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Home My WebLink About2013-00165 - plumbing � � CITY OF ORONO * 2 PJ 1 3 - 0 Pl 1 6 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1480 BRACKETTS POINT RD PIN : 11-117-23-33-0005 LEGAL DESC : BRACKETTS POINT : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 RANDY LANE& SONS PLUMB &HEAT STATE SURCHARGE PLBG (VALUATION) 0.50 1501 WEST BROADWAY MINNEAPOLIS, MN 5541 1 TOTAL 50.50 (612)521-8835 Minnesota State License#: 001962PM OWNER HEADRICK, MARK&LAURIE 1480 BRACKETTS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 1'he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conf'ormance with the State Building Code.This permit may be revoked at any time for e cause. �.�/Q �r•--- 3 , /� , �3 (��;�c-� � ��--�� Applicant Permitee Signature Date Is u By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , FOR CITY USE ONLY City of Orono 4O� P.O.Box 66 Date Received: Permit# �_ ,''�, ��' 2750 Kelley Parkway ';� �ti�+'*• � Crystal Qay,MN 55323 Approved By: Amount$: ��• � � ;�� u` (952)249-4600—Main ��+k�Koa� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://ww�r�.dli.mn.Qov/CCLll/PDF/ e lumb lanreva . 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 BECIN 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 work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Cal((952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A 1 ) Residentiai ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need('UP.(Per Orono City Code,Chapter 78,Artide IV) Job Site/Owner Information: Site Address: ��V �� ) ��'��.� �- � �,p ' � r � ,� Owner:�,��C , '��,� �L Mailing Address: �,�o, � t 30 c�ri: �C ;,��U z�p: , Home Phone: c�- _t � t Alternate Phone: Contractor Information: � Contractor: � ° ' � Contact Person: � ` . �. Address: ��l V • �� 11�Gl``� State Bond#: r " ` City: "�� - Zip: i� Expiration Date: I l� Phone: " �l ` ` � Alternate Phone: � � � � � Insurance—Current: ,�'�' � 1 PLUMBING FIXTURES BEING INSTALLED F[XTURE BSMT isT 2'vD OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater j � Disposal Water Softener Dishwasher Wet Bar S i llcocks M iscellaneous 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 $ I 5.00 State Surcharge $ 5.00 Mail-In Fee(If Appiicable) $ 2.00 Totai Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) � Q�� x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ■ * CONTRACT PRICE or JOB COST means the actua) 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 perrnit 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: �jl�' ��""r' Date: �� /�' !J Reset Form 3 � . RANDY LANE & SONS � ' � �- ;. l� C �� _. PLUMBING & HEATING INC. \^ � \ � � 1501 West Broadway • Minneapolis, MN 55411 �;�V`�� ` _ � (612) 521-8835 FAX (612) 521-1765 � q� COMPLETE-� � ,, www.randylaneandsonsplumbing.com ��j��,Q —P�uMB�rvG � � SERVICE QTY. MATERIAL PRICE AMOUNT �,�� v� DATE �3 �J'`( NAME � c- �494� /'.DD�� C,�l�,s� •1 ' PHONE �SC.� Tv ' �� JOB LOCATION � NAME PHONE DESCRIPTION OF WORK � ��l�t��.� �. '�"� �� `�� . -� \ � �� >� ` rt. J� � � � ., � � � �� D� Authorizatlon and waiver: I hereby authorize the work described above and agree to the terms and conditions as stated on this form. I 5100.00 tor ist 1/:hour. recognize that aged and deteriorated equipment, plumbing fixtures, . piping; and appurtenances may no longer be serviceable, and I agree $34.00 for each additional'/a hour. TOTAL MATERIAL to hold Randy Lane&Sons Plumbing Inc.blameless for any damage or destruction to these items as a result of these conventional repair TOTAL efforts.I agree to pay for all work,goods,and services received. 1.5%SERVICE CHAR�E FOR BALANCES OVER 30 DAYS LABOR Signature X PERMITS No Warrant �8� 0 S@W@C Drain Cleaning! Collect BillOut Visa Mastercard Discover MSUPPLIES Th�above de crib wor as been plete my sa- acYon. DATE COMPLETED � GT-�_ � '� _ )( __ ,C.(.__. . �; ,� '' ___ _f / 1!ld11I��YOU PAY THIS AMOUNT L� �� r ,.�.iy`f�� ,� �� , DATE TIME �� CITY OF ORONO CALLED IN INSPECTION NO I E c. SCHEDULED �'-1 " �f `.� PERMIT NO. � -� COMPLETED ' ADDRE ' �-� OWNER�C�,L�,r,f� =�L�F K� P�O. �"lr�`l-I�(c-G'(c��7. CONTRACTOR �� !�a�--T C�r"��-� �; DESCRIPTION ��-�e.-P� �E�-��- ' '�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M�Gk:{ANJC� � LAKESHORENVEfLANDS y ❑ FRAMING �ME�HAP1�6 ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL 2 O�RICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a W�� .Q,.�e.r re 0 I _ � �. '.�►H � • 0 � � e��s-t r.�r,�, �w�s�C �rt-�-� �s•�r�i►d� 0 � W ��K �al�c ' � Q � W , � ��t -�•u/..v _ W � J GW ❑WORK SATISFACTORY:PROCEED ,�ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED IJ' ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. II for the next inspection 24 hours in advance. (952� 249-4600 w ntractor on site: �°� � Inspector. � r White Copyllnspector's File Cenary CopylSlte Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 3PERMIT N0�,�3 •-�/�� COMPLETED I — ,��—ti /Sp � �1 ► , ADDRESS /S�s?n .f�s'�r�_.�' �1`�.s ✓��. �. OWNER TELEPHONE NO. CONTRACTOR ��'c'.�c�..� �� ts- -�'-Ts v"f. r �~> � DESCRIPTION � � ❑ 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 O PROGRESS � �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. .{�9L�OW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ,�''lvrr�� o�/�i�� 7�,/E� �S C- � // �_�' � � . -. � �--/�9sc l ��7 �,�C>�-� i ca�--� ). � O � W Q ��S /LC� O wL 2. —' � 2 W �`,o..� l.�l� a'a.rn G!�`� � !I ?X- � s�if P o �.�e c� ��i�l � •��e��as:., o., a � w eK� ��.��s-,�` W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP OfiDER POSTED.CALL INSPECTOR NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan . (952� 249-4600 OwnerlCon r on site: Inspector. � ^— White Copyllnspector's File Cenary CopyfSite Notiee