HomeMy WebLinkAbout2014-00755 - plumbing �
CITY OF ORONO * z 0 1 4 - 0 0 7 5 5 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3535 CHRISTINE DR
PIN : OS-117-23-12-0019
LEGAL DESC : BETZ ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: 1STFLOOR: 1 WC,2 LAV, 1 TUB, 1 SHOWER, 1 KI"I'CHEN SINK, 1 DISPOSAL, 1 D[SHWASHGR
VALUATION OF PLUMBING 5000
APPLICANT PLUMBING FIXTURE FEE 62.50
STATE SURCHARGE PLBG (VALUATION) 2.50
AMERICAN MECHANICAL CO, INC. TOTAL 65.00
7120 71ST AVE. N.
PO BOX 205 Payment(s)
LORETTO, MN 55357- CREDIT CARD 6915 65.00
(612)750-0278
OWNER
NELSON, ERIC
3535 CHRISTINE DR
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approvcd plans and spccitications,applicablc City approvals,and thc
State Building Codc. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this typc of work
shall be compied with whether or not specified herein.This permit will
expire and ome null and void if construction authorized is not
comme ed ithin 180 days of the date of issuance,or if construction is
suspe ed or a per� d of 180 days at any time af�er work has conm�enced.
The pl�ant is r ponsible for assuring all required inspections are
requ st�fl in rmancc with the State Building Code.This permit may bc
rev � d at me for due cause.
�
/ /
pp i t Permitee Signature Date Issued By �gnature Date
A.
, FOR CITY USE ONLY
. • �O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,M1v'S5323 Approved By: Amount$:
(952)249-4600—Main
� � (952)249-46]6—Fax
y�' �` CITY OF ORONO— PLUMBING PERMIT
��K�sHo�� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval)
htt ://www�.dli.mu. ov/CCLD/PDF/ e lumb�lanreva� ..d1'
GENERAL 1NFORMATION
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]icensed 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
❑ ln Accessory Structure?
*You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Owner Information:
Site Address: � J � T7� �-Cy��
Owner���`e ���,5��_ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �/- " � � � Contact Person:
Address: � � State Bond#:
City: �� Zi��Expiration Date:
Phone: ����D Alternate Phone:
❑ Insurance—Current:
1
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PLUMBING FIXTURES BE1NG 1NSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet / Floor Drains
Lavatory Sewer Ejector
Bathtub % Laundry Tray
Shower r Washer
Kitchen Sink � Water Heater
Disposal � Water Softener
Dishwasher / Wet Bar
Sillcocks 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; excludin�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
r
1
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$50.0�
x .0125 $ �Y� �
(contract price) (minimum$50.00)
2. STATE SURCHARGE C�� � J`�
� 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 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 PERIVIIT APPLICATION.AGREEMENT °
The undersigned hereby ap lies to the City for issuance of a Plumbing Permit, agrees to do all
wark in strict accordan wit the inances of the City and the regulations of the State of
Minnesota, and certifi that, all a ments made on this application are complete, true and
correct.
�.,���l
Applicant's Signatur � Date:
3
DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO. �Za�- a a�� COMPLETED � '-� '�S
ADDRESS 3���5� ��tr,�i�10 ,�r'•
OWNER TELEPHONE NO.
CONTRACTOR ���<<'��- ��� � '
� DESCRIPTION K�� � ��� �''`���
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTfiACTOR TO MEET YOU:_YES_NO
� COMMENTS: r'��a��-1
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerfContractor on site:
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Inspector.
ite Copyllnspector's File Canary CopylSite Notice
�� DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION O I E SCHEDULED D :
PERMIT NO. �d� - ��SS COMPLETED
ADDRESS ��3.5 C.�V�.t,d� ��
OWNER TELEPHONE NO. g`SZ' �I Z" '373�
CONTRACTOR �P�'�L C-� V�I e C.h� ��'�-`'I
�: DESCRIPTION �X��'��"'"� �L"
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL '�MECHANICAL RI ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS: I�e� �Cr�• 5 «i�G -� V�N.t �'lP� �s�
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W ,�O COlRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerfContractor on site: _ G r c.�
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Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME V
CITY OF ORONO CALLED IN ��
INSPECTIONo 0��� Q��9�CHEDULED � _�lL
PERMIT NO. COMPLETED
ADDRESS���3 S C� �. I�C�
OWNER TELEPHONE NO.��2 �� 3S�Z
CONTRACTOR ��ryz� ����
�; DESCRIPTION �r
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: E��� � ^ a�C.
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� �CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� v❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
ort e n ction 24 hours in advance. (952� 249-4600
Own rlContractor on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice