HomeMy WebLinkAbout2014-00389 - plumbing , CITY OF ORO O �0 1 4 - 0 0 3 8 9 *
2750 KELLEY PAR WAY �AT�IssUEn: OS/OU2014
ORONO, MN 553 6-
(952) 249-4600 FAX: (95 ) 249-4616
ADDRESS : 75 BAYSIDE TR
P[N : 06-117-23-22-0030
LEGAL DESC : BAYSIDE MEADOWS
: LOT 5 BLOCK 1
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: WATER SOFTENP,R
VALUATION OF PLUMBING 500
APPLICANT PLUMBIN FIXTURE FEE 50.00
WATER DOCTORS STATE SU CHARGE PLBG (VALUATION) 0.25
8201 CENTRAL AVENUE MAIL-IN E 2.00
SPRING LAKE PARK, MN 55432- TOTAL 52.25
(763) 535-1800 Payment(s
Minnesota State License#: mech-WC645002 CREDIT C RD �1477 52.25
OWNER
WACHMAN JR., ERVIN
2135 SALEM CT ��
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction autl�orized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime afrer work has commenced.
"1'he applicant is responsible for assuring all required inspections are
requcsted in confonnance with the State[3uilding Code.This permit may be
revoked at any time for due cause.
`�i��✓�"—"'_
/ /
Applicant Permitee Signature Datc Issued By Si ature Date
May 01 14 06:51 a Water poctors 7635351805 p.2
_ � ,
FO 1T 'L'SE OI�LY �
��a A r City of Orono ��/ / �� G
f �y� P.O.Aox 66 DaE�c Recciv Pennit# y �
� 27�D Kcllcy Parkway 1 �
Ir ` Crystal Bay,MN�53�3 ApprotieJ By: Amount$' ��' �/l
{ �� J (95')249-164U—Main
�. .� '` �.�s'-)z-�9a�is-�:.
� ` � CITY OF ORONO PLtiMBTtiG PERMIT
l�KrtH�R� (A�l CommerciaE Permiis Must be r1p rored by the State Priar to City Approval}
�_--
hti�,llsc��i��r•.�6i.mn.�rovr'C'CE_ ,'1'F3F�' e uiismb tanrevE3 .3df'
GENERAL 1NFORMATCON
1. You tnay apply for p]umbin;permits by mail or in pe on at the Ciry offices. Applicat�on�will be
reviewed and a permit wil[be issued within two worki g days.
2. Permit cards will be sent by return maii after a review s complered. PERMITS ARE 1�OT
l�'ALID UNTIL YOU RECEIti'E A PERt4IIT. WOR �ttiST\OT BEGIN G\TiL THE
PER'�'[TT CARD IS POSTGD ON THE JOB SITL
3. Pluinbing permits rt�ay be issued ONLY to Ii�ensed pl r.;Uing contractors and to properly owtiers
residing in the dwelling.
4. When any new constn�ction or remodelinS is invoh�ed,a separate building permit must be
obtained.
5. All work�nust be do�e in accordance with Staie Code quirements.
6. All work must be inspected and air tested bctore it is c vered. Call(452)249-46a0.
(24�$hour notice required)
T1'PE QF PERNII
� (Check All That A 1 �
�Residen�ial ❑Commercial(Approval Required)
'`��' ❑Additional
- ❑Repa s ❑Replace
❑ In Accessory Strucrure?
*You H�ill need prior approval and may need CUP.(Per rono City Cocle,Chapter i8,At�ticle IV)
Job Site i Or,�mer Inform�Eion:
Site Address: �� !�� Sl D� �1��-1
Owner;��� �� P�oMC � Nlailing ddress:
City: Zip:
Hozne Phone: _ Altemate Phoue:
Conoractor Information:
Contractor: �IJ��Qs Contact erson: Ce-�eV� ���t���
Address: �j pZ� I CQNT P�1-C l�� Statc $o d#:
City:51�����i L�'�� �ip:�,3�Ypiratio Date:
Phone: 7L 3�l�s�g�� AEtemate Phone�
� Insurance—Current:
�
l
�
May 01 14 06:51 a Water poctors 7635351805 p.3
� ' �'LUIt+113�1�G FLXT[;T�E�B�.i IN�TALL�II
FIXTURC BS\1T l 2'�D OTHER FIXTU j BSMT 1Sr 2ND OTHER
TYPE FL FL TYPE i F� ��,
�4`atcr Closet Floor B ins
Lavatory Sewcr ector
Bathtttb Laun Tray
Shower Washer
K�tchcn Sink , VVater ater
�
Disposal Water S ftener f
l
I}ishwasher Wet Bar
5illcocks i�Iiscella eous
PER.MIT FEE C1�I.,CtLA 1�'_�!{Sj
BASED O�'F 2002 STt1T STA'�'U�
❑ Yes,this secron applies
1'iic replacement of anh�nne Reside�3tial fixture ar appliance tha meets all three of the following
requiremenfs:
L Does not require modit5cation to electncal or gas s ice.
? Has a total cost of$500.00 or less,eacludin�the c t of the fixh�re or appliance:and
3. 1s improved,installed or replaced by thc horneoa�n or ltcensed plumbine wntractor.
Skip next seclion,if this appfies; Cost of Pe tit $ 15.00
State Surc rge $ 5,��
;�[ai]-[n Fe fIf Applicable) � 2.Q0
TotaF Per it Fee $
I i
(Permit Fee5 Continued Ou NexE Page) I
2 II
May 01 14 06:51 a Water poctors 7635351805 p.4
_ � u
PExMIT�.��c�I.;cl:rr.�.T1oN s roB�:ov�x��o�.c�
If above does not apply; foliow euideEines below:
]. CO\TRACT PR[CE �'is 125%of coc�tract pri e u�ich a(Dlinimum Fee of$SO.DO)
x.0125$ ��C7�
(uimracl piicej (minimum$SO.UU)
2. S"CATE SURCNARGE s
x.0005 g P oZ�j
(c o�i�3c�pnce� —
3. POSTAGE&I-�ANDLING(Oniy on hlaii-In Appl ationsl $ Z,pp
[,/
4. TOT,�L PERYIIT FEE (Add Lines t-3�bove} � ��a � ✓
� * CONTRAC"1� PR10E or 3nB COST mcans ihe actual r estimated dollar an�ount charged for thc
pennittcd work includin�materiais, fabor,proft,and othe fixed cosis. It is i�e amount to be c}�arged
to tl�e customer f�r the work da�e. If any material, equip ent, labor or insia.l€ations are fi�niished by
thc ot��ncr,tenaat or any other party, t;�e reasonable mark vaIue of such items mi�sr be added to the
esiirnated cost or contract price for permit fce purposes. In the everll that thcrc is a dispu��e on the
�unount of d�c job cosi, tlte City may request the submissi n of a signed eopy of the �etual con�ract.
: : PLUMBIa`4TG PERMI'I'APFLfC;ATI N A�'irI�MENT- -
The undersi�ned hereby appEies to the City for issuance f a Plumbing Aern�it, agrces to do all
wark in str-ict accordance with the ordinances of the Ci and tl�e reoulations of the State of
Minncsota, and �ertities rhat all statements made on t 's application are complete, true and
correct.
Applicant's Signaturc: Date: `/ � ��
I
�
3
S� f� T TIME `�
CITY OF ORONO CALLED IN V ��
INSPECTION NOT C SCHEDULED -
PERMIT NO.�� —���9 COMPLETED
ADDRESS 7 �
OWNER TEL PHONE N0.7�� � 6�
CONTRACTOR ���- ����
� DESCRIPTION �l�'Q'� v_ � ��
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRA NG/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR EfIANDS
H
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMO L
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPEC ION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVE REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIO REMOVAL
Z OWNERICONTRACTO�i TO MEET YOU:_YES_NO
c�n COMMENTS:
�
W
a
oQ'r Q ov�0e
�.
�
° • p r!< C'o►� lez�
W
�
Q
�
Z
W
�
W
�
j
d
� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF CUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOWARY
V BEFORECOVERING PERMA�JENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 24 -4600
OwnerlContractor on site: �6 N�.
Inspector_ w
White Copyllnspector's File Canary CopylSite Notice