HomeMy WebLinkAbout2015-00050 - plumbing � � CITY OF ORONO * 2 0 1 5 - 0 0 0 5 0 *
2750 KELLEY PARKWAY DATE ISSUED: OU20/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 195 BROWN RD S
PIN : 03-117-23-21-0022
LEGAL DESC : KROGS ACRES
: LOT 002 BLOCK 001
PERM[T TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTTON TYPE : FIXTURES-MULTIPLE
NOTE: REPLACE(2)WATER HEATERS
VALUATION OF PLUMBING 3673
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.84
MARK'S PLUMBING, INC. MAIL-IN FEE 2.00
3500 VICKSBURG LANE N
PLYMOUTH,MN 55441- TOTAL 53.84
(763)354-2800 Payment(s)
Minnesota State License#:plbg-PC646128 CREDIT CARD 0778 53.84
OWNER
ELDER,JAMES&BARBARA
195 BROWN RD S
LONG LAKE,MN 55356-
AGREEMENT AND SWORIv 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 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 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 applican[is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
��I,�L-�C��� / / J-o ��5
Applicant Permitee Signature Date ssue y Signature Date
To: Page 2 of 5 2015-01-16 22:02:13 (GMT) 17634452061 From: Mark Conner
� � �� POR�CTT�'IiSF�nLY����
/'�—�� City of Orono �
� ��� P.O.Dos 66 DateRaceivec7; Permit�
2750 Kelley Parkway �
( � Crystal Bay,V1N 5�3?_ A}�pro��zd By� Amouut 5:_
(95-)249-�G00–�'.vlazn
a, .}. � (952j 249-4(;1 fi–Faa T
fyF1 �c.` C1TY OF ORONO—PLUMBIl�G PERMIT
��st�oR� (All Co�mnercial Pennits Must be Approved by the State Prior to City ApZ�roval)
�tt :Jhv�v�c.dli.mn tza��ICCGFDII'D�/�e 712zmb�E;�nreva��. �d'
Gk,N�,itAL iNFOKMATJON
i. You may apply for plumbir�g pernuts by mail or in person at tlle Ciry offices. Applications will be
reviewed aiid a pern�iit will be issued��-ithin two working days.
2. Pennit cards���iil Ue sent by retum mail after a rceiew is completed. PERMITS ARE 1VOT
VALTD UI�;T1L YOU REGEI�'E A PERMIT. WORK NtTJST NOT SECIN UNTIL THE
PFRMiT CA12D IS P�STED OaV THk,JnR SiTi',.
3. Plmnbii�g permits rnay be issued ONL�'to licensed piumbing conuactors and to properry o���ners
residizag iri tl�e dwelling.
4. Wi�eu any uew constructiou or re�iodeling is involved,a separatc builciing pent�it inust Ue
obfained.
5. .41(k�ark must Ua done in accordance v��ith StaCe Code requirements.
6. All«�oxk nmst be inspected atld air Y�sted before it is covered. Call (952)249-4hf10_
(24-�38 hour uotice required)
TYPE t)F PERMIT
(Cl�eck All That A�LI�_
�Rcsidcntial ❑Commercia](Approval Required)
❑ Netiv ❑Additional ❑Repairs �RepIace
❑ Tn Accessory Str�tct�ue'
*Xou will need urior anprovai and may need CUP.(Per Orono City Code;C;Iiapter 78,Artiicle IV)
�ob Site�/Uwner 1nfo�lnatiou; � �� � �
Site�ddress: � � � --�ca ��''�^• �,'�.c>�� �'����.,�
Owner�.._.,��e �._ �i �.�.,�.. Mailing Address: ?��o��--
Ciry: rJ ��._�,a� Zi�� `_�5.���
Hon�e Phone:�� �-` �� �' � ��� �`�4 Alternate Phone:
___
�Contractor�Infoimation:� �� - � � � �
Contractor: Contact Persorl: �Y�.�-�-��- ������
Address: State Band#: `�C.��l..0 2--�4
City: Zip: Expiration Date: ��-��4� °4 __
Phone: ��3�-��`� -- �-�` �� Alternate Phone:
��tIC'sPlumbingServiee � Insurance—Cun�ent: ��G �.;.�5'��-���-�--
35Q0 Vicksburg Lan� N 1
Ste 4Q8
M�r�neapolis, MN 55447
To: Page 3 of 5 2015-01-16 22:02:13(GMT) 17634452061 From: Mark Conner
� .
PLUMBI:�IG F1X'[1JR�513�iN(.; t�lS"1'A.i.LEI� �
FIXTURL BSA�E1' � 1''T ,"`� OTFII?R PIXTURr BSMT IS� 2ND ? OTHE�
TYPE ' FL PL TYPE FL h'i.
__ �
� Watcr Goset � I�loor Drains
�
Lavatory i Scwcr�jcctor �
—_.
BathhGb Laundry Tra}�
`
S'eower I �Vasher I
,
� ' --_ _ - -
� Kitchen Sink � �t'atcr Hcatar +�
c�
Dis�osal VJatcr Softcncr �
Disl�washer W et 13ar
Siilcocics Miscellaneous
i i
_ --- ------- - -- -- —
(TT PER�11I�I�'L:E C;�'11;C��I.�Ti�'�{S)
i BASEL? OI�P -2C{)2 SlI��Tf: STf�.I_Ui:
❑ Yes,�lus secrion applies
The replaceinent of only one Kesictential fixture or ap lip ance tliat meets a11 threE of d�e following
requiremcnts:
1. Does not require modification to electrical rn•gas service.
2. Has a folal eost of JSU0.00 or less;excludin�the cost of tl�e fixture or appliance_azid
3. Is improved,installed or teplaced by the homeowner or liceiised plumbiag cantractor.
Skip next seciion,if this applies; Cost of Permit � 1�.00
State Surcl�arge � 5.0�
Mail-Tn Fee(If App(icable) $ 2A0
TotaP Perznit Fee $
(P�rmit Fees Continued On Next Page)
�
To: Page 4 of 5 2015-01-16 22:02:13(GMT) 17634452061 From: Mark Conner
PERMIT'F�E�;AL�:ULATrt�l'�1(S)—.J(�$S C�V�R$SO�.U() ---
if above doe�noi�tp�l�; follow guitlelincs beluti�;
l. CONTR�CT PRICE *is i.254�u of contract price wiEh a(Mini�num�ee of'�SO.OU)
�dA`7� x.0125 $ �c�.��
(conuact pnce) (minimum 650.00)
2. STATE SURCH.ARGE
"��"? :� x .000s g � . �`�
_ _.---
(conGact p�ice)
3. POSTAGE&HANDLING(Ouly on Mail-In Applications) S 2.E��
4. TOTAL P�.12i'l1IT FE�(Add Lines 1-3 Aoovej � � � ° ��
■ * CO\TR�1CT PRICE or JOB CUST i71eu1s the actuai or estimated dotlar amoimt cl�arged 1'or tlae
pennitted work inch�ding mat�iials, labor,profit,anfl other Iixed costs. It is the amount to be charged
to d�e customer'for the work�done. if ariy matez'ial, equipment,labor or insiallatioz�s are furiii�lied by
tbc owucr, tcnax�t or any oflicr party,the reasonable market value of sl�c� items must bc added to the
estin�atecl cost or contract price for pennit fee purposes. In the event that there is a dispute on the
an�oimt of�the�job cost, the City may reqiiest the submfssion of a signed co�y of the actu�il contcact.
.PLUMBING PERIVIIT?�PPLIGI�TION 11GI�EEMEI+TT :
The undersigned liereby a�plies to the��Cit}� for issuance of a Plumbing Pen;�it, a�;rees to do all
work in sh-ict accardance with the ordinances of tbe Cit} and the Y•egulations of the Scatc of
N[innesata, and certifies That all stateiiients made on this application are coinpleie, tn�e and
cuirect.
�`'' ,-,�
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Applicant's Signature: Dax�: � r s 15'�
3
� � ` DATE �" TIME
CITY OF�ORONO CALLED IN ��l 7�✓
INSPECTION�N QTICE SCHEDULED G�"/9-l.5 -�'1� �
PERMIT NQ���S-�OS� OMPLETED
ADDRESS ���
OWNER�,f//YL Gl Q.�1% T HONE NO.�S��"73 78F�
CONTRACTOR
a DESCRIPTION � w `�%��
t~y ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF LUMBING FINAL ❑ 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 ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours i ance (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary opylSite Notice