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Home My WebLink About2014-00514 (plumbing-fixtures) � � CITY OF ORONO * Z 0 1 4 - 0 0 5 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2625 CASCADE LA PIN : 33-118-23-11-0116 LEGAL DESC : STONEBAY FIFTH ADDITION : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (�l)WATER CLOSETS,(5)LAVATORIES, (2)BA"THTUBS,(l)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) SILLCOCK, (1)FLOOR DRAIN,AND(1)WATER IiEATER VALUATION OF PLUMBING 10200 APPLICANT PLUMB]NG FIXTURE FEE 127.50 STATE SURCHARGE PLBG (VALUATION) 5.10 PRECISION PLUMBWG& HEATHING [NC. 4124 MACKENZIE CT TOTAL 132.60 ST. MICHEAL, MN 55376 Payment(s) (763)497-7486 CREDIT CARD 8156 132.60 Minnesota State License#: plbg-PC643806,mech-MB004099 OWNER BUILDERS LLC, STONEBAY 16135 SSTH AVENUE NORTH PLYMOUTH, MN 55446- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable CiCy approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specitied herein.This pcnnit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State I3uilding Code.This pem�i[may be revoked at any time for due cause. � -,-..-��,�''--��_ ,i' / ., _., - � � �.-�.�'`.— !L �J / � �� nt Permitee Signature Date Issue By Signature Date r I � • FOR CITY USE ONLY �O� City of Orono �/� �j' O P.O.Box 66 Date Received: Permit# � os� 2750 Kelley Pazkway Crystal Bay,MN�5323 Approved By: Amount$: � � (952)249-4600—Main y >. (952)249-4616—Fax �' �` CITY OF ORONO — PLUMBING PERMIT ��KESNo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://v��w��.dli.mn. o��/CC:LD/PDFI�� lumb lanreva� . �If' 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 ar 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. Cali(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 arior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��, a S �aS _c,c� E, �-iU Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��eL i 5%o n ��.+,1,,,,��r«.f.n�ontact Person: �� K C �o��G.S�n �„c, Address: �J'J��l �c ��z;�. Gf/UE State Bond #: 1' C � `/3�0 6 � �a - _3i - � s City: J � �i�tiu�l Zip;SS37k, Expiration Date: Phone: C7�3 ��y� - � �8� Alternate Phone: ❑ Insurance—Current: 1 � � . � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT� 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet �� I � Floor Drains I Lavatory Sewer Ejectar R �. ► 3 Bathtub � � I 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; excludinQ 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 $ ]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: 1. CONTRACT PRICE * is l 25%of contract price with a(Minimum Fee of�50.00) �` apC' . �� 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 PRICE or JOB COST means the actual or estimated dollar amount charged far 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 pern�it 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. � ,� � :• i�" i.,�,�^"'.� G;--� .�,�� Applicant's Signature�� Date: � ��" / �� 3 � DATE TIME CITY OF ORONO CALLED IN �' al'� '/� INSPECTION I�OT�C�_��'i/SCHEDULED ��/� ��,� PERMIT NO.dD 7"COMPLETED ADDRESS ��P� �=-��- ��'�-Q� OWNER TELEP E NO. —7 CONTRACTOR � � �; DESCRIPTION / � 4� ❑ FOOTING LU G FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ECHANICAL RI ❑ L4KESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W Q � � O ). � O � W , OC t Q � Z � i W � J W ❑WORKSATISFACTORY:PROCEED PROJECT COMPIETE � ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WIIL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advance. 52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � DATE TIME ✓ CITY OF ORONO CALLED IN ��s�� INSPECTION NO`IC _�5.��CHEDULED .S'� o?-�4� PERMIT NO.o�C'� COMP ED ADDRESS , OWNER TELE NE O. - -��'' CONTRACTOR ,� �- �� DESCRIPTION � � � ❑ FOOTING ❑ PLU I FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME ICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT v ❑ DE -SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ MO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 O ERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � J d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 24 46 OwnedContractor on site: Inspector. White Copyflnspector's File Canary CopyfSite Notice �� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED _1� �� PERMIT NO.�D/�OD5/� COMPLEfED ADDRESS G17�OaJ� L��'d ��-Q �v OWNER TELEPHONE NO.�� 3S(o DG.Y�Z.. CONTRACTOR ��Gl�!D7'( �,� � DESCRIPTION �•��K.[� /Z-Z ti � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POUAED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE 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 ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j d W ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CO ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WIIL REfURN ❑STOP OfiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice