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Home My WebLink About2014-00348 - plumbing CITY OF ORONO * Z 0 1 4 - 0 0 3 4 8 * 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 825 BROWN RD S PIN : 10-117-23-21-0008 LEGAL DESC : CARRIAGE HILL : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (])WATGR CLOSf�I',(1)LAVA'I�ORY,(1)I�I.00R DRAIN ANU(1)LAUNDRY 1RAY VALUATION OF PLUMBING 3500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.75 FREEDOM MECHANICAL TOTAL 51.75 8382 172ND AVE SE BECKER, MN 55308- Payment(s) CHECK 6927 51.75 (612)363-6190 Minnesota State License#: mech-004042PM OWNER FERNANDEZ, MICHAEL&PATRICIA 825 BROWN RD S LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfbrmed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances goveming this typc of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any tim � r du ause. �-��--/`� ,13 , Applicant Permitee Signature Da[e Issue By Signature Date � � OR IT USE ONLY �� City of Orono P.O.Box 66 Date Receiv Permit# i � 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: �/ � , (952)249-4600—Main � a. (952)249-4616—Fax y�' �` CITY OF ORONO— PLUMBING PERMIT ��K�sHo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :I/w��w�.dli.mu, ov/CC..LDiPI)FI e lumb�(anreva i . df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person 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 VALID UNTIL YOU RECEIVE A PERMIT. 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 requirements. 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 Apply) [�Residential ❑ Commercial (Approval Required) ❑ New �] Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need �rior annroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site / Owner Information: Site Address: �� L.�� '� �� .�- Owner: ��Q��Z- Mailing Address: City: ��c_.Vr\�� Zip: Home Phone: Alternate Phone: Contractor Information: � _��-1 �\ Contractor: �?C�� `'� ��C,l� Contact Person: ��'- lv�'� Address: cb-�c� ��,�f,�(iLC S T2 State Bond #: City: .�� Zip: !''� /�-� Expiration Date: Phone: �/�- .��-s '6��U Alternate Phone: ❑ Insurance—Current: 1 � PLUMBING FIXTURES BE1NG 1NSTALLED � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT I 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 ❑ Yes, 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; excludin�the cost of the fixture ar appliance: and 3. Is improved, 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 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of�50.00) "�`� o m x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PWCE or JOB 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 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 correct. � Applicant's Signature: �� Date: 7 _�-3� �7 �I ' i� i 3 �y ��, ✓ C� � � E TIME CITY O RONO CALLED IN � INSPECTION N TIC �?(f SCHEDULED � 7�c3b PERMIT NO. �� ✓ 7� COMPLETED ADDRESS �� +n � OWNER TELEP ON NO. a�7� '� � CONTRACTOR �; DESCRIPTION ` � � � ❑ FOOTING �] PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: a /�' �R.TJI . K��. ,$i�l�C "� �4 4�c��'Y .$�r�� '_ � J O � � 11l. � . �s wa t � l►u K y � wQ�� S�C�t e�F� ° -�v� w.e , tf� � •1 �artcl d►t l,c�t�( W � aho�e w-C . — Q � z � �,✓o� !� l'�.�el��E.c_._ , `� ` �� r�� j � ❑WORKSATISFACTORY:PROCEED �ECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca t inspection 24 hours in advance. (952) 249-46�0 Ownerl ite. C��Q'� Inspector. White Copyflnspector's Ffle Cenary CopylSite Notice � �P�� TE TIME � CITY OF ORON� CALLED IN 6�� INSPECTION OTI SCHEDULED 1h-� �— PERMIT N� — COMPLETED ADDRESS ��^�� OWNER TELEP ONE O. ��7 "" CONTRACTOR a DESCRIPTION I ' � � ❑ FOOTING ❑ PLU NG F AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ D MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 WNERICONTHACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � J � O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notiee �� DATE TIME ✓ CITY OF ORONO CALLED IN � � INSPECTION NOTI E SCHEDULED PERMIT NO. ! -d 03� COMPLETED ADDRESS �1�5 �� OWNER TELEPHONE NO.�D�Z T�9 7 �S� CONTRACTOR ��-a'�'`'� S� � � DESCRIPTION �.k�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TFEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNEFUCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: L� I�/ I/ '' �SL`�2 - �0 /�GL o� r � � � l.4�G. �-or �.►tG'lie.1 S�n�. � /�il�• � � J +'' .^ / /� � O { '�l � ''� f �`�'• GC(.t� :.� � � Ulnflf �tD��s DL� W � Q � 2 W � W � � � d W� ��110RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑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 forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's Ffle Canary CopylSite Notice