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Home My WebLink About2014-01303 - plumbing , CITY OF ORONO * 2 0 1 4 - 0 1 3 0 3 * � 2750 KELLEY PARKWAY pATE �SSUE�: 11/06/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1675 CONCORDIA ST PIN : 17-117-23-22-0043 LEGAL DESC : REG. LAND SURVEY NO. 1628 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : KESIDENTIAL CONSTRUCTION TYPE : FIXTURE NO"I�}�` (I)KITCHLN S['VK.(1)DISPOSnL AND(1)D[SHWASHER VALUATION OF PLUMBING 500 APPLICAIYT PLUMBING FIXTURE FEE 50.00 S'I'ATE SURCHARGE PLBG (VALUAT(ON) 0.25 THARALDSON PLUME3ING TOTAL 50.25 6621 ELLIOT AVE S RICHFIELD, MN 55423- Payment(s) (701)509-941 1 CHECK 8927 50.25 Minnesota State License#: plbb-PC675647 OWNER TRAINOR, HELEN 1675 CONCORDIA ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT I�he work for whieh this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and thc State E3uildin�Code. This permit is for only the work described and does not grant permission for additional or related�cork which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein."This pennit will expire and become null and void if�construction authorired is not commenced within 180 days of the date of issuance,or i(construction is suspended 1�or a period of 180 days al any time after work has commenced. The applicant is responsible for assuring all required inspcctions are requested in conformance with the State Building Code.This permit may bc revoked at any time tgr due cause. � / i � �� ' �1 (� ��L /�: . � �� .,._ __ _ /l � � � Applicant�Permitee Signature atc ' Issue y Signature Date I � FO CI Y SE ONLY City of Orono // �...- �_j�� -O�O P.O.Box 66 Date Receivkd Permit# � 2750 Kelley Parkway Crystal Bay,MN 5>>23 Approved By: Amount$: �D. (952)249-4600—Main a � (952)249-4616—Fax y� �` CITY OF ORONO —PLUMBING PERMIT l�KFSHo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://»�w�w.dli.�n��. o�r/CCLD/PDF/ �e �lumb �lanreva � . cl1' GENERAL INFORMATION l. 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 properly 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) �f Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In 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: ! ',{ I -� � yG'�,' ; C'/�,J� � .Jl � Owner: �`✓ �� •� ��1L�/\ Mailing Address: ��,l--�h/,� � City: '��' �C'i�.�� Zip: , , �� , � . ..._. c Home Phone: '"�� , �� Alternate Phone: Contractor Information: , �'��,� � i Contractor: /��'��(y z�/1� ��l G��1�;�`'� Contact Person: ` -�-�� Address: `;"`�'' ��'1 � �� n�` �S ate Bond #: �� J7 � ' � � i'��1,� Z� ' � S City: d�� '��-� L�� Zip: �� Expiration Date: L �� Phone: 1 �� L d � Alternate Phone: 0 '� Insurance— Current: �iy�'��G�!��.�-�� ?� 1 � PLUMBING FIXTURES BEING 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 Washer Kitchen Sink � Water Heater Disposal �r Water Softener Dishwasher f Wet Bar 1 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]icensed 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 I . PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%o�contract price with a(Minimum Fee of�50.00) �� -�� x .0125 $ (contract price) (minimum$50.00) 2. STATESURCHARGE x .0005 $ (contract price) 3. POSTAGE 8: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 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: � �'' � ^,Z �� 3 a� � DATE TIMF�� CITY OF ORONO CALLED IN INSPECTION N TIC�_ O/36� SCHEDULED �3 1S _�� PERMIT NO. cOMPLETED ADDRESS I�c�� C C."7'��G/'o�i� S�t— OWNER TELEPHONE N0.�6�'� �� 9�� CONTRACTOR ��Q'r�C1�S�l �� DESCRIPTION ( �- � � � lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �RLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ E IC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS; a • �� cn lc r�vc.e�,e� � � J O � �D""k �'v vK��P� '!t- a�!/ec/S d� — 0 � W � Q � e�.,�.� ,.�,�l�1 W � W � J GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPIEfE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILI 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. •--� White Copyllnspector's File Canary CopylSite Notice �� DAT _ � TIME � OF ORONO CALLED IN �l �' / �PECTION��/��,f)� SCHEDULED l�—LD��Y .3_� .�ERMIT NO. �'��"�J OMPLETED ADDRESS � �� OWNER EP E NO��5� �/ CONTRACTOR ��'� ��'J � DESCRIPTION L � �� FOOTING ❑ PLUMBING NA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA I ❑ LAKESHORE/WEfIANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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: � ��r�s�4�l yl mw �-ef. 4v �i6 s � � � �o� �(Cr u//sN cS/HK ` �/�✓ �S' c'�C�6��7. � C O�/I�e✓ /'�!�f/ Gv/ 1'y►��S S�a�, �'a u�/��' 0 � W � Q � 2 W � W � J � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: . Inspector. White Copyllnspector's Ffle Canary CopylSite Notice