The URL can be used to link to this page

Home My WebLink About2016-00002 (plumbing- fixtures) , , CITY OF ORONO * z 0 1 6 - 0 0 0 0 2 * 2750 KELLEY PARKWAY DATE ISSUED: OU04/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3287 CASCO CIR PIN : 20-117-23-43-0044 LEGAL DESC : WINSHIPS SUBD SPRING PARK : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(I)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(3) S[LLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER VALUATION OF PLUMBING 11000 APPLICANT PLUMBING FIXTURE FEE 137.50 STATE SURCHARGE PLBG(VALUATION) 5.50 LAKE COUNTRY PLUMBING INC TOTAL 143.00 P O BOX 30 WACONIA, MN 55387- Payment(s) (952)467-5000 CREDIT CARD 8695 143.00 Minnesota State License#:plbg-PC645455 OW 1vER STRUCK,JAN&SARAH 3862 NORTHERN AVE SPR[NG PARK, MN 55384- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in nformance with the State Building Code.This permit may be revoked an t�me fur due cause. � � � � -e � / / l App ' t Permitee Signature ate Issued Signature Date OR ITY USE ONLY / City of Orono � }� v�� O�O P.O.Box 66 Date Receive . Permit tk�`�/�� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:� (952)249-4600—Main (952)249-4616—F� y�' �� CITY OF ORONO—PLUMBING PERMIT �9KESHo�`�` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/Iv��ww.dli.mn.no��/CCLD/PDFI e �lurnh lacn•e�a� , 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 wark must be done in accardance with State Code requirements. 6. All wark 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) �tesidential ❑Commercial(Approval Required) �1ew ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) Job Site /Owner Information: Site Address: -7j�Z �7 ��SCc� C( r� Owner: �T�'��c� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: L�kt `UU Nr'('�'`, ��1^� ��"` Contact Person: C_,.�t S L V/�I�Sl'.� Address: 1 �� U� �� State Bond#: C��S �S City: ��U�+A- Zip:�jExpiration Date: �a �31 1� Phone: ��^ �� `�� .55�' Alternate Phone: �S2- y�i�7 ��a ❑ Insurance—Current: ST�� f--,�,�,, 1 PLUMBING FIXTURES BEING 1NSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet ' i 2 Floor Drains � Lavatory � ` 2, Sewer Ejector Bathtub 2 Laundry Tray � Shower i Washer I 1 Kitchen Sink � Water Heater I Disposal � Water Softener 1 Dishwasher I Wet Bar Sillcocks 3 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;excludinQ 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S)—J�BS OVER $SOO.Ofl If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) � U�� x.0125 $ ( ontract 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 far 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: � � ��P 3 �� ATE TIM CITY OF ORONO CALLED IN - �.� INSPECTION NO CE �/}�CHEDULED — �'' PERMIT NO. `��"'""Fo PLETED ADDRESS � �� - OWNER TELEPHONE�� - � CONTRACTOR � DESCRIPTION �✓`"' �� W ❑ FOOTING ❑ D O-FIN ❑ SEPTIC FINAL � ❑ POURED WALL LUMBING Q ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF P MBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � j d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑C RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOPORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.�g52) 249-460� OwnerlConVactor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice ��-e�`�- i �_� � �----- D TE TIME� CITY OF ORONO CALLED IN — I � INSPECTION NOTICE SCHEDULED — � � PERMIT NO�D/Io�.Y�'I� C PLETED ADDRESS �o��7 � � _ OWNER TELEPH �NO. ��9 �� CONTRACTOR � DESCRIPTION v �� ly ❑ FOOTING ❑ DE O- INAL EPTIC 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 ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o e � G, m 5 0 �. � ° /'e9 d�'�i es - r�l(�i � �S �rl W � Q � �(/ ��. � �� 2 � W � W � J d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContr on site: inspector. White Copyllnspector's Ffle Canary CopylSite Notice .�� Se� DATE TI�� CITY OF ORONO CALLED IN � INSPECTION O ICE � SCHEDULED � PERMIT NO. D COMPLETED ADDRESS �� ( �� 'L`Z �� OWNER TELEPHONE NO ��/Z S�'1'7��;p CONTRACTOR L�l� CO Lc�� DESCRIPTION Y�� /�� ` �l� ty ❑ FOOTING ❑ DEMO AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO c�., COMMENTS: � W a 2 J O �. � O � W -- � Q � 2 W - � W � j � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WFIL REfURN ❑STOPORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in advance. � 5 � 2 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopyfSite Notice