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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: � — ��i� � ' �' 3 � 4 Y �� 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: � /' /� / n !/� c.! C / �/ PlO�/ /O Q� �.�. —f0 ✓ �l 4 K�Y�CQ./�Y J�O�� o .��'�' �. � ° �es `` d-F' cJo�K �.,.��,/o�i .F �..rQ+-�U� W � Q � �/� ` h�C Z � f6i(S, �iss G ,/ S�6�t, C a� W � W � j d 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 � � v 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 �. � 4 j o � � � 0 W � Q � W � W � J d 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