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Home My WebLink About2014-00295 - plumbing , ., CITY OF ORONO * 2 P1 1 4 — fd 0 2 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 105 CREEK R1DGE PASS PIN : 03-117-23-12-0012 LEGAL DESC : CREEKS[DE IN ORONO : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NO'I'E: BSM7': 2 WC,2 LAV,2 SHOWER,2 FLOOR DRAINS, WA"I ER HEA"IER, WET BAR 1S"I'FL: 2 WC,3 LAV, 1 TUB, 1 KITCHI;N SINK, 1 DISPOSAL, 1 DISHWASHER,3 SII,LCOCKS,4 FLOOR DRAINS. 1 LAUNDRY TRAY, 1 WASHER, 1 WET BAR 2ND FL:2 WC,2 LAV,2 SHOWER 1 FOOR DRAIN, 1 WASE[ER VALUATION OF PLUMBING ?2000 APPLICANT PLUMB[NG FIXTURE FEE 275.00 KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 1 1.00 1 168 [FFERT AVE SE TOTAL 286.00 BUFFALO, MN 55313- Payment(s) (612)282-5041 CHECK 8852 286.00 Minnesota State License#: plbg-609777 OWNER ROBIN, JOHN& CYNTHIA 5925 FIELDSTONE PLACE 1NDEPENDENCE, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be perlormed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with,thc State Building Code.This permit may be revoked at any time for due c se. �� /C/�-�/ � / / i' Ap�t Permitee Signature Date Issued B . � nature Date � , FOR CITY USE ONLY �� * l City of Orono �-O�O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main a �. (952)249-4616—Fax y� ` CITY OF ORONO— PLUMBING PERMIT � lqKESHo�� (All Commercial Permits Must be Approved by the State Priar to City Approval) htt ://H�w��.dli.mn. ov/CCLD/PDF/ �e �Iwnb �lanre��a� ..df' GENERAL 1NFORMATION 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 1VOT BEGIN UNT�L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbin�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 Apply) �`Residential ❑ Commercial(Approval Required) [�New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You wi❑ need prior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/ Owner Information: Site Address: I t-%`� C��e�C- �t�,�� c�ss L/�.o(/6-s C,�o� Owner: '��,�1f t�� h;e�� Mailing Address: ��os� ;�2'�" ��v�' City: (�i�i✓�un�-, Zip: S-��K-r� Home Phone: C�rZ-SSZ� � n 3c� Alternate Phone: Contractor Information: Contractor: �-� C�1�ti��.-� ��- Contact Person: ��- �.�� Address: i I��C� :�-��?-�- �c- �� State Bond #: �'C�o��`1�i�=' City: �aC�A�.:� Zip:t7�3f� Expiration Date: �7-3�-j�/ Phone: (� �1 Zy+L-`��`�I Alternate Phone: ❑ Insurance— Current: 1 � , � , PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains � � � Lavatory � � Sewer Ejector Z Bathtub � Laundry Tray i � Shower a a Washer � � Kitchen Sink 1 Water Heater � Disposal , Water Softener Dishwasher I 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 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total 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: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �,Q�.�' x .0125 $ (contiact price) (minimum�50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-ln Applications) $ 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, 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 APPLIGATION 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: " Date: ��"�S-��'� 3 � � � DATE TIME " CITY OF ORONO CALLED IN INSPECTIONN�IC ��SCHEDUIED -_ l -� � !!:3 "� PERMIT NOo't// COMPLETED ADDRESS �� OWNER _ /�y��LEPHONE o. a a� -.50y CONTRACTOR ' ' � DESCRIPTION � � O FOOTING ❑ PLU I G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MEC NICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RAD SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FI L ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL 2 O RICONTRACTOR TO MEET YOU:_YES_NO � /" � COMMENTS: `� � W � � J O � � O � W � Q � 2 W � W � � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEFi POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRAIfGE ACCESS. Call for the next inspectian 24 hours in advance. (g52 9-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �..� _ DATE TIME v CITY OF ORONO CALLED IN - INSPECTION N TICE�_�Z��SCHEDULED ' � •� PERMIT NO. l COMPLETED ADDRESS l� OWNER E PHONE NO. �'� � � S6 CONTRACTOR � DESCRIPTION �v � � � ❑ FOOTiNG LUMBING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEF REMOVAL J �LUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: a Dwv - Plrc ��, 4e _ � � � v � �l� �'� �� 6�rlcs � O � W l/y J Q ��K��✓LJlv"C��fKS �`! 1�/!'[.TCl� r � -7 Z W � W � j d W� ❑WORKSATiSFACTORY:PROCEED ❑ PROJECT COMPLETE W �CQRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for inspection 24 hours in advance. (952� 249-460� Ownerl ntractor on site- Inspector. ^ Whi opyllnspector's File Canary CopylSite Notiee �� DATE TIM CITY OF ORONO CALLED IN �a-�� INSPECTION OTI E SCHEDULED C� �'�'1� o)' � PERMIT NO � �� COMPLEfED � ADDRESS «� OWNER ELEPHONE NO. - � i CONTRACTOR �; DESCRIPTION � `�` � � ❑ FOOTING LUM FINAL l p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECH ICAL RI ❑ LAKESHORFJWETLANDS � ❑ FRAMING ❑ MECH ICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ¢ W a � � O >. � O � W � Q � 2 W � W � j W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W � ❑GORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 9 9-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice