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Home My WebLink About2014-00394 (plumbing fixtures) CITYOFORONO ,K20 14 - 00394 * c 2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2690 CAROLINE AVE PIN : 20-]17-23-24-0033 LEGAL DESC : WESSELS SUBD OF SPRING PARK LO : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURF,S - MULTIPLE NOTI:: (4)WATER CLOSE7'S,(6)LAVATORII?S,(2)BATHTUBS, (2)SHOWFRS,(1)KITCHEN SINK,(1) DISPOSAL,(1)DISHWASHER, (I)FLOOR DRAIN, (1)LAUNDRY TRAY,(1)WASHER.(1)WA1�ER fIF,ATF.R,(1)WA"CI;R SOFTENER,AND(1)WET BAR VALUATION OF PLUMBING 19000 APPLICANT PLUMBING FIXTURE FEE 237.50 STATE SURCHARGE PLBG (VALUATION) 9.50 AMERICAN MECHANICAL CO, INC. TOTAL 247.00 7120 71ST AVE.N. PO BOX 205 Payment(s) LORETTQ MN 55357- CREDIT CARD 6915 247.00 (612)750-0278 OWNER LIBERMAN, ZIV&TAL 1]45 SETTLERS ROAD MEDINA, MN 55340- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and be e null v d if construction authorized is not commence wit in I a s o the date of issuance,or if construction is suspende for eri d � 80 days at any time atter work has commenced. I'he appl cant� re o s e for assuring all required inspections are requeste in onf rn c wi[h the State Building Code.This permit may be revoked t y li e o ue cause. / / Applic Per Signature Date Issu By Signature Date � ' FOR CITY USE ONL1' � �O�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main y >. (952)249-4616—Fax �' �` CITY OF ORONO —PLUMBING PERMIT ��kFSHo�� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) htt :I/ww«'.dli.mn. o��/CCLD/PDF/ e ilumb �lanre��a 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) �esidential ❑ Commercial (Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace / ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: ��/ i e Je Owner:(„��7��j,A1� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �� Contact Person: Address: O� � State Bond #: ��j�.l� City: �� Zip��]�7�xpiration Date: � � r`7 Phone: ��f7`� � � �� Alternate Phone: Insurance— Current: �� 1 � PLUMBING FIXTURES BE1NG 1NSTALLED 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 f � Washer � Kitchen Sink � Water Heater ! / Disposal ( Water Softener Dishwasher / Wet Bar ` / Sillcocks Miscellaneous �� PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yejs��s section applies \ The replacement of only one Residential fixture ar appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a'�otal cost of$500.00 or less; excludina the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section, if this applies; Cost of Permit $ l 5.00 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: ]. COri'TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � � x .0125 $ contract price) (minimum�50.00) 2. STATESURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE 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 j 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 at all stateme a e on this application are complete, true and correct. . �"- �-/ A li nt's Si nature: Date. � �� pp ca g 3 S� D E TIME � CITY OF ORONO CALLED IN 5- INSPECTION NOTIC �/ SCHEDULED — ' �� PERMIT NO. Z�� '��gj" COMPLETED ADDRESS a�g� � �� OWNER TELEPHONE NO. 7� —� � zSfi� CONTRACTOR ��1�/C�/�-LG�GZ-� /��C-�C� � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING F AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v �pLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � a �.� . - nw v - Pvc �•l. �6 j �� O / � �� ,: -�es� �S `ro��-ti � 0 � W Q Q� -zSs �'a� .� � z W � W � � J ��KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEFTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOfi ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. "nspection 24 hours in advance. (J52� 249-4600 Ownerf nVactor on site: Inspector. F^' White Copy/lnspector's File Canary CopylSite Notice � DAT TIME V CITY OF ORONO CALLED IN � INSPECTION NOT CE SCHEDULED l0 :O'T'� PERMIT NO COMPLETED ADDRESS o��O�O ( �-OC,C�x-� Q-U� OWNER TELEPHONE NO. �a� 7SD O Z7� CONTRACTOR �Y/�'Yl'�� Ca-rt /VI�� DESCRIPTION ��b �� FOOTING ❑ PLUMBING FIN p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �LUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: - � a _�G/ V�� l/C 5�� 6 � J O , , � _ ��'� 4r� r Ti e�` t S �bl�i �f G -� O � W Q - - `3 ��✓rt-5 Q ��'� .Q r 4;,,..� � f Cnta o�lc T Z '�� .s. �. � . W � � 6� / j � Cd�'�v d ��IARK57lTISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail fo t inspection 24 hours in advance. (g52) 249-46�0 Ownerl ontractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � I �Ci� � TIME " DATE CITY F ORONO CALLED IN ��— I� �� INSPECTION N TIC ��¢HEDULED �/`� • PERMIT NO. 7�.` PLETED `� ADDRESS �%'`.(�� ,`ts�'�6�t��-P� OWNER T .LEPH NE NO «�7 �'37� CONTRACTOR ' GZ� � DESCRIPTION lL ❑ FOOTING ❑ -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF �V2LUMBING 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 k1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z L _ � � COMMENTS: /�� ' l�� /�/��5 a ��o�C✓ ��i'tc✓3 4 rc db/� Y�� a � �/f�r - � � /'(�v r�G b �� l�'�6b�er/ �'u.ti�- �S«� .�wC� � ° �vt,v�e r �t�.��2 - W � �ro� ,a� V� �, lios� b,� o.� t�rd�✓' Q � ��+,, � lcb� !'��ar� veNt , '� - _ W jGp r rGG-� � ui R� ! /'��er.��s.--� d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ��❑_///STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ` �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � \ Ca nex ' ion 24 hours in advance. (952� 249-4600 Own ontractor o : _�i /V Insp , White Copyllnspector's File Canary CopylSite Notiee C� // (�yC:�' D E TIME `� CITY OF ORONO C ELLA D IN INSPECTION NQ�� SCHEDULED — " �0��.�� PERMIT NO. � COMPLEfED ADDRESS �� `�'u-��-- OWNER TELEPHONE NO,f��-7`�D Z CONTRACTO � �� DESCRIPTION W ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ��UMBING 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO _ � COMMENTS:_,/VI ►�f� o _ /5 /�o�G�'r.tc � W a 0 //1 /� r U fi 119 G �/t�• �� -�rs� �,.c.�r K�`u<<s� � °4" �l�t�LA `1 P(d? "��: "-- s�.�� s_✓ o �� Q — I'e 46 a {� wb�� C� �a/�� z ✓ .��h�P�, �� - rer.,�,vv c �a�� v�.tiC� �r.��s W � � J O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�CQRRECT WORK&PROCEED ❑ 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. ext inspection 24 hours in advance. (g52) 249-46�� Ow erlContractor on site ��t�.- Inspector. � White Copyllnspector's File Canary CopylSfte Notiee