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Home My WebLink About2015-00533 (plumbing) CITY OF ORONO * 2 B 1 5 - 0 0 5 3 3 * 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 , ORONO, MN 55356- ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 3770 BAYSIDE RD PIN : OS-117-23-24-0121 LEGAL DESC : OTTOVILLE ON LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : WATER HEATER VALUATION OF PLUMBING 1625 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.81 CITY VIEW PLUMBING& HEATING TOTAL 50.81 1880 WAYZATA BLVD W Payment(s) P.O. BOX 150 CHECK 35301 50.81 LONG LAKE, MN 55356 (952)473-8793 Minnesota State License#: plbg-MB005208 OWIVER STEPHENS, WINFIELD 3'170 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This permi[is for only the work described and does no[gran[permission for additional or related work which requires sepazate permits. AII provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wi[h the State Building Code.This permit may be revoked�t any time for due cause. ' ,�� .. � � � ` ��--�i �`y'"Y�l L t�� l �� i �S icant Perrnitee Sign ure Date Issued By Signature Date ' F�R CITY USE ONLY , �/'O� City of Orono �j % � ['3�j . � � � N � P.O.Box 66 Date Received: �� Permit# 2 a 5- � . � � 2750 Kelley Parkway �('�,� � �� Crystal[3ay,MN 55323 Approved By: � Amount$: v (952)249-4600—Main -� -, (952)249-4616—Pax ��r�' .`� CITY OF ORONO—PLUMBING PERMIT ��`F�N�i�i (All Commercial Pcrmits Must be Approved by the State Prior to City Approval) __—. iitl �://��.illi.niE�.��o�/CCI.U/PD1�/�e �luml> >lanrc��.� �. df GENERAL INFORMATION I. You may apply ior plumbing permits by mail or in person at the City oftices. Applications will be reviewed and a permit will be issucd�vilhin 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 PLRMIT. 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 requiremenls. 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 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory SL�ucture? *You will need prior approval and may need Clll?.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: J�� V�V 5 � � �d 1 Owner: W• �. �+�,O��Z.h S Mailing Address: �7� Bq� �c �,o� � .. c;ty: Cl.ro�,c� z�p: 5"s 3� (� Home Phone: �I�-5 J�� 5 733 Alternate Phone: Contractor Information: Contractor: G�'Ty V��,J �I��l -t'i IT� Contact Person: Q�Q v�, �,�ri.r/ Address: �e6`64 � We3 l (��A 2 K ��State Bond #: PC��LI ( �� City: �►'�' ��2 Zip:5535�, Expiration Date: �v I �_ Phone: ��S�-�1�J��3 Alternate Phone: U I�� ❑ Insurance—Current: �e'_ � 1 PLUMBING FIXTURES BEING INSTALLED FIX'I�URL; I3SM"I� l��'� 2VD O"I�IIL;R I�IX'I�URG 13SM"f l�� 2'�D O"I�III;R "f�YPL FL FL TYPL I'L FL Water Closet Floor Drains Lavatory Sewer Gjector Bathtub Laundry Tray Showcr W asher Kitchen Sink Water Heater Disposal Water Softener /� (� Dishwasher Wet[3ar Sillcocks M iscellaneous � . PERM[T FEE CALCULATION(S) ____ _BASED OFF -2002 STATE STATUE ❑ Ycs,this scction applies 7'hc replacement of only one Residential fixture or appliance that meets all three of the following requirements: l. Does not require modifiication to electrical or gas service. 2. Has a total cost ot�$500.00 or less;excludina the cost of the tixture or appliance: and 3. Is improvcd, 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 , ' ' PERMIT FEE CALCULATION S)-JOBS OVER$500.00 It�above does not apply; lollow guidclines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minim�m Fee of$50.00) � '��`� c a x .0125 $ (contract price) (minimum$50.00) 2. STATESURCHARGE Y .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ * CONTRACT PRICL" or .►OB 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 Pl�nnbing 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. G .� A licant's Si nature: .- � Date: �-�] �1 � pP g 3 �( i�i) ��DATE TIM �- \ CITY OF ORONO L-� CALLED IN INSPECTION NOTICE ,,��2 SCHEDULED -' /��►,.. PERMIT NO. �-��1��C�l �COMPLETED ADDRESS , e OWNER TELEPHONE N . �'$ CONTRACT�R �� ! e ��_�/ Lt,F� . � DESCRIPTION �I llVY1.� � � v,n�� p l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ P�UMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF�Q�PLUMBING F^ I—NA `;, ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE D� ❑ S IC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ OJECT COMPLEfE � ❑CORRECT WORK&PROCEED ISS E 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 for the next inspection 24 hours in advance. 2� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice