The URL can be used to link to this page

Home My WebLink About2014-00830 (plumbing-fixtures) � � CITY OF ORONO * z 0 1 4 — 0 0 8 3 0 * 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3650 CASCO AVE PIN : 20-117-23-31-0043 LEGAL DESC : REG. LAND SURVEY NO. 1 147 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : FIXTURES- MULTIPLF, NO"I�E: PLUME3ING FIXTURES: (])WATER CLOSET,(2)LAVATORll��S,91)f3A'I�FI'1'UB AND(1)SHOWER VALUATION OF PLUMBING 6500 APPLICANT PLUMBING FIXTURE FEE 81.25 STATE SURCHARGE PLBG (VALUATION) 3.25 JANECKY PLUMBING INC. TOTAL 84.50 720 PONTIAC PLACE MENDOTA FIEIGHTS, MN 55120- Payment(s) (651)365-8680 CHECK 6996 84.50 OWIYER GERSOVITZ, MR. & MRS. 3650 CASCO AVE WAYZATA, MN 55�91- AGREEMENT AND SWORN STATEMF,NT I�he work for��hich tl�is permit is issucd shall bc performcd according to the approved plans and specifications,applicablc City approvals,and thc Statc E3uilding Codc. This permit is for only the work described and docs not grant permission for additional or related work which requires sep�rate permits. All provisions of laws and ordinances governing this typc of��ork shall be compied with whcther or not specified herein."Chis permit will expire and become null and void if construction authorized is not commcnced within 180 days of the date oY 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[3uilding Code.This permit may be revoked at any time for due cause. 8' �I C' $'� ��i� Applica t ermitc�Signature Date Issu By Signature Date � , , CI Y SE ONLY � � City of Orono � �-O�O P.O.Box 66 Date Receive • � � Permit#�� 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$:� . 5 D (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 City Approva]) htt ://ww��.dli.mn. ov/CCLD/PDFI�e �lumb lanreva� .�df GENERAL 1NFORMATION 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 warking 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) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��QJ � l�Q.� C U � V�- Owner: lT��D � �Z Mailing Address: City: cS U"►^^-Q- Zip: Home Phone: Alternate Phone: Contractar Information: Contractor: `JGtn.2Cl�� L�c Contact Person: �c,ur�e_ U� S {�c. 1lcY Address: Z�-0 [�Gh-��t� PV State Bond#: City: ►rlthc�� Zip: SYIaU Expiration Date: Phone: ID.��r y S1-E�(�...�'� Alternate Phone: � �("?� ��S� ❑ 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 ( Floor Drains Lavatory � Sewer Ejector Bathtub 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 tota] cost of$500.00 or less; excluding 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 s' 1 PERMIT FEE CALCULATION S)-JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � Co S'v`'o � � � X .o12s $ (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 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. Applicant's Signature: Date: � � � 3 !� DAT TIME � CITY OF ORONO CALLED IN /�- INSPECTION NOTIC SCHEDULED / - � ��,.3d PERMIT NO. � ' COMPLETEO ADDRESS � ��iLC,�J OWNER T PHONE NO. "7 "Q � CONTRACTOR �� DESCRIPTION � � � ❑ FOOTING ❑ PL ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M C ANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ M HANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � 2 W � W � J W ❑�RKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance ) 249-46�� OwnerfContractor on site: Inspector. White Copyl�nspector's File Cenary CopylSite Notice � �� DAT TIME V CITY OF ORONO CALLED IN � -f � 1NSPECTION N T CE'/ EDULED � � PERMIT NO. �`� —�� PLEfED ADDRESS � S� �-U U'� OWNER T L �HONE NO. �-7SS -S�S� CONTRACTOR � DESCRIPTIO �j� � � ❑ FOOTING ❑ PLUMB FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O MECHA ICAL RI ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ` 'PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS:__I�r�G��I�-G a 1��Yv�O�e/ INt�,�er �7ath - j +�.v ��PrC t S��n S �/��tt�n q - O . �' - �e lac.�c, -E c.�.� c�'ia.c v�, — � ° �r�v r/ — ff� 5 s��. �d - W � Q 2 �� `� �1�rJ2 ✓ W � W � j � �NOaKSATiSFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 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 ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 ext inspection 4 hours in advance. (952) 249-46�0 Own Contractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice