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Home My WebLink About2014 - 00080 - lumbing CITY OF ORONO 11 11 III I II II II II III I II II 2750 KELLEY PARKWAY * 2014 00090 DATE ISSUEE D: 01/27/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2740 WHITE OAK CIR PIN : 04-117-23-42-0019 LEGAL DESC : REG. LAND SURVEY NO. 1447 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: I WC, I LAV, I SHOWER VALUATION OF PLUMBING 2800 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) I.40 WELTER&BAYLOCK INC. TOTAL 51.-10 307 PERSHING AVE.N Payment(s) NEW PRAGUE, MN 56071 CHECK 6184 51.10 Minnesota State License#: plbg-PM65425 OWNER BERRELL, ROBERT&KAREN 2740 WHITE OAK CIR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time ford ca se. Ansi 47. frAB /// 61-114--41—/\„, Applicant 'ermite Sig .tu e Date Issued By 10 ature Date / FOR CITY USE ONLY �O�T City of Orono - VIli!IpILO P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main -:\„ s. (952)249-4616—Fax c` CITY OF ORONO–PLUMBING PERMIT t�KEsHo4� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://vvww.dli.mn.gov/CCLD/PDF/pe p1 urn bplanrevapp.pdf 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 (Check All That Apply) .Residential ❑ Commercial(Approval Required) ❑ 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/Owner Information: Site Address: g? /0 Oct 1f< V. Owner: 0‘3 ` ( <� Mailing Address: oZ 7 d o (,till,`-t*c ?i'n Z4. City: 0 eD�O Zip: J`�' 5 Home Phone: QS a 4f0`I a(6 CD Alternate Phone: Contractor Information: I Contractor: (A 001 IDc'i--'rile. Contact Person: Address: �ZrS►, `N.N State Bond#: ?C 6 43S6 City: N eRfu i 1.44..-- Zip:gio7 I Expiration Date: 1,2 " 31-/-S- Phone: /-/SPhone: 6 i a a 2 t - 05-1 Alternate Phone: — Insurance–Current: 1 PL[1I B'IN`D FIXTURES BEING'r` ST LLED . FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER 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 Wet Bar Sillcocks Miscellaneous It °yt JP T La�a � A._- * ..� y Le�"-, ? -;r: _ * wMX, 4u1t1 ❑ 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;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 Fees Continued On Next Page) 2 e ?EE (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) 8 02 00 x .01255 (contract price) (minimum 550.00) 2. STATE SURCHARGE gO 0 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ■ * 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. 1tUVIBING l'ERIC4""PL l A °"13 EE %TENT 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: ' 6'- 'I"; Date: o2 ! - /Z/ 3 C7 v -- / DTE TIME (/ CITY OF ORONO `� CALLED IN t� L /y- INSPECTIO TIC >- SCHEDULED --/y_ / y f• i-o PERMIT N@ f �j�_O diucomPLETED ADDRESS 7 VD L�- ( • . OWNER j�/� nTE ONE ' O. CONTRACTO- L'L a Y A ../ 44sit DESCRIPTION ) I ,,, 1... 4, ❑ FOOTING 0 PLUM FINAL 1=IEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MEC CAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS F.. ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP iLIDEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWN ER/CONTRACTOR TO MEET YOU:_YES NO cc., COMMENTS: CC La _ CC J 0 Cc 4. 7 W CC Q W Z W CC J d IQ ❑WORK SATISFACTORY:PROCEED CIPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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 hou ' advance. ' / 4'. 4600 Owner/Contractor on site: J , Inspector. -'e" i White Copy/Inspector's File Canary Copy/Site Notice F—S DATE c/ TIME V CITY OF ORONO CALLED IN i - 1-I - INSPECTION NOTICE SCHEDULED St 3-!a J:340 PERMIT NO.cmoo/'I trV��]jjj MPLETED ADDRESS ?7(10 C��'` .t� OWNER EPHO E NO ?) 1-b75/ CONTRACTOR _ t''.. '?IJ �:./�. I .. . ._ DESCRIPTION fl [/ / ❑ FOOTING ❑ PL NG Fl .L ' ❑ EXCAV/GRADING/FILLING 11. Q ❑ POURED WALL ❑ M C ICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT ❑ FOLLOW-UP ❑ EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL 2' O ERICONTRACTOR TO MEET YOU:_YES_NO CI• COMMENTS: CCa j � O cc \ i O u.W cc Q W Z W cc O WQ WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 1.4 ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 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 inspecti. 24 hours.1inildvance. (952) 249-4600 Owner/Contractor on site: / Inspector. 410 ,%-; White CopylInspector'suF le Canary CopylSfte Notice