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Home My WebLink About2015-00218 - plumbing CITY OF ORONO * z 0 1 5 - 0 0 2 1 8 * � 2750 KELLEY PARKWAY DATE ISSUED: 02/24/2015 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 TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 1 WATER CLOSET, 1 LAVATORY, 1 SHOWER VALUATION OF PLUMBING 9550 APPLICANT PLUMBING FIXTURE FEE 119.38 STATE SURCHARGE PLBG(VALUATION) 4.78 B&D PLUMBING&HEATING INC. TOTAL 124.16 4145 MACKENZIE CT NE Payment(s) ST MICHAEL, MN 55376- CHECK 549879 124.16 (763)497-2290 OWNER MURLEY,TODD& MARY 2755 COUNTRYSIDE DR W LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work For which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work sha11 be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for d e cause. =� ,�-�--�-�� /�/ r� � pplicant Permitee Signa re Date Issued By Signature Date From:7634974263 02/P3/2015 08:52 #552 P.002/004 i,NOR CIT9'USE QNLY Ci of Orono � j (,' P.O.Box 66 Date Rece�ved:��~�� '��"'�"�`' -�b 1 -� Pcimit ft � �� 2750 KeOey Parkway � ; . �"°� � � Crystal Bay,MN 55323 Approvc.�By, ��_:....�Amount$;��<� ��t� (952)249-4600—Main � (�/��q ��7�� y � (952)249-4616—Fax �' c�` CITY OF ORONO—PLUMBING PERMIT l�'FfSHd�� (All Commercial Permits Must be Approved by Y6e State Prior to City Approval) htt :/hvww.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df v�':3�I�TERAI�II�t)RMATT�N��. � �� ,�� ,,_-_ � � � ��-_�., 1. You may apply for plumbing permits by mail or in person at the City offices, Applications will be reviewed and a permit wiil be issued within two warking days. 2. Permit cazds will be sent by retum mail aRer a review is completed. PERMITS ARE NOT VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTJL THE PERNIIT 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. Call(952)249-4600. (24-48 hour notice required) " "�.��"�,�-"�� _ 'TYPE:OF PEKMIT' =��.�- � ��_��-._ s :� Check Ali�'�a�A "� �. ,�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Siructure7 *You will need,prior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job;��e/Qlvner.�r►forr`nataon �_ �.��r_,,� � , Site Address: .�'1�i 5" ��,.� ��-{�� ;��i c ,s ��, �..'N�-(-- `J Owner: )�>�G�l � �Y1�,��. �'� ��,r�c�:._ � Mailing Address: ��7 `� �`t��u.��-(�� -,'��.1� ��,^. l,�/� �{=. � ,, Ji city: �.�� L��ct_ zip: L�,,,,�. ��-!c c ✓�'��' S�3 S�. Home Phone��r�1�-��`�SC�—�,:�C''`-� Alternate Phone: �Con�ractor"-Inforrrcation �`:- _ - Contractar: �jd l ) 1��u��;,n�;��=c�"�r��A�CContact Person: }��1, ��.� _,�._�� '� � �_; _ Address:L�!'�5� lY)a�c_kc �rzi� e�t� �t%f�� State Bond#: Y11 j� (�C�� 1(,, Ciry: �-f�: d��?��c=hc,c 1 Zip 55�;:3�7�,Expiration Date: �� Phone: ��l�>3.) i�1�-��7 � ��.�i �� Alternate Phone: ) �� ' - �a t,�-�,��us �{ l( ; (��_ _3.�K—�-''_>3.� .� ❑ Insurance—Current: �},��IE,�,;Yr„1,�s .,,-�y,� { _ � L-�'«�;%�/<, C C.k C,�-�1C q 3� -�'�/�� i�'��, _ -��z-." c 4�t�s�� `�3�: �u�� /� �Ik - �ir��az_�%/�. CCLIbv`�C-cf3l �'x�� ' ��;,�� C��,��o� s �,��_� �� ,/�/«� From:763497�;263 02/23/2015 OB:52 #552 P.003/004 FIXTURE BSMT 1 2 OTF-�ER FIXTURE BSMT 1 2 OTHER T'YPE 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 Bar Sillcocks Miscellaneous ' s PER;� � A��AI.;CULAT�ION�S) - �� ,� y �: � a � � -'-�, �, � _ �:,s. ° fr-= - '.,,;�ASED Q�`E��-20Q2 STATE STATUEs _.` . yr..Y '� ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a toial cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or repiaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(lf Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 From:7634974263 02/z3/2015 08:53 #552 P.004/004 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minin�um Fee of$50.00) �f � � �'J � x.0125$ �� 1y� �w (contract price) (minim m$50.00) / 2. STATESURCHARGE �� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2 � �� 11P 4. TOTAL PERMII'FEE(Add Lines 1-3 Above) S � ■ * CONTRACT PWCE or JOB COST means the actual or estimated dollar amount charged for the permitted work iucluding materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any materiul,equipment, labor or installations are fumished 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. Tn 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. 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. � � / � ��/�� i� Applicant's Signature: C'.�-��G� YGv") ;��Cc��1�< Date: 3 From:7634974263 02/23/2015 08:5� #552 P.00� /004 ��t�d� � ��°lt�� l�" ��`��`l(1�� r _ _� � - �- p �y /� .Y P�BAxaiaamr ..t^accc-a.mar�r...y��t.po.e�__ ��\F llE�lO��Ofii�� Fl(RiH@E 6E4 � �Yc EP6FY�f�6-e(z [fE� �V��14 � l{d�i`��Ml�i.��Tf! � ��A ��1 �lo{b�f �� f f0= �.��C��,, ! ��-r r1'1 � � S ,,._ �It�I�j�; _L.`i� ti—i C`�- �f C', ,�l �; �'t�.� ��l�� j-�!�n I ,� � l�r�et� ��E�r�� ,��-� ��r��/��C �f� � „z.3��' ��: / (��cft��v�� c� 7 �? S ��CZt,��5 � ��-�-{_ V�f. L-c-1C'�-�— J �re3at��rt�: ir/�i U �-J. /� �f� � —�, ^ �� (i[ �( a"1\�,�, �-.�—Q�.._....._��.��._ I C_'��- '�. ! /�' r` , �-�.________.________ . -- �'��'�'� � "f' Cz,� ��-�=t�� <..: c.-h r�--!C - , - ��G�S:E._ <-- .�. f� �- �E'�__ �2'l t' � l�� Lt J �1 Q i 1 ��_�_ � � �--�— 15 ,r�C'v�c.�- � 1 ��.,ti-�� `�c.,� ! �� C�'�ti-l�, ( ��L�� ) �.��_ �,,� '-f`l {"�-�_ ll �' � �/ ` DATE TIME CITY OF ORONO CALLED IN INSPECTIO TIC SCHEDULED � �� 34,�,_ �ERMIT NO. ��"60 Z� COMPLETED ADDRESS �� --Q � �J OWNER TELEPHONE NO.��2- 3 2.�' 1�` CONTRACTOR g� � �`v--�-�.r-►-ss• ��s� �t � DESCRIPTION _ �-S'�''"`^� d�a�--'- l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL }�PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �❑ PLUMBING 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � � ` O � � W � Q � 2 W � W � j d W ORKSATISFACTORY:PROCEED f� PROJECT COMPLEfE � C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h rs in advance. 249-46�� OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE T1Mt CITY OF ORONO v CALLED IN INSPECTION NOTICE SCHEDULED S-��S � PERMIT NO. �T)l'rJ-Q�� COMPLETED —�— ADDRESS Z-7�S c G c..� / OWNER TELEPHONE NO CONTRACTOR � � �_P/(,�/�� a DESCRIPTION � �`'�-m b� nU ��,� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROO PLUMBING FINA__ L_o� ❑ TREE REMOVAL Z ❑ RADON SLAB ANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR T�ET YO�YES_NO � COMMENTS: � W a � � O �. � O � W � � Q � 2 W � W � J d W C�WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑ CORRECT WORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY w � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hoyjs.i an (952) 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice