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Home My WebLink About2014-01380 (plumbing) CITY OF ORONO * 2 0 1 4 - 0 1 3 8 0 * 27_50 KELLEY PARKWAY DATE ISSUED: 11/26/2014 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2732 CAROLINE AVF, PIN : 20-117-23-24-0041 LEGAL DESC : REG. LAND SURVEY NO. 1451 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 0.75 LEGACY MECH SERVICES MAIL-IN FEE 2.00 1 14 THOMAS CIRCLE#106 MONTICELLO, MN 55362- TOTAL 52.75 (763)314-0877 Payment(s) CHECK 7647 52.75 OW1vEK PERCIVAL, CHARLES& SUSAN 2732 CAROLINE AVE WAYZATA, MN 55�91- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perlormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission fbr additional or rela[ed work which requires separate permi[s. All provisions ot�laws and ordinances goveming this type of work shall be compied�vith whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date ot�issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsiblc for assuring all required inspections are reques[ed in conY'ormance with the State Building Code.'I'his permit may be revoked at any time Yor due cause. �� '�/l/��`� / / � /,/ � Applicant Permitee Signature Date Issue By Signature DaCe RCC�,I X FOR CITY U5E ONLY O City of Orono i P.O.Box 66 i� Date Received: Permit# . � O NOV 2 �;..0�4 2750 Kelley Parkway Crystal Bay,MN 55323 I Approved By: Amount$: (952)249-4600�� r�_� � � (952)249-4616— F�R �c-� CITY O� URONO-PLUMBING PERMIT KFSHo� (Al]Commercial Permits Must be Approved by the State Prior to City Approval) htt ://wwsv.c�9i.ip�ra��=a�v/Q'��9,�)/P�?9�/�c � liaa,i�> >IAiaa-e��.ab.�a�_�3c�6� GENERAL INFORMATION I 1. You may apply for plumbing permits by il or in person at the City offices. Applications will be reviewed and a permit will be issued withi two working days. 2. Permit cards will be sent by retum mail aft r a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PE IT. WORK 1VIUST NOT BEGIN UNTIL THE PERMIT CARD IS POS'F'ED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY tol 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�efore it is covered. Call(952)249-4600. (24-48 hour notice required) I TYPE F PERMIT Check A1 That A 1 i ❑Residential ❑Commercial(Approval�Required) ❑ New ❑Additional � ❑ Repairs �Replace ❑ In Accessory Structure? I *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Articie IV) � Job Site/Owner Information: I Site Address: �� 1' ()I�i l, L�,� �� rUn.� � Owner:�In,Q,I� L'�S Z SI/t ��i i Mailing Address: P�e►�c ��Ja�-� c�ry: �I�l�Y�� z�p: Home Phone: � J 2 ` 7� ��JZ�,� Alternate Phone: � I 2 D' v �� Contractor Information: Contractor: �Qq,� (dl e.��1C,�- Contact Person: SCLi�c4.A� St�.rih�,r- Address: II��T�ncmrn.� (�src��Ipb State Bond#: �l�C�`� —I"l �S City: '(`�(��tc,e�\� Zip:�Expiration Date: � Phone: rllo3- 3i�- O$-(1 I Alternate Phone: �1�3- a.GS—C7b�`� �..�X� ❑ ! Insurance—Current: I ' 1 ,,'; .�PI;UMBINC7FIXTiJRLES BEING`.TNSTALLED ; FIXTURE BSMT l s` 2"u OTHER I FIXTURE BSMT l s` 2"u OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector � Bathtub Laundry Tray Shower Washer � Kitchen Sink I Water Heater Disposal I Water Softener Dishwasher Wet Bar Sillcocks ! Miscellaneous ' PERIVIIT,FEE:. ALCULATION(S) ` BASED OFF- 20 2 STATE,S.�ATUE. , . ❑ Yes,this section applies The replacement of only one Residential fixture or�liance that meets all three of the following requirements: � 1. Does not require modification to electn�'cal or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by tlie homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pennit $ 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,CALCiJLATI f �ON S =JOBS,OVER$SO.U.00 If above does not apply;follow guidelines below: '� 1. CONTRACT PRICE *is 1.25%of contract price wi� a(Minimum Fee of$50.00) I /'� ��`-` x .0125$ (contract priccL (minimum 550.00) 2. STATESURCHARGE II / x .0005 $ (�Contract pricc) 3. POSTAGE&HANDLING(Only on Mliail-In Applications) $ 2.00 � �2.-t 5 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, proft, and other fixed costs. It is the amount to be charged to the customer for the work done. If any mat�rial, 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 �he submission of a signed copy of the actual contract. , . . I� >.<�, PLUIVIBIN,G PERMIT�' IPI;ICATION-AGREElVIENT � i The undersigned hereby applies to the City folor 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 � on this application are complete, true and correct. �� ; � , , i , .--- I , l/S � Applicant's Signature: i Date: � 4 i �3 c , � �� DATE TIME � CITY OF ORONO y�3 g�CALLED IN / l.Jr � INSPECTION N SCHEDULED / � PERMIT NO. cOMPLETED ADDRESS �7� OWNER �T EPH �NO.��dZ��I�dSe� CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � p FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W f t�.- �3 �� .0 r- rs / — a � _ � � _ � � � . 0 >' a�' rs O/C � � �w�-� . � W � Q � �6i41 - l> !3 �dl� � G�/c�� r /�24�./ r�,�/. _ W � � 1 � � �� s �? � I/'G� i � . W � r K a�t.r .c � � d .�.µ� �cLe� � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i�dvance. (952� 249-46�� OwnerfContractor on site: �� - Inspector. White Copyllnspector's File Canary CopylSite Notice