Loading...
HomeMy WebLinkAbout2014 - 00161 - plumbing CITY OF ORONO 111111111 II 1111 III111111111 2750 KELLEY PARKWAY DATE ISSUED: 02/20/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 70 WEAR LA PIN : 04-117-23-21-0019 LEGAL DESC : ROLLING MEADOWS 4TH ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: I WC, I LAV, 1 SHOWER VALUATION OF PLUMBING 2650 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.33 CITYWIDE PLUMBING,LLC MAIL-IN FEE 2.00 2059 123RD AVENUE NW COON RAPIDS, MN 55448- TOTAL 53.33 O Payment(s) Minnesota State License#:plbg-PC642798,mech-MB003873 CREDIT CARD 3699 53.33 OWNER PFEIFFER,JASON&JONI 70 WEAR LN 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 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 at any time for due cause. Applicant Permitee Signature Date Issued By gnature !v,bDate p.1 FOR CITY USE ONLY lit-Q A r City of Orono <V P.O.Sox 66 Dace Received; Permit V 2150 Kelley Parkway UCrystal Bay,MN 55323 Approved By Amount S: (952)249-4600-Main (952)249-4616--Fax CITY OF ORONO-PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :l/www.tlii.mn.tov/CCLD/PDF/se dumb lanrevai i.pdf GENERAL INFORMATION I. 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 atter 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 (Check All That Apply) Residential ❑Commercial(Approval Required) D New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site I Owner Information: Site Address: 7o C . l Owner: Srcc CPJ(/+O,1Mailing Address: IS X�-� L11 City: �t1 Zip: 65 3 6 Home Phone: 1 7i?'- a i L'j 2- Alternate Phone: Contractor Information: Contractor: Ci (1J,Ji de Contact Person: 1��ni`-1 c_7(a) ! e_2-1 Address: )3j` Y �� �.#�� \iv/ State Bond#: pc (490 1 J City: CIl ,T Zip:ff 5b9 Expiration Date: 13 t f 2-015 • Phone: 1 Y2)=q SUI-009 I Alternate Phone: Lr 1 -!Y[,) - L1 o ❑ Insurance-Current: 6-1-3-67 - 677i &taitiwyyL p.2 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT I l' 2"n OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower i Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATIONS) BASED OFF-2002 STATE STATUE El Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding,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 Pees Continued On Next Page) 2 p.3 PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) a ..0G0 / '3() x.0225$ . C (contract price) (minimum$50.00) 2. STATE SURCHARGE ( , /� lX �V x.0005 $ t. 32, (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 63 ■ * 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, 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 correct. Applicant's Signature: Date: i—aO—I L., 3 b-k ZV E TIME CI- t'OF ORONO CALLED IN INSPECTION NOTICESCHEDULED --)--/J i/ q/4riy\ PERMIT NO. 70(((MO tP I COMPLETED ADDRESS • . .i.' J OWNER . A r L' .c r TELEPHONE NO.--n032-2g-50(61 CONTRACTOR DESCRIPTION r( cia� PI um() ' W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 11. • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ID PLUMBING FINAL El TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 HARD COVER REMOVAL . ❑ DEMO-SITE ❑SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z• OWNER/C.... W`NONTRACTOR TO MEET YO YES v/ YES_NO y COMMENTS: cc 4 CC 111111111: -O O IQ CCQ 2 W Z W Cc W ► • •RK SATISFACTORY:PROCEED 4ROJECTCOMPLETE ItW •RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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 adva .-. r' "' ) 249-4600 Owner/Contractor on site: . r I r Inspector. ! 0 White Copy!Inspector's File / Canary C••y!Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.;�b/'-X/6/ COMPLETED j' —021 '/5 ADDRESS 2 A)erele Zit - OWNER TELEPHONE NO. CONTRACTOR (1 yA.A.-vde • • DESCRIPTION 1 1, e LU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT • R4AL 0 WATER HOOK-UP CRALLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO El COMMENTS: ,c': 'r Abi. ✓ 4.CC `�cj cq a tC�✓ if �ir1B� /i'1 tG�la cc O CC /k) ane 40 Ma 0 Q PeGSZA/l 0160(0 G't' d * C cJ[�iG ! •t cL Nspe6 W w % - ¢'- Ph 4' 4s W El WORK SATISFACTORY:PROCEED El PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN El El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED 12E6-T10N REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector.L. White Copyllnspector's File Canary Copy/Site Notice 6'" ' D•T TIME V CITY OF ORONO CALLED IN ci2`- • INSPECTION NOTICESCHEDULED .2 - airi %P PERMIT NO.(20 6 t f —Cl011�-_CO?MPLETED /:3v ADDRESS 7© wear Uv OWNER //���� TELEPHONE NO.to 1 Z Sc 5.aS / D CONTRACTOR c f W d l �,e t I14(9 DESCRIPTION � 6 Ltj ❑ FOOTING ❑ PLUMBING Fl 0 EXCAV/GRADING/FILLING 4. et 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORENVETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS Z ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ✓ ❑ DEMO-SITE 0 SEPTIC MAINT ❑ FOLLOW-UP 141 ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL v .'PLUMBING RI CISEPTIC FINAL CIFOUNDATION/REMOVAL IL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: CC a Pit'.• .ta r' L •L % ��.-//E 40,,,r1 cc klV' PVA - - o .ski- o, o ,6-# ate ,est ./. A, /L ..f- — W Prv� e ISvfQtico". e)� � �ic x oo . �vi5 wt CarIC r•cam. Gv A eK / aO&r"'S !bo i- •F 111 j dc R4 fklir` " „ , rdSoit vafloC 41err cr a WQ ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LW CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION 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. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: kr"../ Inspector. 9 / At-- White Copy/Inspector's File Canary Copy/Site Notice