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Home My WebLink About2015-01469 - plumbing ' ' CITY OF ORONO * Z 0 1 5 - PJ 1 4 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2450 COUNTRYSIDE DR PIN : 04-117-23-11-0004 LEGAL DESC : COUNTRYSIDE MANOR : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: REPLACE(1)SHOWER,(1)BATHTUB,(2)LAVATORIES,(2)WATER CLOSETS VALUATION OF PLUMBING 6280 APPLICANT PLUMBING FIXTURE FEE 78.50 STATE SURCHARGE PLBG(VALUAT[ON) 3.14 SPRING PLUMBING LLC MAIL-IN FEE 2.00 11473 KENYON COURT BLAINE,MN 55449- TOTAL 83.64 (763)614-7963 Payment(s) Minnesota State License#: plbg-066807 PM CHECK 3460 83.64 OWNER WINKLER, SHAUN& STACIA 2450 COUNTRYSIDE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. , '''l� � ! l l (�l� Applican Permitee Signature - Date [ssued y Signature Date R��+�l� FOR CIT'Y LJSE ONLY /" � City of Orono �� -O�O Y.O.B�x 66 Date Received: Perniit# 27�0 Ykellev Parl:way �+ L Cnstal Bay,MN 5�32�� !1 ��i� �PProved By: Amount$: (952)249-4600—Main (952)249-4f 16—F y� c`~ C�t��—PLUMBING PERMIT l�kf ti N�� {All Commercial Permits Must be Approved by the State Prior to City Approval) � litt�:lhvw��.dli.mn. u��/CC'i_1)/NDF! e iumb lanre��a� ,�df 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 STTE. 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. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 `�Residential ❑Commercial(Approval Required) /� ❑ New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: � � W lJ�� ►'� S�� • Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:5 1r1.. � l�V�-�N� Contact Person: �i1 � S�- �J�� Address: � � y'�3 `��(fY�- C� State Bond#: l. � v` �V �l City: � Zip:�79Expiration Date: I�'� 3� � � S� Phone: ��O�� "I � ? � �0 3 Alternate Phone: ❑ Insurance—Current: l PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT ls� 2�' OTHER FIXTURE BSMT ls� 2 OTF�R TYPE FL FL TYPE FL FL Water Closet ' � Floor Drains Lavatory � I Sewer Ejector Bathtub I Laundry Tray Shower I Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscel laneous 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Tota1 Permit Fee $ (Permit Fees Continued On Next Page) 2 PERM:IT FEE CALCULATION S —JOBS OVER $500.00 lf above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �, �- e� .� X o�25$ � 8. S� (contract price) (minimum$50.00) 2. STATESURCHARGE / '1 / l�/ lpT—� V . � x.0005 $ �• t 1 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT 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�xed costs. It is the amount to be charged to the customer for the work done. If any rnaterial, equipment, labor or installatious 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 convact. PLUMBING PBRMIT APPL1CATlUN AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbina 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: 3 �� DATE TIME `/ V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �S __�_�� PERMIT NO. 2�'i�5�-G! / COMPL E� , ADDRESS �� '� -��✓ �- � �" OWNER TELEPHONE NO. �lr�� "��(',�,� CONTRACTOR ��.�� DESCRIPTION ��> >y►� �--'T= ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF �❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULAT�ON ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERfCONTRACTOR TO�ET YOU: YES_NO c�.� COMMENTS: `� � � _- (.l• L• �atli��r'L r,c •��l - t/�S�i.� o �OGJ v - A �CiS sG!< <1d ��i� �ds, -a � '� /r� •L � /(.�p6�ri r C.�►'�o�i�i/' 7/6 5 G if� — O � � 1�W l� ' �1�QS S�i(• �f0 ��o.P� ��+ls W Q �,6s s��•�a • . � �L L • �riG�d�r.ti rrs��G ' �!� � (/��,F-!. W � � b� � ��Q � J GW�K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l t inspecti 2a hours in advance. (g52) 249-4600 Ownerl ntractoro s' ., �la'''�- Inspector. � /�—�- � � White Copyllnspector's File Canary CopylSfte Notice r-� �� DAT TIME CITY OF ORONO CALLED IN � dZ— � INSPECTION�IQ�I E D/ L�SCHEDULED �— �� I � � PERMIT N�J � � � OMPL� ADDRESS OWNER TELE E NO. Z�� 7b CONTRACTOR � DESCRIPTION "`-'� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL s� PL BING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ING 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � s � � 0 �. � 0 � � ( / Q � � �. 2 W � � � ` �. J d W ❑WORKSATISFACTORY:PROCEED ❑ OJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next ins ion 24 hours in a �. (g52) 249-4600 OwnerfContractor on site• Inspector. White Copyllnspeetor's File Canary CopylSite Notice