The URL can be used to link to this page

Home My WebLink About2016-00010 - plumbing , CITY OF ORONO * z � 1 6 - 0 0 0 1 0 * • 2750 KELLEY PARKWAY DATE [SSUED: O1/OS/2016 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1825 CONCORDIA ST PIN : 17-117-23-22-0015 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 008 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: ADDITIONAL FIXTURES:4 WA'CER CLOSETS,3 LAVATROY,2 SHOWER, I KITCHEN SINK, I DISPOSAL, I DISHWASHER. 1 SILCOCK VALUAT(ON OF PLUMBING 16770 APPLICANT PLUMB[NG FIXTURE FEE 209.63 STATE SURCHARGE PLBG(VALUATION) 8.39 SPRING PLUMBING LLC MAIL-IN FEE 2.00 11473 KENYON COURT BLAINE, MN 55449- TOTAL 220.02 (763)614-7963 Payment(s) Minnesota State License#: plbg-PC643871 CHECK 10114 220.02 OWNER WING,JOHN 1825 CONCORDIA ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I SO days at any time after work has commenced. Che applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. t� 7�/, � � ��,��,�(, I ��► �� ►;' t�t,�.1` (�--�-�_�� _ , , � , r �, ._ Applicant Permitee Signature Date [ssued By Signature Date ,__._.__. FOR CITY USE ONLY City of Orono ��j�� Y.O.Bos 6� Date Received: � -��eanit#�� (�' %� C.J 1 2750 Kelley Park�var• � �� Crystal Bay.MN 55323 Approved By: ��'� Amount$: ?��- —. �� (952)249-�600—Main ` %+ �>. r� (9�2}2d9-4616—Fax � ` CITY OF ORONQ-PLt1NiBING PERiVIIT ��k�s t+�`��.�� (All Commercial Permits Must 6e Approved by the State Prior to Ciry Approval) ____ _ __.' latt�:/hvw�r.dli.mii.�fu��/��CLD/1'DI'/�e �li�it�b �I.�iire��a >>.�d(' 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. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. 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 properiy 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 A 1 „�Residential ❑Commercial(Approval Required) ❑ New �Additional ❑Repairs �eplace � ❑ In Accessory Structure? *You will need prior apuroval and may need CUP. (Per Orono City Code, Chapter 78,Article N) Job Site/Owner Information: Site Address: _- � � � J ��1'1��"�-� 5�7"� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �]�7►�(�'`-( ,) � ��-r,1Lf�.� Contact Person: SG I�lc�.�(�) Address: � ��3 I�'�l/�- �-� State Bond#: , Ca `7 .3� �� City: �j lM-�' — Zip'.��y� Expiration Date: _I�� 31 I I 7 Phone: � �D l� ��y�J Alternate Phone: ❑ Insurance-Current: 1 I PLUMBING FIXTURES BEING INSTALLED FIX'TURE BSMT 1 � 2' OTFIER 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 � Water Softener Dishwasher f 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 apnliance 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;excludina 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 —_�r . 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$50.00) � �, � � (7.vt� x.0125$ � V � - �� (contract price) (minimum$50.00) 2. STATE SURCHARGE I� ��, l� '�v x.0005 $_�_� (con act price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ � U �' ' �� * CONTRACT PRICE or JOB COST means the actual or estimated doliar amount charged far 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. J � Applicant's Signature: G`� Date: I�-f ,3 / l/ � 3 c..� � �-� ' DATE TIME'�% CITY OF ORONO CALLED IN -c�/�� --� INSPECTION NOTICE SCHEDULED PERMIT NO. 2�'l� �'�� COMPLETED ADDRESS �Z� � ��I �'C�li�/'Ck--J � OWNER TELEPH E NO. 7�3 �� Z�� CONTRACTOR � � � � DESCRIPTION ��, � �'1.� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL 2 01NNER/CONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: � 1/�$�iif G ' .3 ,�e`!�/a�n�Gf — o ,6C,��io•� f ,D�ud - /Jl/G sc�_ � - � — /111� �+- �� i�r�a cx S�i�rr �Q)f"��s` -�< .�i� � �� f'/ Gl�S.0 J�LI S 4/��rsL,f k/�ev ��BS ` W /J � � /'irb(/f C7li �2✓�a�''� �i rB � Q � �' �l� � �O n��f<i e 2 W � W 2 J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �CO&RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca r e inspection 24 hours in advance. (952) 249-46�� Ownerl tractor o ite. �� Inspector. ti White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED � -�.5-�,6 � PERMIT NO. '�� COMPLETED ADDRESS �� st OWNER ��E�LEPHONE NO. 3 - CONTRACTOR �� DESCRIPTION � lV ❑ FOOTING ❑ DEMO- I AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI G RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF '�PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �❑MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO . v�, COMMENTS:_.�, f3,�ItJ ' .CS �df��rK ' I �� a — �v�esi(�w �yrSz`�G�,�� /.tv. �:.., �1•G• �� •. o �� - �n:,�.0 �.rp�,�� ',x��.�� i� /.1.G, � �jqt�S - r-c,s b d� �or,e- L�o++�p/.a��'�- O � QG6rrc�t �- ,p:i�� -�-�� z W � W � J � ❑WORKSATISFACTORY:PROCEED ��OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: c Inspecto . White Copyllnspector's File Canary CopylSite Notice