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Home My WebLink About2014-00516 (plumbing-fixtures) CITY OF ORONO * 2 QJ 1 4 - PJ 0 5 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2629 CASCADE LA PIN : 33-118-23-11-0114 LEGAL DESC : STONEBAY FIFTH ADDITION : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) SILLCOCK (1)FLOOR DRAIN(1)WA"CER HEATER VALUATION OF PLUMBING 10200 APPLICANT PLUMBING FIXTURE FEE 127.50 STATE SURCHARGE PLBG(VALUATION) 5.10 PRECISION PLUMBING& HEATHING INC. TOTAL 132.60 4124 MACKENZIE CT ST. MICHEAL, MN 55376 Payment(s) (763)497-7486 CREDIT CARD 8l 56 132.60 Minnesota State License#: plbg-PC643806,mech-MB004099 OWNER BUILDERS LLC, STONEBAY 14870 BROCKTON LANE . PLYMOUTH, MN 55446- AGREEMENT AND SWORN STATEMENT The work for which Ihis permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission Yor additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or i1'construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be tevoked at any time for due cause. !—�„'�r � .....---"--� �� L� �� Applicant Permitee Signature Date Issu By Signature Date - FOR CITY USE ONLY City of Orono '�r��L 5�� -O�O P.O.Box 66 Date Received: Permit# � 27�0 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: � (952)249-4600—Main � }. (952)249-4616—Fax �' c.` CITY OF ORONO—PLUMBING PERMIT ��K�sHo��' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://ww��.dli.mn. ovICCLD/PDF/�e .lumb�lanreva� . d�' GENERAL INFORMATION 1. You may apply for plumbing permits by mail ar 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 RECENE 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) �w ❑ 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: ��o �� -5��--�t�c �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: '7 r-�•�`�` �:'L n Contractor: (:�ci y��•- �� F � Contact Person: /'��K� Address: �(�� '��h��Z-�` c f`��'�State Bond#: PL �o`l ��b 6 City: >`�.��'�� Zip: Expiration Date: �� ",3�' � ',� Phone: �7�j� ��%� ��S'� Alternate Phone: ❑ Insurance— Current: 1 PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 2�� OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains ( �Z Lavatory � L ( � Sewer Ejector Bathtub � T , Laundry Tray 1 Shower + Washer Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher I 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 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 PERMIT FEE CALCULATION S)=JOBS OVER$500.00 lf above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �Ln� ";�� Fi'�' 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 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 ar 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 PERMTT 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 applica`ion are complete, true and correct. �--' -� � �. � %� � ' S^��-( / � � j �l� ., Applicant's Signature• �%` �'' Date: � 3 ✓ DATE TIME CITY OF ORONO CALLED IN - - � INSPECTION A�O,`TIC _/�O�/ SCHEDULED — � PERMIT Nd�`'�J � � C�ETED ADDRESS OWNER TELEP Q�JE NO. �- -� CONTRACTOR � �� -- >; DESCRIPTION �G ' � � ❑ FOOTING ❑ PLUMBIN INAL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHAN C RI � LAKESHORE/WETLANDS y O FRAMING ❑ MECHANI L FINAL Q ❑ 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 � `�IP UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � �J�ri v� P�� .�. 40 � '-�� s� �� aQ� ' .— 0 � � � � ��H �5� /kS�zC�K� �L ��s .E- W Q ��{A ,�r.c.o S �� »��cS r' Lt� �-.�roc�s 4 � , , Z CI_ �_��GU ss� w � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call ' spection 24 hours in advance. (g52) 249-4600 OwnerlC tractor on site: Inspecto W ite Copyll�spector's File Canary CopylSite Notice S� DATE TIME �/ CITY OF ORONO CALLED IN Z— �_� INSPECTION NOTIC SCHEDULED u:� PERMIT NO. � � - � COMPLETED ADDRESS a�a� ��'e- � OWNER TELEPHONE N07�3�7"�� , CONTRACTOR ��-�� DESCRIPTION "`� � � 0 FOOTING LUMBING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL , CHANICAL RI ❑ LAKESHORE/WEfLANDS y 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: o� W � � J O >. � O � � Q � 2 � ,. w � J W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDiT10NWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours' advan 9 � 249-46�0 OwnerlContractor on site: Inspector. White Copylinspector's File /i'� Canary CopylSite Notice �/t �. TE TIME " CIN OF ORONO CALLED IN �� '� INSPECTION TIC SCHEDULED S— � PERMIT NO. � � � COMPLETED ADDRESS�� «� .� OWNER _ ` TE �yONE Nv[�� CONTRACTO �- � � DESCRIPTION U� � � ❑ FOOTING ❑ BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � CHANICAL FI ❑ LAKESHORE/WETLANDS 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 ❑ DEMO ITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q _ ❑ D O-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v LUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � ERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j O W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adv . � Z49-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notiee