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Home My WebLink About2010-00789 - plumbing ' ` CITY OF ORONO PERMIT NO.: 2oiaoo�s9 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SS[1ED: 09/02/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3980 CHERRY AVE PIN : 08-117-23-33-0026 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 005 PERM[T TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: NF,W PLUMBING FIXTURES INCLUDE: (4)WA"I'ER CLOSETS (5)LAVATORIES (2)BATHTUBS,(2)SHOWERS,(2)SILCOCKS,(2)FLOOR DRAINS (1)KI"t'CHEN SINK,(1)DISHWASHER,(1)LAUNDRY TRAY,(1)WASHER VALUATION OF PLUMBING 4500 APPLICANT PLUMBING FIXTURE FEE 56.25 CIRCLE PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 3882 EDITH LANE TOTAL 61.25 CIRCLE P[NES, MN 55014- (763)784-2267 OWNER SCHULTZ, KEVIN 5620 GIRARD AVE N MINNEAPOLIS,MN 55430- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. Ail provisions of laws and ordinances governing this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring alI required inspections are requested in conf ance with the State Building Code.This permit may be revoked at ime�r due cause. - �J �J � -� / lQ� l �� J��Y U � � �� AppliEant ermitee Signature Date Iss e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Sep C`10 03:16p Tim Circle Plumbing 7637179138 p.2 ,. �- � ��, � ,. ¢ City of Orouo O C TY USE ONLY (O O� P,O.Box 66 , DaieReceiv�l' �� Permit# ��`6— (J`� �� r.,<,�,_ 2150 Kelley Parkway �+ y��y = �� Crystal Bay,�IN 55323 A ro�ed B Amovnt$:� ��',��r}��!��o�� (952)249-460Q PP Y= �� CITY �0F ORONO—PLUMBING PERMIT C� � ��/�-� (A1:Commercial permi's must be approved by the Buildutg O�cial ot Inspeclor) GENERAL INFORMATION l. You may apply for piumhing permits by mail or in person at t�he City offices. Applications will be ret�iewed and a permit will be issued within two woricing days. 2. Pernvt cards will be sent�y return mail after a review is completed. PERMtTS ARE NOT VALID UNTIL YUU RECEI VE A PERMIT. WORK?V[UST NOT BEGIN LTNTIL THE PERiNIT CA�tD IS P05TED ON THE.TOE SITE 3. Plumbing pemiits may be issued ONLY to licensed�lumbing contractors and to property owners residing in the dwelling. 4. When any new constructi�n or remodeling is involved,a separate buiEding permit must be obtained. 5. Al1 work must be done in accordance with State Code requirements. 6. A11 wor�rnust be inspectect and air tested before it is coVerod. Call(952)249-4600. (24-48 hour notice requiired) TYPE OF PERMIT Check All T�at A 1 �Resiclential ❑Comm�yrcial(Approval Required) ,�New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You wiU need prior anproval and may need CUP.(Per Orono City Code,Chapter 78,Articfe[V') Job Site!Owner lnformation: I Site Address: 1..� � Owner: Mailing Address: I� � Ciiy: V t/ � Q Zip: �J � . Hame Phone: Alternate Phone: Contractor Information: � Contractor: � � Contact Person: �-� , ��'I� � Address: (• State Bond#: C�ty: C, Zip�� Expiration Date: Phone: � r � Alternate Phone: ❑ Insurance—Current: 1 Sep 01 10 03:16p Tim Circle Plumbing 7637179138 p.3 PLUME3ING FIXT'URES BE[NG INSTALLED PIXTURE BSMT 1 . 2' OTf-�ER FTXTURE BSMT 1 2 O'I'I�R TYPE �L FL TYPE FL FL Water Closet i � Floor Drair�s � ; � Lavatory � � Sewer Ejector Bathtub Laundry•Tray ` Shower i. � Washer I ! Kitchen Sink � Water Heater � Disposal Water Softener Dishwasher � Wet Bar Sillcocks � Miscelia�eous ,�-. P�;RMIT FEE CALCLJLATION(S) BA��ED OFP -2002 STATE STATUE ❑ Yes,this sect�on appiies "The replacement of a Residential fixture or a,pplianc�that meets all three of the fotloti�+ing reqnirernents: I. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;exc[udine the cost ofthe fixture or appliance;and 3. Is improved,instalted �r replaced by ihe homeow�ner or licensed co�tractor. Skip next sectiott,if t6is applies; CosY of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(lf App[icable) S 2.00 Total Permit Fee S tPermit Fees Continued On NeYt 1'age) 2 Sep 01 10 03:16p Tim Circle Plumbing 7637179138 p.4 . � PE�T FEE CALCULATIOI'V S -JOBS OVER$500.00 If above does not apply; follow guideEines below: l. CONTRACT PRICE '"is 125%of coniraci price w�ith a(Minim�um Fee of 550.00) , �� x.01255 '�j � • �� (contract price) (minimum$50.00) 2. ST,d1TE S(JRCHARGE ** .�dd the State B(dg Code Div.Surcharge(Minimam Fee oi55.00) ('� L �j x.oaos � �0 h (cvntract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only ori Mail-ln Applications) �S 2.D0 4. TOTAL PERMiT FEE(Add Lines 1-3 Above) $ � � � * CONTR�CT PRICE or JOB COST means tJ�e actual or estimated dollar amount charged for the permitted work including matcrials,labor, profit, and other fixed costs. It is the amount to be chazged to the customer for the work done. If any materiaf, equipmenE, labor or installations are fumished by t�e owrter,tenant or any oiher party, the reasonable martcet value of such items mvst be added to the estimated cost or contract prir.e for permit fee purposes. Tn the eveni that there is a dispute on the amouni of the job cost, tiie City rnay request the submission of a signed copy of the actual contract. ■ ''* The STATE SURCHARGE is .0005 of the contract price under$i,000,OD0 or�5..00—whichever is greater. Far valuat�ans over$e,000,000 call the Building Department at{952)249-4b00 for the price. PLUMBING PERMIT APPLTCATION AG�LEEMENT The undersigned here6y appl�� 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] statements made ore this appEication are complete, true and correct. . � Applicant's 5ignature: r � � Date: l �� Reset Form �� i �� . �� i , 3 �1.� DAT TIME V CITY OF ORONO CALLED IN 9 2� INSPECTION NO�ICE SCHEDULED -2`�'�� n7= �"O PERMIT NO.�� b'OD�9 COMPLETED ADDRESS �R g0 OWNER T EPHONE NO. �� Z l 7�S 7 7,�� CONTRACTOR , >; DESCRIPTION l ✓L � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � M n n o�-�-T�,T"' �S-i- C� o �C� � � C�� .S '' � f� �� . �2 `� vlil.�} S -E-�.T' � � � j'G� IL�e1� /�)��c�� -�.l�J W Q �� '�'�� . (^�� W W r �l (�,.-�f� ��' �'. �1� I � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 24J-46�� OwnerlContractor on site: Inspector. _� � White Copyllnspecior's File Canary CopylSite Notice C—� C�J �---" DAT TIME v CITY OF ORONO ` CALLED IN �/ �O INSPECTION NOTiCE SCHEDULED / � � PERMIT NO��D'�7��1 COMPLETED �� `� ADDRESS � OWNER TELEPHON NO�P��1 '� ��7� s� CONTRACTOR >; DESCRIPTION ly ❑ FOOTING ❑ PLUMBIN FI L ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o �-I l�'t�-.�r 0�� a � 0 � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITN�N HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the nex 'nspection 24 hours in advance. (952� 249-46�� OwnerlContractor e Inspector. White Copyll�spector's File Canary CopylSite Notice