The URL can be used to link to this page

Home My WebLink About2014-00451 (Plumbing) CITY OF ORONO * 2 0 1 4 - 0 0 4 5 1 * • 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1404 BALDUR PARK RD PIN : 08-117-23-34-0018 LEGAL DESC : BALDUR PARK : LOT 014 BLOCK 00] PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NOTE: 1ST PLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, l DISPOSAL, 1 DISHWASt�IER,2 SILLCOCKS,2 FLOOR DRAINS, 1 WATER HEATER, 1 WATER SOF"i'NER 2ND FL:3 WC,4 LAV,3'I'UB, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHF,R 3RD FLOOR: 1 WC, l LAV, 1 SHOWER, I KITCHFN STNK, l DISHWASHER VALUATION OF PLUMBING 16400 APPLICANT PLUMBING FIXTURE FEE 205.00 STATE SURCHARGE PLBG (VALUATION) 8.20 VODA PLUMBING TOTAL 213.20 6417 PENN AVE. S. Payment(s) RICHFIELD, MN 55423- (612)282-9036 CHECK 3613 213.20 Minnesota State License#: plbg-7598 OWNER MILBRATH, BENJAMIN 2909 WEST DAYTON LANE SPOKANE, WA , 992]8- AGREEMENT AND SWORN STATEMENT The work lor which this permit is issucd shall be perfonned according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission fbr additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and voi nstruction authorized is not commenced within 180 days the te of issuance,or if construction is suspended for a period of 0 days t any time after work has commenced. The applicant is re ons le for suring all required inspections are requested in co man e with e State Building Code.This permit may be revoked at an t o / / A pli Pe e Signature Date Issued By ature Date ♦ , FOR CITY USE ONLY City of Orono � , �-��O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway �� Crystal Bay,MN�5323 Approved By: Amount$: (952)249-4600—Main y � (952)249-4616—Fax F c,` CITY OF ORONO—PLUMBING PERMIT ��KFs H o��' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://ww��.dli.mn. ov/CC.LDiPDF/ e lumb �lanreva� . cli' GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit wiil 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 BEGIIv UNTIL THE PERMTT 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: �� (�� P�� Owner: � �� Mailing Address: City: Zip: Home Phone:�2�6�_� � �� Alternate Phone: Contractor Information: �o��a�� C� �- Contractar: G � � Contact Person: Address: 6Y l ,G�� p >� State Bond #: ��`f`�C� �� City: �U� � � Zip:��Expiration Date: �� l � � Phone: �f��7� Alternate Phone: ❑ Insurance—Current: ' e� 1 PLUMBING FIXTURES BEING 1NSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT l 2�� OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains Lavatory � � Sewer Ejector Bathtub Laundry Tray i Shower � / Washer � ( Kitchen Sink � � Water Heater � Disposa] � Water Softener � Dishwasher � Wet Bar Sillcocks r� Miscellaneous ,L PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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; excludinQ 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) $ Z.00 � Total Permit Fee $ (Permit Fees Continued 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 w�a(Minimum Fee of�50.00) � �b x .0125 $ (contract price) (minimum$50.00) 2. STATESURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-ln 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. lt 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. ln 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 PERMITAPPLICATION 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 st ments made on this application are complete, true and correct. Applicant's Sign . Date:�� 3 C ✓ � �- ; DATE TIME � CITY OF ORONO CALLED IN �� ,_—_� INSPECTION �IC ,�,/5� SCHEDULED ��T �'� PERMIT NO. `�� COMPLETE ADDRESS � �XG��.f/�C� �� OWNER O F�EPHONE NO. � J°�$a D� CONTRACTOR � � DESCRIPTION �� . � � ly ❑ FOOTING D O-FINAL ❑ 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 ❑ 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 ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � - a P/�. htoKa !s l olaP��s o " ��„�u�ts c�c S� -�f' s�� '' � I��i.e✓ 5�f n�r � o ' � Q ,- G/.L , fC�'� � ��e�' f'�o�t ��5�l�� 2 -- �'"e v✓�6lX vc w� �,d� � - /'e5� aS �o�,� �a►,.tip/e�.� �- � ��i''s 1sl� - �C.�r..�r��a� J ,��_` W ❑WORK SATISFACTORY:PROCEED (�-PR�JECT COMPLEfE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑COHRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnedContractor Qn site: Inspector. �^' White Copyllnspector's File Canary CopylSite Notice , r/� DATE TIM CITY OF ORONO CALLED IN .5- INSPECTION N�I�E[_ �O[�S'scHE�u�Eo - o�:� PERMIT NO. �`r T COMPLETED ADDRESS l`t D`f� lJ� OWNER TELEPHONE NO. ��a� �� CONTRACTOR �v�a P L�C�iv�-G �P. � DESCRIPTION ��'� � � ❑ FOOTING ❑ PLUMBING FIN L ❑ AV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RA ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FI AL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � J d � RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advan ) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice � E � TIME� �� CITY OF ORONO CALLED IN �� INSPECTIO c I SCHEDULED l � PERMIT NO. —' COMPLETED ADDRESS � ��`i' �QC� �G�� OWNER TELEPHONE N0.�12 Z�- �� CONTRACTOR �-�^ �� ^"�' � DESCRIPTION ��"`-� �� ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEM -F L ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 TRACTOR TO MEET YOU:_YES_NO y COMMENTS: a �w� - A 3s �.�(� �6 - 0 cs� /¢ri� 75�St ' /S /lo�G��K9 � �. � ° pK �s" Cvve� - W � Q � 2 W � W � J W WO KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECObERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca next inspection 2a hours in advance. (952� 249-4600 Owne onVactor on . ,�1�� Inspector. N-- White Copyllnspector's Ffle Canary CopylSite Notice