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Home My WebLink About2015-01219 - plumbing ' CITY OF ORONO * z 0 1 5 — 0 1 Z 1 9 * 2750 KELLEY PARKWAY �ATE �SSUEn: 09/22/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 1335 BRIAR ST PIN : 10-117-23-31-0057 LEGAL DESC : MARKVILLE : LOT 001 BLOCK 003 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL COiYSTRUCTION TYPE : WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 1.00 CROIX CRYSTAL MAIL-IN FEE 2.00 3440 YOERG DR HUDSON, WI 54016- TOTAL 18.00 (715)386-8667 Payment(s) Minnesota State License#: plbg-WC64997 CHECK 14251 18.00 OWNER BARFELT, KAREN 1335 BRIAR ST WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. )�� '1 , , �`� � ��C��f� ( �� `� �Z ��,�'� C��`-�� % � -��- /� Applicant Permitee Signature Date Issued By Signature Date f , � FOR CITY tiSE ONI.Y ,-� ��, City of Orono �� ,�-�— y� l ,l � �� P.O.Box 66 DaRa Keceived: ��P�Y# L � ��> �� ' 1 2750 Kelley Parkway � ��j 4 � y Crystal Bay,MN 55323 Approved f3y: � Ainount$: � (952)249-4600—Main ��, �� 3-� (952)249-4616—Fax ° �� '` CITY OF ORONO–PLUMBING PERMIT �'ti��'�"i%� (All Comme�ial Pemuts Must be Approved by the State Prior to City Approval) laft�:i/�vwtt-.d(i.rnn.o��lC'C'I:�1I��_'�� 1ar�rei�a > >. tf!' GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in petson at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TI3E JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properiy owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building pernut 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 6oar notice required) TYPE OF PERMIT Check All That A 1 �esidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �0 Replace ❑ In Accessory Structure? *You will need prior apuroval and may need Cli P. (Per Orono City Code, Chapter 78,Article I� Job Site/Owner Information: Site Address: �,3,3� �/"'i CI,�� r • �I'��.�� D � �i�. .�5 3�� Owner:�Ct!'��I'l �(2�''�-��r Mailing Address: .SCL� � I.LS 5i�� l.�(�/�r'�� City: �ro✓� v Zip: �5 53�i % Home Phone: (D/v� � .�':�� –� y�� Alternate Phone: Contractor Infarmation: Contractor: L�r'OI X L�V'�/S'(�Ct-� Contact Person: ' YN-� �J C�O�J�l� Address: �S y�/� ��U�r^_ State Bond#: �y g 9�I �� City: ' U�SUY� �.Zip:5tt0/ Expiration Date: %a-- 3/ /,S— Phone: 7/S' ,3��0– �li(�'� Alternate Phone: ❑ Insurance–Current: � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1' 2 OTHER FIXTURE BSMT 1' 2' OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE �'es,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 ne�section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00� Total Permit Fee $ /�. (Permit Fees Confinued On Next Page) � PERMIT FEE CALCULAT�QN(S —JOBS OVER$504.40 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contrad price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cl�arged for the pernutted 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 pernut 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 FERMIT APPLICATION 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 statements made on this application are complete, true and conect. i ApplicanY s Signature: ^ ; Date: � DATE TIME CRY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMtT NO. �a��-C�,�e g COMPLETED y-�o •�7 , ADDRESS /3�3 S �q ri�.� s� . OMINER TELEPHONE NO. CONfRACTOR � � DESCRIPTION �Q�c ✓ �'��a•� y�Zv�-�4 �� . ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGfFILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAI Z ❑ RADON SLAB ❑ MECHANICAL RI ❑SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT ��C ❑ WATER HOOK-UP �OLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/FiEMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OIMN6YCONTRACTOR TO MEET YOU:_Y68_NO � COMMEN'T� 4 ; j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � � Expiration, no record of a Final inspection. 0 W � � � � w � � W ❑WORK SATISFACYORY:PROCEED O PRQlECT COMIPLETE � ❑OORRECT W'ORK R PROCEED ❑ISSUE CER7IFICATE OF OOCUPANCY O ❑Cppq�'f yYpFtK,CALL FOR REINSPECTION TEMPORARY V BEFORE�N(i PERMANENT O CORRECT UNS/1FE COMD►T10N WfTHIN HOUR3. ❑pHOTOTAKEN i INSPECTOR WILL RETi1RN ❑CITATION ISSUED ❑STOPORDER P08TED.CALL INSPEC'TOR O INSPECTION AEOUIRED.CI1LL TO ARRANQE ACCESS. caM tau�s�t�spect�2+no�,rs r,�►�ce. 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