HomeMy WebLinkAbout2014-00129 - plumbing CITY OF ORONO * z 0 1 4 - 0 0 1 2�
2750 KELLEY PARKWAY DATE ISSUED: 02/12/2014
. ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2775 COUNTRYSIDE DR W
PIN : 04-117-23-12-0016
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 001 BLOCK 003
PERMIT TYNE : PLUMBING(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NO"CE: I3ASEMENT:2 WC,2 LAV, 1 SHOWER, l LAUNDRY"I'RAY, 1 WnSHER
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG (VALUATION) 2.00
GOOD NEWS PLUMBING& HEATING TOTAL 52.00
PO BOX 343
BUFFALO, MN 55313- Payment(s)
CREDIT CARD 4704 52.00
OWNER
MURLEY,TODD& MARY
2755 COUNTRYSIDE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which Ihis permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied wi[h whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days oY the date of issuance,or if construction is
suspended fbr a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State[3uilding Code.This permit may be
revoked at any time for due cause.
O / /
Applicant Pcrmitee Signature Date Issued By i nature � Date
�
Feb 13 14 03:05a RightMark Plumbing LLC 763-682-3456 p.1
FOR CITY tiSE ONLY
• Ctty of Orono
�ON� P.O.Bax 66 Datc Received: Pcrrnit i!
� � '` 2750 Kelley Pazkway
; Crystal Bay.MN 55323 APProved By: Amount$:
�' `� � (952)249-4b00—Main
, � �J (952)249-4616—Fa�c
F�� � � CITY OF�ROiVO—YLUMBIlVG PERMIT
`qk£S���a�V (All Commercial Permits Must be Approved by the State Prior to City Approval)
hCt :/hr•�v�v.dli.inn. ov/CCLD/PDF/ c lumb lanrc�a . df
GENERAL INFORMATIDN
1. Y�u may apply for plumbing Qermits by mail or in person at the City offices. Applicakions will be
reviewed and a permit will be issued within trvo working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID[.JNTIL YOU RECE[VE A PERMIT. WORK MUST NOT BEGIN IJ�''TTL THE
PERMIT CARD IS POSTED OlY THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in tl�e dwelling.
4. 11�'hen any new canstruction or remodeling is involved,a separaie building permit must be
obtained.
5. Al]work musi be done in accordance with State Code requirements.
b. All work must be inspected and air tested hefore it is covered. Call(952)249-4600.
(24�8 hour notice required)
TYPE OF PERMIT
Check All That A 1
❑Residential ❑ Commercial(Approval Reyuirec!)
❑New ❑ Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior aanroval and may need CU P.{Per Urono City Code,Chapter 78,.�-ticle IV)
Job Site /Owner information:
Site Address: ���� C ' �' �'b^-"'��'"\�J�U►`�-- �� �'' '
Owner: � Mailing Address:
City: ��✓C��� 7..ip:
Home Phone: Alternate Phone:
Contractor lnformation:
Contractor: ���C>L� ,�t'L�)�'J Contact Person: ��`�
� �li�b� _`
Address: � State Bond#: �� �� ����
. ➢k.��
C��; ���_ Zip��� Expiration Date: ��"�! '�� � �
Phone: �'��-1��-���� Alternate Phon�: �f 0 . - �,���J' � �
❑ Insurance—Current: ���-t'�
1
Feb 13 14 03;06a RightMark Plumbing LLC 763-682-3456 p.2
PLUMBING FIXTURES BEING INSTALLED
FIX'['[1RE BSM"C [ 2 ° OTI-{ER FIXTURE BSMT 1 2 ° OTHER
TYPE FL FL TYPE FL FL
Water Closei Floor Drains
�
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet gar
S i I Icocks Miscel laneovs
PERMIT FEE CALCULATION(S}
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residential fi�cture or appliance that meets all three of the following
requirements:
1. Dces not raquire modification to electrical or gas service.
2. Has a total cosi of�SQ0.00 or less;exeludin�the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed plumbing contracior.
Skip next section,ifthis applies; Cost of Permit $ i 5.00
State Surcharge $ 5.00
Mail-In Fee(IfApplicable) $ 2A0
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
Feb 13 14 03:06a RightMark Plumbing LLC 763-682-3456 p.3
. . PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 _
If above does not apply;follow guidelines below:
1. CON1'RACT PRICE * is 1.25%of contract price with a(Minim�m Fee of$50.00)
p 00. 00 X.oi2s$
(conUact price) (minimum$�0.00)
2_ STATESURCHAAGE
x.0�05 �
(contract price)
3. POS`I'AGE&HANDLING(Only on Mail-In Appiications) $ 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, profct,and other&xed 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
thc 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 lhe job cost,the City may request the submission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby app)ies to the City for issuance of a Pliunbing Aermit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
�VIircnesota, and certifies that all statements made on this application are corriplete, true and
correct_
Applicant's Signature: � �'�� Date: ^ { �� y
3
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMITNO.r��C�la9 COMPLETED —lo�'l
ADDRESS aZ 77.� C��tL��-t. S�o �O�'- � �
OWNER TELEPHONE NO.
CONTRACTOR ��� � � t ��4•`F �
�; DESCRIPTION .�'f - �'� 4���-
�
� ❑ FOOTING d'�°tdMBING 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ��n��nW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEfi REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a Pc.�,M.L�'" �l�t-- ���,� '� L,r�l r�o�— c
j �.z.�G /�5� ,�c�-�
0
�.
�
0
�
Q �IO rrl eL w n.ar� G�c� �`�c '� L�j v1�ra��a�—
z + � �� \
W
�
W
�
j
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
w
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILI REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�NSEECTION REQUIRED.CALL TO ARRANGE ACCESS.
��
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerfContractor on site: �01��
Inspector. ��--
White Copyllnspector's File Canary CopylSite Notice