HomeMy WebLinkAbout2015-00774 - plumbing , CITY OF ORONO � p� 1 5 - PJ 0 7 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1291 BRIAR ST
PIN : ]0-117-23-31-0043
LEGAL DESC : CRYSTAL BAY M[NNETONKA
: LOT 000 BLOCK 003
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATER CLOSET
(2)LAVATORIES
(1)SHOWER
VALUATION OF PLUMBING 1100
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.55
LEGEND SERVICES, INC TOTAL 50.55
201 N MEDINA ST Payment(s)
P O BOX 382 CREDIT CARD 1282 50.55
LORETTO, MN 55357-
(763)479-5002
Minnesota State License#:mech-MB005090
OWNER
KELLETT,KEVIN CURLEY&W
P.O. BOX 41
CRYSTAL BAY, MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
Sta[e Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separa[e
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whe[her or no[specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance wi[h the State Building Code.This permit may be
revoked at any time for due cause.
.
�'� S� i /�i /S
Applicant Permitee Signature Date Issu d By Signature Date
Jun 15 15 03:13p Legend Services Inc 763-479-6003 p.5
.
FOR CIT �ONLY
�a A} City of Orono 7 7 t�
� r yO P.O,Box 66 Uau:Received. � Permit#�� 5 —'
% 2750 Kelley Parkway
� Crystal f3ay,MN 55323 ; Approved By: Amoimt$:��•
J (952)249-4600–Main
y � � (952)244-4616–Fax
F �` CITY OF �RONO—PLUMBING PERMIT
1qkfSNU�� (AI1 Comrnercial Pem�its Must bc Approved by the State Prior to CiTy Approval)
htf�:l/ti�����v.dli.mn.�o��ICCLDIPDFI e iumt► lanreva . df
�ELVr�[V'SL 11V l'O1�1Y1[y 1�O1V
1. You may apply for plumbing permits by mail or in persnn at the Ciry offices_ Applications�vill be
reviewed and a permit w iO be issued within two working days.
2. Perntit cards wil9 be sent by return mail afler a review is completed. PGRMTTS AR�NOT
VALfD LJNTIL YOU EtECEIVE A PERMIT_ R'ORI{[41US't'NOT BEGIN UNTIL THE
PERMIT C.4RD [S POSTF,D Ol�THE JOB 51TE.
3. Plumbing permits may be issued ONLY to iicensed plumbing contractors and to property owners
residing in d�e dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work m��st be done in accordance with 5tate Code requirements.
6. All work must be inspected and air tested before it is covered. Catl(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
�Check All That Apply) �
Q R sidential ❑Commercial(Approval Required)
❑ New [�Addirional ❑ Repairs ❑Repface
❑ In Accessory Structure? � �� ' "A 3��� �t F•� /�r e�dQ�
*You will neetl nrior apnro�al and may need CUP.(Per Orono Ciry Code.Chaptcr 78,Article IV)
Job Site/Owner lnformation:
Site Address: _1��1 � �/j1A-2 5 T
O�timer: �4,u�- ��-�b y Mailing Address: S�L _,_
City_ �i�'v`�- Zip:
Home Phone: Altemate Phone:
Contractor Information:
Contractor: Le��+✓.� �rv�ce s� �C Cantact Person: ���
Address: �� ,��� 38� State Bond#; ���`ly SO f
� �i ry: Lo re'�p Zip:Sf�S7 Expiration Daie: �a"�1^ ��
Phone: �6 3"`�7�� �� Alternate Phone:
❑ Insurartce—Cureent: �jeS
I
Jun 151503:13p Legend Services Inc 763-479-6003 p.6
PLUMBING FIXTURES BEING iNSTA[,LED
FIXTURE BSM'I' isr 2�fD pTHER FIXTURE E3SMT 1 2N° OTHER
TYPF. FL FL TYPE k�L FL
4Vater Closet I Floor Drains
1
Lavatory r'1 Sewer Ejector 1
AC.
BacE�tub Laundry Tray
Shower I Washer
Kitchen Sink Water Hea;er
i
Disposal � WaCer Softener
� Dishwasher � Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,tt�is section applies
The replacemeni�f only one Residential fixture or appliance that meets all three of the following
requirements:
1. T�oes not require modification to electrical or gas service.
2. Nas a total co52 of$Sfl0.00 or less;excludin�the cosi of the fix[ure or appEiance:and
3. ]s improved,installed or replaced by the homeowner or lieensed p)umbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-ln Fee(LfApplicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On l�ext Page}
�
Jun 151503:13p Legend Services Inc 763-479-6003 p,7
PERMI?PEE C.A�CULATI�N(S)—JOBS OVER $5Q0.00
Tf above dces not apply;follow guidelines below:
1. CONTRACT PRICE '�is l.25%of contract price wiih a(Minimum Fce of$54.0�)
�(_�_�� x .0125 $ ,��
(contrac[price) (roinimom 550.00)
2. STATE SLRCHARGE � ' �s
___J___(_Q� X.000s �
(contract price}
3. POSTAGE& HANDLING{Only on Mail-In Applications) $� 2A0
4. TOTAL PEfiYIfT FEE(Add Lines 1-3 Above) y �d� ��
• * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the
permitEed w�r[c inclading materials, labor,profit,and other fixed costs It is the amount to be charged
to tlie customer for the work done. [f any material, equipment, labor or instalfa4ons are furnished by
the owner, tenant or aciy oclier pariy, tl�e reasonable mar�et value of such items must be added to the
estimated cost or contract price for permit fee purposes. fn the event that there is a dispute on tlie
amount of ihe job c�st, the City may request [he submission of a signed copy of the aclual contraet.
PLUIvIB1NG PERMIT APPLICATION AGRE£MENT !
The unde�igned hcreby applies to the City for issuance of a Plumbing Permit, agre�s to do all
work in strict accordance with the ordinances of the City and the regulations of the 5tate of
M€nnesota, and certifies that alI statements made on this applicalion are comp[ete, true and
correct.
A licant's Si nature: �Q��1Qa�. ��"'1S
PP g T Date: � —
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�� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION OT�CEo077 ,/ SCHEDULED t� `-
PERMIT NO `fi� COMPLEfED
ADDRESS I Z �� ���C1�.� �I Y��
OWNER TELEPHONE NO.��� �'{�G ��z
CONTRACTOR C J�9,R�c� �--�trll�
� DESCRIPTION
< I � ►'J �
W ❑ FOOTING ❑ DEMO-FIN L ❑ SEPTIC FINAL
� ❑ POURED WALL
Q ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF PLUMBING FINAL� ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ M�AL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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C / �/ PlO�/ /O Q� �.�. —f0 ✓ �l 4 K�Y�CQ./�Y J�O��
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK fl PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS_ p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�JpI�PECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlContractoronsite: _�aG��
Inspector. _ �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 1\ 13 — 3`3 �
PERMIT NO. ����`_� '�`��� COMPLEfED
ADDRESS � '� `1 � ��� .,c�r_ �.�
OWNER TELEPHQ E NO.�� �� 5� � ����'
CONTRACTOR �\ �c��� ���-�� ��\����
� DESCRIPTION
tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING F�NAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
�� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ �AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERICONTRACTOR TO MEEi Y'OU:_YES_NO
� COMMENTS: � l )�%�.�J �. �
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W RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
� RRECT VMORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑(:ORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION HEQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52 49-46��
OwnerlContractor on site:
Inspector:
White CopyAnspector's Fib Cmary CopylSite Notke