CONTRACTOR
� DESCRIPTION
�
ll1 ❑ FOOTING D -FINAL ❑ SEPTIC FINAL
�
Q ❑ POURED WALL UMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ' PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ �NSULATION ❑ 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
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W �
O �CORRECT WOF1K,CAIL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pf{OTOTAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 ours in advan 2) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary Cop Site Notice