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Home My WebLink About2015-01066 (plumbing -fixtures) � CITY OF ORONO * Z 0 1 5 - 0 1 0 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4565 BAYSIDE RD PIN : 06-117-23-21-0010 LEGAL DESC : BAYSIDE BERRY FARM : LOT 2 BLOCK 1 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (6)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER, (2)SILLCOCKS,(4)FLOOR DRAINS,(2)WASHERS,(1)WATER HEATER AND(1)WET BAR VALUATION OF PLUMBING 19500 APPLICANT PLUMBING FIXTURE FEE 243.75 STATE SURCHARGE PLBG(VALUATION) 9.75 SERVIN PLUMBING&HEATING TOTAL 253.50 24752 705TH AVE Payment(s) DASSEL,MN 55325 CREDIT CARD 4098 253.50 (320)275-0190 OWNER DOUBECK,TIM& MARY 4565 BAYSIDE RD MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requeste in conformance with the State Building Code.This permit may be revoke at y time for due cause. f � V � � ~ - � � � �/ ��G /..� t �� G�/S icant ermitee Signature Dat Iss d B ignature Date + ' �OR ITY USE ONLY O City of Orono � � �O P.O.Box 66 Date Recei � [ � Permit# ��' �� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: �� C (952)249-4600—Main (952)249-4616—F� ��' �`� CITY OF ORONO—PLUMBING PERMIT ��kESHo4`` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://�>ww.dli.mu. ov/CCL.D/I'DF/ e �luinb laiu•eva� . 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 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) [�''New ❑ Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior apnroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: `f 5 (o � �ci �.� S� c�� Owner: 7e;,,a�; 1��..1 11�e r S Mailing Address: City: Zip: Home Phone: �I�Z - a R� - 3c��( Alternate Phone: Contractor Information: Contractor: S�r��,�� lu�w.ld t,�� Contact Person: ��v�--� je,Y��.►� Address: �y 7 5� 7D S�.��. State Bond#: ��-�(o Z Z�-1 (c� City: `�ct SS� � Zip: 55��s�Xpiration Date: Phone: ��U -�'�i_�-�(�by� Alternate Phone: ❑ Insurance—Current: �Zp -��S - „� � 1 ' . PLIJMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet / a 3 Floor Drains � Lavatory ' a 5 Sewer Ejector Bathtub � Laundry Tray � Shower � � Washer � ( Kitchen Sink � Water Heater i I Disposal j Water Softener Dishwasher � Wet Bar � Sillcocks 2 Miscellaneous � PERMIT FE�CALCULATION{S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or a�pliance 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;excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner ar licensed plumbing contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 � Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continaed On 1�Text Page) 2 PERI�IT FEE CALCULAT'��t�S —JOB� 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$50.00) I°�� ov X.oi2s$ (contract price) (miniroum$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 inciuding 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 APPLICA'1�C}�A�'arREE�IENT 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: � Z�/ S� 3 � � � , C�� ! D E TIM� CITY OF ORONO CALLED IN � INSPECTION NO I CHEDULED ' ` PERMIT NO. a �o ED c ADDRESS OWNER �LEP NE NO.��^ � 3 CONTRACTO � � � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ��PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: ` •��. n 6tl� - //� 5 _SG'�i • �6 ' W a o � ;•r �'� �C �s� 'S h' �`y� _ �. o� ° � //e�cri fii- vc� Q� a�s W Q �'J4r►�/0 �L�G��i � 2 � �� .,� L�O vE'✓ W � J W/�'YM9RIE6�4TiSFACTORY:PROCEED ❑ PROJECT COMPLEfE w"❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlCo ctor on site. �i Inspector. White Copyllnspector's File Canary CopylSite Notice � �� DATE TI CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED C ' � PERMIT NO.�%'n!�"- �/D !�[c> COMPLETED ADDRESS `��[�� .� � i � � � �,/,o �c� OWNER TELEPHONE NO. ' O' 3 3� �� CONTRACTOR ��/��'to lu�(� . � DESCRIPTION ��'� /��'�- � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �P6UMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ S TIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: ES_NO c�., COMMENTS: W �j�✓4 j� caav aPra��f - 6 � � �1�/v- L� 5�!_ 4a _ � - �# G�:� �� s ltol�,-� � o - ' W ' /E /��'ovc�� G rf/f 5�✓��ds D� ��c kt Q t�✓a!( t�:- �_�• 'Fo✓ �✓c 61c0 b lsJv�P�.o-�� 2 f0 6 r � � /�D�i�-� t�l<�s�b� �°��.��us ��✓ ��4 � � /tev. ¢-r.��o - �P 5�` lJ� — � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��COfiR�CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal ' specti�n 2�urs in advance. (g52) 249-46�� Ownerl ntractor on si • `l a '� Inspector. r"� White Copyllnspector's File Canary CopylSite Notice 1 i/� i t / DATE � � TIME , CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED = % PERMIT N �co LETED � ADDRESS OWNER H E N� ^�o CONTRACTOR�- � DESCRIPTION ll� ❑ FOOTING ❑ DEMO- IN L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI I ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 �❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � ,�(f�� r �J�" �b��t'J� � � --� � ' -�i'�Urgr - sc� -�Se�� 0 a� � 1�!'j�K �a rn.Gt��.c � �T�►c�•�s . � Q 2 � rcnrav� roa�f' ��.� c4�s W � � � �• J � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORfiECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ^ '�^ White Copyllnspector's Ffle Canary CopylSite Notice