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Home My WebLink About2015-01465 (Plumbing) , , CITY OF ORONO * Z 0 1 5 - 0 1 4 6 5 * 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1400 BALDUR PARK RD PIN : 08-117-23-31-0001 LEGAL DESC : BALDUR PARK : LOT O15 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(1)BATHTUB,(4)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER VALUATION OF PLUMBING 17400 APPLICANT PLUMBING FIXTURE FEE 217.50 STATE SURCHARGE PLBG(VALUATION) 8.70 VODA PLUMBING TOTAL 226.20 6417 PENN AVE. S. Payment(s) R[CHFIELD, MN 55423- (612)282-9036 226.20 Minnesota State License#: plbg-7598 OWNER ELLIOTT, STEVE 1400 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permi[is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in co manc th the State Building Code.This permit may be revoke e for due cause. �---,�-�=-___ �„ �� I( � (o�� -� D � S � plicant Permitee Signature Date Issued 'y 'gnature Date � � FOR CITY USE ONLY �O A'O City of Orono +�/ P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main y a (952)249-4616—Fax F �` CITY OF ORONO —PLUMBING PERMIT ��KESN�� (All Commercial Permits Must be ApProved by the State Prior to City Approval) htt�://w�w��ti�.dli.mn.�o��/CCLU/PU1�/�c �lumb�lanrc��a>>. �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 RECENE 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 properiy 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 A 1 ) i ��] Residential ❑ Commercial(Approval Required) � �New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior auproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: `l O� � �C1 Owner: ��/�/� t^ r� ' Mailing Address: ��i, (J�K-�'Lz� ��Q(.� lE` City: �(��O Zip: �,S Home Phone: Alternate Phone: �S� �� p �� Contractor Information: Contractor: ' . d� �.( ��1 Contact Person: ��C�- � � Address:��7 �� I/�� State Bond #: 1�C v�Y��j �� City: �� Zip:�,��Expiration Date: �� Phone: � � � Alternate Phone: Insurance—Current: 1 , , PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 ' 2ND OTHER FIXTURE BSMT 1 � 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains � Lavatory + c-� Sewer Ejector f� Bathtub � Laundry Tray j \ Shower � Washer ( Kitchen Sink f Water Heater � [ Disposal / Water Softener � l Dishwasher � Wet Bar Sillcocks � Miscellaneous �r" PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or a�pliance 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; excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractar. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Con6nued On Next Page) 2 , . � 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) `� �J� � .0125 $ � (con act 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. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all wark in strict accardance with the ordinances of the City and the regulations of the State of Minnesota, and certifies th t all statements made on this application are complete, true and correct. ' Applicant's Signature: Date: — �� 3 c- ��- ,� 7 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � SCHEDULED / `��5 /D.'30 PERMIT NO. '�� OMP ET D ADDRESS �� OWNER U TELEPHONE NO.I�� "a � °1 �D � CONTRACTOR �--- ��— � DESCRIPTION �� l� ❑ FOOTING ❑ DEMO- IN L SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: ` ��y�� '- �� W/•� �� i o � � Q'✓ �ie S b �'S //al�i K5 — � � /�✓ovtre Pi � �r� ,��1t�� Gc. r��v' S�� o �� _ Q ,Nh �4/�1 � - e✓ �a s�e��odf �. ` � lN Cf/�ili ��Gt�rL).o✓ cl /�'t 5,��liit�vt, �ti'� 2 � b�r�( S�r• W � � � W �RK SATISFACTORY:PROCEED O PROJECT COMPLETE �,�RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O��CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on sit�: Inspector. ` � � White Co'�llnspector's File Canary CopylSfte Notice c ��-- � ; d DAT�E /� TIME�� CITY OF ORONO CALLED IN ��f� / INSPECTION N��E �`� SCHEDULED �' �—l�O ` .� �� PERMIT NO. d -� COMPLETED ADDRESS ��U ��i ��/�.-l�- �-d OWNER T LEPHONE NO��Z"Z gZ�'f�-(j CONTRACTOR ��►'/' � � DESCRIPTION — � 4� ❑ FOOTING ❑ DEMO-FI ❑ SEPT FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAWGRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECT�ON 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET U:_YES_NO c�.� COMMENTS: �' �. a Ow v �a� �� — Os� �� %- !� �s� js /�6�, 7�s — � � � �� – C��U�� W � Q � 2 W � W � J d W/�'�NARFESATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WOflK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector_ `""'"�� .,_,. White Copyllnspector's File Canary CopylSite Notice C �� \�s'"' ' V D T�/� TIME CITY OF ORONO CALLED IN INSPECTION NOTIC EDULED --.�/ '�� .3C� PERMIT N �Ql o Er ADDRESS �� OWNER TELEPHONE NO. �—��Z�a� CONTRACTOR � ( � � DESCRIPTION l� ❑ FOOTING ❑ DEMO F NAL ❑ SEPTIC FI AL Q ❑ POURED WALL ❑ PLUM G 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SE,PTiC INSTALL 2 OWNERICONTRACTOR TO�ME�U:,�YES_NO c�.� COMMENTS: � �3� 1 /S �/�l�i�� a ^ o � - .�i�,� �s��;.s��/l�% �N I/,�. � ,l��h - �.�. -- b4�,� - ��,� �- � 0 � W 1 Q �G�� S� LaC3T K C'"bl�/��GCP z -.� 4,��e4 os � W � W � � J W ❑WORKSATISFACTORY:PROCEED ,�ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WFLI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector_ �� / �"" ,� White Copyllnspector's File Canary CopylSite Notice