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Home My WebLink About2014-00515 (plumbing-fixtures) CITY OF ORONO * z 0 1 4 - 0 f� 5 1 5 * 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRF.SS : 2627 CASCADE LA PIN : 33-118-23-11-0115 LEGAL DESC : STONEBAY FIFTH ADDITION : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVA'I'ORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHGN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) SILLCOCK (1)FLOOR DRAIN,(1)WATER HEATER VALUATION OF PLUMBING 10200 APPLICANT PLUMBING FIXTURE FEE 127.50 STATE SURCHARGE PLBG (VALUATION) 5.10 PRECISION PLUMBING& HEATHING INC. 4124 MACKENZIE CT TOTAL 132.60 ST. MICHEAL, MN 55376 Payment(s) (763)497-7486 CREDIT CARD 8156 132.60 Minnesota State License#: plbg-PC643806,mech-MB004099 OWNER BUILDERS LLC, STONEBAY 14870 BROCKTON LANE DAYTON, MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the datc of issuai�ce,or if construction is suspended for a period of 180 days at any time after work has commenced. I�he applicant is responsible for assuring all required inspections are requested in contonnance with the State Building Code.This permit may be revoked at any time Yor due cause. � 3 � ��J .��/ ' ��u---� � i 2�i � pp icant Permitee Signature Date Issu By Signature Uate � r FOR CITY USE ONLY City of Orono �-O�O P.O.Box 66 Date Received: Permit# �� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:�� D (952)249-4600—Main � -� (952)249-4616—Fax �F c,` CITY OF ORONO-PLUMBING PERMIT ��KFSHo�� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) hYt ://ww��.dli.m��. ov/CCLD/PDF/ e _lumb �lanreva� . 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 contractars 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 prior aanroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site / Owner Information: Site Address: �� '� ��S C a�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: f��``z'° ' ��-� � �'��`"y`�ontact Person: �'�` �� Address: y i 2� J��k6�z��- ��' ti�State Bond #: PG (oy 3�(�� City: S�-n�'cti atl N'�� Zip: S'�76 Expiration Date: I�- 31 � �c�l� Phone: 7�'3 �� i� ' 7� �� Alternate Phone: ❑ Insurance- Current: 1 � 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT I 2' OTHER TYPE FL FL TYPE FL FL Water Closet �� Floor Drains � Lavatory n � � � Sewer Ejector fi� Bathtub �� Laundry Tray Shower i Washer Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher ' Wet Bar Sillcocks I Miscellaneous PERMIT FEE CALCULATION(S) � � BASED OFF - 2002 STATE STATUE ❑ Yes,this 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 total cost of$500.00 or]ess; excludin�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 $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , f • PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is ].25%of contract price with a(Minimum Fee of$50.00) ��-o�d� �� 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 for the permitted wark including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer far 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. ,�. ,-�"_' -♦ '�;� - '�,.� .�-��.,,,, � d t�.� Applicant's Signature: �G`��G�J`' / _ Date: �� Q � � t 3 � DATE TIM� ` / V CITY OF ORONO CALLED IN � �[ ,� INSPECTION NOTIC SCHEDULED PERMIT NO.�� S c PLEfED ADDRESS � � �� OWNER . � TELEP N NO�—�3��7 `-g� CONTRACTOR �; DESCRIPTION � � ll� ❑ FOOTING LUM IN FINAL � EXCAV/GRADING/FILLING � ❑ POURED WALL ECH CAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W C. � J O �. � O � W � Q � � ''�. W � J d W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ IS E CERT�FICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Jy ! Call for the next inspection 24 hours' adva f 9 2 49-460� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice � �/J DATE TIME (/ CITY OF ORONO CALLED IN 7- I INSPECTION NOT CE � SCHEDU�ED - - /� � PERMIT NO � �� COMPLETED ADDRESS � �� OWNER TELEPHONE NO.IOS�'3S�o-DDO Z- CONTRACTOR ��-�S-C-�'t �X-�r� � DESCRIPTION � � ❑ FOOTtNG ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS Q ❑ 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 v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � J d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adva 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Cenary Cop ISite Notice �'/�— pAT�_ TIME \ / CITY OF ORONO CALLED IN =L � INSPECTION NO IC SCHEDULED PERMIT NO. � sl-� MPLEfED A��RESS_�� LtL� ��2L�— OWNER _ TE PH NE NO. S�" S -�D" CONTRACTO � u�� DESCRIPTION / � � � ❑ FOOTING ❑ PLU B G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME ANICAL RI ❑ LAKESHORENVETL4NDS y ❑ 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 ❑ D O-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = 0 EMO-FINAL ❑ SEPTIC INSTALL D HARD COVER REMOVAL J LUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWN R/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � j � O �.. � O � W � Q � 2 W � W � J d � RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance 9 -46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice