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Home My WebLink About2015-00585 - plumbing CITY OF ORONO * 2 0 1 5 — 0 0 5 8 5 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 825 WILLOW DR S PIN : 10-117-23-22-0001 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: 3 WATER CLOSETS,4 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 SILCOCKS, 1 FLOOR DRAINS, 2 LAUNDRY TRAYS, 1 WATER HEATER VALUATION OF PLUMBING 9800 APPLICANT PLUMBING FIXTURE FEE 122.50 STATE SURCHARGE PLBG(VALUATION) 4.90 B&B PLUMBING TOTAL 127.40 25593 109TH ST Payment(s) ZIMMERMAN,MN 55398- CREDIT CARD 3261 127.40 (612)807-3706 OWNER JAGLO,JEFF AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an time for due cause. App icant Permitee Signature Date Issued By Signature Date V FOR CITY USE ONLY �0 A TO City of Orono 1 V P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway (, Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)2494616—Fax CITY OF ORONO-PLUMBING PERMIT lgx6SHO (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mii. ov/CCLD/PDF/ a plumbplanrevapp 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 (Check All That Apply) -� sidential ❑Commercial(Approval Required) w"v ❑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: S (,j < /wLo �`� �` S , Owner: UE)zry A-la Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 1 U'``6r�cC, -l'ti1C Contact Person: jlS LA L i SC-1!� Address: �S�g3 i�� S� State Bond #: City: 7,c a.� �=Nle�,Zip:/4�1y Expiration Date: sr3Y �)L Phone: / �3--32-6I -2 Alternate Phone: ❑ Insurance-Current: 1 i r FL, BINE FtXI'URES E G'NSTAL , , FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 3 Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink i Water Heater 1 Disposal i Water Softener Dishwasher i Wet Bar Sillcocks Miscellaneous t M- 1 ❑ 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;excludin¢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 - PERWT'FEE CALCULATION$ JdBS 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) x.0125 $ (contract price) (minimum$50.00) 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. m " int G FORNM`APPIACA' 7(�� EMEN T ' :; 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: �5 3 DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTI ,,.n��o�ccHEDULED U L g PERMIT NO.� U�`-'W-ACPL D ADDRESS 1' ) OWNER f�OELEPHONE NO. CONTRACTOR 3: DESCRIPTION t~y ❑ FOOTING ❑ DE O FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL CE4JaLrUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ P`LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q [I FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP [IAS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARDCOVER REMOVAL vW ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc Qz QC Q z (Z!C �i �vim✓ W J 1MORKSATISFACTORIF PROCEED ❑PROJECT COMPLETE W I' RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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 OwnedContractor on site: Inspector. White Copyllnspectoes File Canary CopylSite Notice V4 ATE TIME --CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED g—,* PERMIT NO. 20� — 055% COMPLETED ADDRESS OWNER Q� TELEP ONE NO. CONTRACTOR b vrti DESCRIPTION -�-� t~l1 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q El POURED WALL %;LUMBING LUMBING RI � ❑ EXCAV/GRADING/FILLING yFOUNDATION WATERPROOF 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 w ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTORTOMEETYOU: YES_NO COMMENTS: w "e a o —��V v,J� n�� .6JlG�cf - >�6 r S how•.� ve•� �' '�" Wit c•� �,..i? Cc 0 w QC He3e ISK Q z w W Cc J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN 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: Inspector. / White Copy/Inspector's File Canary CopylSite Notice F14 �Ak DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED (j PERMIT NO. aots -46,f-W- COMPLETED _ ADDRESS Z S A / C A ba OWNER TELEPHONO. CONTRACTOR mb 3: DESCRIPTION &r W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ OTIC INSTALL OWNERICONTRACTORTOMEET YOU/ YES NO v0, COMMENTS: W J O cc O W W Q 2 W W O O W ❑WORK SATISFACTORY:PROCEED PRO JEC COMPLETE cc ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W ❑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 El CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. ) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy1Site Notice