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Home My WebLink About2013-01024 - plumbing ' " � CITY OF ORONO * z 0 1 3 - 0 1 0 2 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3884 CHERRY AVE PIN : 08-117-23-33-0084 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURES: (4)WATER CLOSETS,(5)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK, (1)DISPOSAL,(2)DISHWASHERS,(3)SILLCOCKS,(2)FLOOR DRAINS,(1)LAUNDRY TRAY,(2)WASHERS, (1)WATER HEATER AND(1)WET BAR. VALUATION OF PLUMBING 16535 APPLICANT PLUMBING FIXTURE FEE 206.69 INFINITY PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 8.27 33311 35TH AVE DENNISON, MN 55018- MA1L-IN FEE 2.00 (507)263-8911 TOTAL 216.96 Minnesota State License#: 059132 PM PAID WITH CC# 3104 OWNER ENGLUND, DOUGLAS 3884 CHERRY AVE P.O. BOX 285 MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and speciYications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for addi[ional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein."l his permit will expire and become null and void if construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended fbr a period of 180 days at any time after work has commenced. 'The applicant is responsible for assuring all required inspections are requested in conformanec with the State Building Code.This permit may be revoked at any time for due cause. �'�l�� !3 9 � � �/_3 Applicant Permitee Signa ure Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Sep 30 13 11:36a Infinity Plumbing, Inc. 15072638911 p.1 � F R CFTY USE ONLY �� City of Orono 9 �r, n t,� � � �Q � P_O.Boa 6b Date Recei �� Pemiit k�J� �C/o�/ ' / 2750 Ikc]!cy Parkway � � Crystal Bay,MV 55323 npproved By: qmount S: �� O (952)249-4600—Main '`� :J l952)24 9116 1 6—Fax � �, fTZ� F � CITY OF ORONO—PLUMBING PERIVRT � ��kFsrt o��' (All Commercial Permits Must be Approved by the State Prior to City tl,pproval) !t. ,� �'r ' '�%' , , , ��_ _ .,.. ,::_ s,-=•,- GEIvERAL INFORMATION L You may apply for plumbing permits by mail or in person at the City offices. App3ications will be reviewed and a permit u�itl be iss¢ed�rithin two�vorking days. 2. Permit cards will be sent by return mail af�er a review is completed_ PERI�IITS.�RE NOT V.4LID UNTIL YOU RECEIVE A PERMIT. WORK MUST fYOT BEGIN UVTIL THE PERI�ii'i'CARD IS POSTED ON THE JOB SI'�'E. 3. Plambing permets may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is invoh�ed,a separate builc�ing perm3t must be o btai ned. 5. All work must be done in accordance with State Code requiremen2s. 6. Alf work must be inspected and air tested before it is covered. Cal1(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commerciaf{ApprovaE Required) �New ❑Additional ❑Repairs ❑Replace � In Accessory Structure? *You wili need prior approval and may need:_�.(Per Qrono City Code, Chapter 78,Article IV) 1ob Site/Owr�er Information: Site Address: 3$8�"� C-��+'tr�t. vg V� Owner. �''�C�• �^'S7�''�►�'�"cow Mailing Address: 7�a0� GJ � `'�r�` e'� c►�: �r�� 1.�,�, ._. z�p: s5 o��r Home Phone: Alternate Phone: ��`y��"�Go/ i Contractor Informatian: Contractor: �'`�� Contact Person: �� Address: �33�I 3��4 h�,E' State Bond�: �G 00 l3 03 City: ��2.+n�wt[uw Zip:SS�l43 Expiration Date: �ZI 3l / .�� ( 3 _ Phone: �07 �Ca3 '�'t�! Alternat.ePhone: CdZ "7A� �7b ❑ Insurance—Current: I Sep 30 13 11:36a Infinity Plumbing, Inc. 15072638911 p.2 � wti � PLU_wIB1NG FIXTURES BEING INSTALLED FIX'i'URE BSMT ]51 2hD OTHER FIX'1'URE BSMT ls 2'�D OTI-IER TYPE FI, FL TYPE FL FL Water Closet I � t ,� Floor Drains z � Lavatory� 3 Sewer Ej ector l � Bat3�tu6 ' Launcit}�Tray � Shower , + Washer � f I 1 Kitchen Sinl: ' Water Heater 1 Disposal , Water Sof�ener I Dishwasher ' t Wet Bar I 1 Sillcocks � � Miscellaneous j PERMIT FEE CALCULATION(S) BASED OFF -2042 S`I'ATE STATUE ❑ Yes,this section applies The replacement of only one Residential fi�cture or agpliance that meets al l three af the foltowintr re q ui rements: � 1. Does not reqnire modification to electrical or gas service. ''. 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]icensed plucnbing cantractor. Skip ne�ct section,if this applies; Cost of Permit $ 3�.00 State Surcharge $ 5.00 h4ai3-In Fee(IfAppticable) $ 2.00 Total Permit Fee $ (Permit Fees Con6uued On Neat Page) � Sep 30 13 11:37a Infinity Plumbing, Inc. 15072638911 p.3 4� PERMIT FEE CALCULATION(S —JOBS O�IER$SOOAO I£above does not apply;fol[ow guicEelines be(ow: 1. CONI'RACT PRICE *is i.25°io of contract price with a(Minemum Fee of$50.00) 1Lr �3S X.o12s� �o`. (�9 (con[ract price) (minsmum 550.00) 2_ STATE SURCHARCE $. �7 k G� S,3`.� x.0005 $ (contract pnce) 3. POSTAGE&HANDLING(Unly on Mail-In Applications) $ 2A� �. TOTAL PERMIT FEE(rldd Lines 1-3 Above) $ � 1� .�4 ■ * CONTRACT PRICG or.IOB COST means the actuat or estimated dollar amount charged for the permitted work including maLerials, labor, pro6t,and oiher fixed costs_ Tt is the amount to be charge� to the custoiner 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 ihe estimated cost or contraci price for permit fce purposes. In the event that there is a dispute on the amoant of the job wst, 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 aIE work in strict accordance with the ordinances of the City and the regulations of the State of Viinnesota, and ceriifes that all statements made on this application are complete, true and correct. 'GC-.��J'a �_�� 3v l l 3 Applicant's Signamre: `�`'`�^t Date:____ � J , • v, �\ • o� �o, � �> o O�ono � � l a I � �� . � tiJ G�; r L�kESH04'4 Z750 Kelley Parkway P.O. Box 66 Crystal Bav, M.N >j 3?3 (9�2) 249-4600 Fax: (9�2) 249-4616 FAX TILANSMISSION COVER SHEET Date: � -� � To: � '� v _ Fax:: `��:�� S o � � r '�, ��f !l '_ Re: � � ��G�-� - �� ,��o • Sender: , ��A �_ YOUSHOULD RECEIT�E P.AGE(S), INCLUDI.�VG THISCOT'ER SHEET. IF Y"OU DO NOT RECEIi�E ALL THE PAGES, PLEASE C.ALL (95?j ?49-4600. �� /L� � � / . � � ��. � � i�� `. s� -� .�.� � �� - . � �v w�� .�� G �-�� l � n�=� , 0��" �a,�- � �� . �� - � � � �� u1�%�- �- C� �7c-� � -� � . � �� 7 — ' � D E TIME ✓ CITY OF ORONO CALLED IN �-�/ INSPECTION pIO��ICE�/ SCHEDULED — i3:�1D PERMIT NOo�� PLEfED ADDRESS ✓ '� OWNER TEL NO ' - gD CONTRACTOR � DESCRIPTION � � � ❑ FOOTtNG ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANIC RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNERIFIREPLACE ❑ SITE INSPECTION 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 ❑ PLUMBING RI ❑ SEPyTI�C FINAL ❑ FOUNbATION/REMOVAL 2 OWN 18 RACTOR T EET YOU:Lv YES_NO y COMMENTS: � W � � � O �. � O � W � Q � 2 W � W � j d � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE w ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours i advance. (952� 249-46�� OwnerlContractor on site: J-� inspector. White Copyllnspector's File L Canary CopylSite Notice �/— / (CJ'� ' DATE TIME ✓ CITY OF ORONO� CALLED IN /D- /-" INSPECTION TICE �CHEDULED /D-� -/ ;;�� PERMIT N -d�� C P ETED ADDRESS � OWNER � TELEP N . �Z �� CONTRACTO �; DESCRIPTION � � � ❑ FOOTING ❑ P UM G FIN L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ HANICAL I ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL 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 J ❑ PLUMBING RI ❑ SEP I INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�ES_NO � COMMENTS: � W � � � ° .� I [� �GSfi r� � r 0 � W � Q � 2 W � W � j d � �(WORK SATISFACTORY:PROCEED ❑ PROJ ECT 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 ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. l�� ,�'j��S White Copylinspector's Ffle Canary CopylSite Notice