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Home My WebLink About2014-00305 (plumbing fixtures) CITY OF ORONO * 2 0 1 4 - a 0 3 0� ' � 2750 KELLEY PARKWAY llATE ISSUED: 04/14/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3135 CASCO CIR PIN : 20-117-23-43-0029 LEGAL DESC : SPRING PARK : LOT 041 BLOCK 000 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�I TYPE : FIXTURES- MULT[PLE NOTE: PI.UMBING FIXTURES: (1)WA"I�ER CLOSET,(1)LAVA"CORY,(1)BA1'HTUB,(1)SHOWER VALUATfON OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 STATE SURCHARGE PLBG (VALUATION) 2.50 AQUALINE MECHAN[CAL TOTAL 65.00 20785 IDEI.,WILD PATH SHOREWOOD, MN 55331- Payment(s) CHECK 5976 65.00 (612)247-1 I 19 Minnesota State License#: plbg-1097 OWNER SHEEHAN, KEVIN 18479 SCHROERS FARM ROAD FDEN PRAIRIE, MN 55347- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speciTications,applicable City approvals,and [hc State Building Code. ��his permit is for only the work described and does not grant permission Por additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whethrr or not specified herein."I his permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e ot�issuance,or if construction is suspended tbr a period of 180 days at any time after work has commenced. I he applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permi[may be revoked at any time for due ca se. ^ � �- �,y�-v� � � � Applicant Permit e Signature ate Issue y Signature Dat r � FO CIT USE ONLY , City of Orono � �D/�f — �� 4.-��O P.O.Box 66 Date Received: � /Nermit# 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: S- (952)249-4600—Main (952)249-4616—Fax y� �` CITY OF ORONO -PLUMBING PERMIT �"�KFSNo��' (All Commercial Permits Must be Approved by the State Prior to City Approval) hYt :I/ww��.dli.mn. o�/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 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 [v]�Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aaproval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: '�� C� l��'�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��UG��L 1,�4L�+�� Contact Person: �c�'�� l�l(�-i/ Address: ��gS ��"''`^� � State Bond#: �C UQ �C�� City: `'�0(`e.l,�� Zip:�Sr' Expiration Date: �Z- �( " �l?C � Phone: ��L" G� 1—//i / Alternate Phone: ��Z- v�� ❑ Insurance- Current: `��S 1 � ,` . , � i PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory 1 Sewer Ejector Bathtub ' Laundry Tray Shower 1 Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) I 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 less; excludine 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 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) �� Uz'`-' c x .0]25 $ - F (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 ar 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 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 ar 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 AGREElVIENT 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 al] statement made on this application are complete, true and correct. � l t � f � � Applicant's Signature: Date: '�- (�{-�y 3 ^J c-_"" DATE TIME v CITY OF ORO� � CALLED IN - �/ INSPECTION NOTIC SCHEDULED �2�� /D:3�7 PERMIT NO. � - � COMPLETED ADDRESS � � �S ��/J Cl� (1�1h/�� OWNER TELEP NE NO L Z5�7 �� CONTRACTOR - � DESCRIPTION � � � � ❑ FOOTING �LUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ 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 OWNERlCONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: a a�A�d� b af��►� c�C�-L . _ j I � p IN. �' . G-Glt,rs f-�'''« <i'�s.s.� ti� � V .�- W�✓ w 0 � .i _ W � Q � r 5 C Q.l !C�6 U.� `ij��d r•� p� � ' � _ � Q(�sfi ��' � � j �Cr"�-t �'��c_�F� � ❑WORKSATISFACTORY:PROCEED /�PRA.tECT COMPLEfE W ❑CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE C0IIERING 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 for the next inspection 24 hours in advance. (952� 249-46�0 Own ontractor o ��D'� �f Inspec ✓ White Copyllnspector's Ffle Canary CopylSite Notice � � I DATE TIME � CITY OF OR CALLED IN — � INSPECTIO�ODT `��y �.�� SCHEDULED —� — O�. �/ " PERMIT N ��-� PLETED ADDRESS J� 35 1��C-�' �C h�-Q OWNER TELEP E NO. a � �� CONTRACTOR f D� ! `In — � DESCRIPTION �'� � � ❑ FOOTtNG ❑ PLUMBI FI L ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECH NICA I ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT v ❑ D O-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 O ERICONTRACTOR TO MEET YOU:�ES_NO � COMMENTS: � W a J �� O �. � O � W � Q � 2 W � W � j d � WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 2� 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File nary CopylSite No ice