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Home My WebLink About2011-00551 - plumbing , CITY OF ORONO PERMIT NO.: 2011-00551 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 115 CREEK RIDGE PASS PIN : 03-117-23-12-0013 LEGAL DESC : CREEKSIDE IN ORONO : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT:2 WC,2 LAV, 1 TUB,2 SILLCOCKS, 1 WATER HEATER, 1 WGT BAR 1ST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISNOSAL, 1 DISHWASHER, 1 LAUNDRY"IRAY, 1 WASHER VALUATION OF PLUMBING 26500 APPLICANT PLUMBING FIXTURE FEE 331.25 STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATtON) 13.25 13025 GEORGE WEBER DR SUITE#1 TOTAL 344.50 ROGERS,MN 55374 (763)428-1833 OWNER PFEIFER,ANDY& MARNIE 115 CREEK RIDGE PASS LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which th�s permit is issued shall be performed according to the approved plans and spccitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after wark has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time Yor due cause�. /a:L�c 4 ��.�� / / / / pplicant Permitee Signature Date Issued By Sig at re e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. � FOK('ITl L�SE O:�I.1 � O¢D�O Cit} of Orono - —--— P.O.Box 66 Datr Rece�c�J: Ytrniit= 2750 Kelley Parkway a '. � Crystal Bay,MN 55323 .�pproced E3c: _am�,nnt$: ��' Q �c` (952)249-4600—Main �+�'asna�' �J?=r'�`�-�61(i—Fa� CITY OF ORONO- PLLIMBING PERMIT (All Commercial Perniits Must he A��pro��eet b��the State Prior to Cit� Appro��tl) GENERAL INFORMATION 1. You ma_y apply for plumbing pe,�-rnits by mail or in person at the City offic;es. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retur-n mail after a review is completed. YERMITS ARE NOT VAL[D tTN"ITI, YOU RECF,IVF,A PERM[T. WORK MUST NOT BEGIl�I UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing I�ennits may be issued OTiI,Y to licensed plumbing contractors and to property owners residin�in tl�e dwelling. 4. When any new cons[ruction or remodeling is involved,a separate building permit must be obtained. 5. All work mu�t 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) T�TE OF PERMIT (Check All Tl�at A lv) "�Kesidential ❑Commereial(Approval Required) �Ne�� ❑A�iditional ❑Kepair� ❑Replace ❑ lii Acress�,r�� titructure" *I'ou«ill need nrN>r annro�al.in�i ina� need IPer Urono Cit� Ci>de.Chapter 7`_Ai�ticle IV) Job Site/ Owner Inforination: Site Address: I5 �(Pel� , 7"A55 Owner:-h��C�YPG%� M[4rt�le �-Y¢'�r Mailing Address: 1�-1DL. SZr� }�� N City: ��•�mo� Zip: 55�� Home Phone: Alternate Phone: Coirtractor Information: Contractor: `,�C i,:,U`(� i" 1 i,tm�,nc� Conta.ct Person: J�rY„�r �r cnQ�' Address: ��u:�.-r, (_-��cc,Q �,:�r��. State Bond#: C�i 3'�� ro r*� City: S Zip:�537� Expiration Date: �a-3 i�1� Phone: '�(�3-�12,4-��33 Alternate Phone: � Insurance—Cunent: 1 PLLTMBING FIXTURES BEING INSTALLED FIXTURE BSM'I' I 2 OTHER FIXTiJRE BSMT 1 2 OTHER "CYPE FL FL TYPE FL FL Water Closet ^ � Floor Drains o� Lavatory � � Sewer Ejector Bathtub ' � I.aundry Tray I Shower I W asher i I Kitchen Sink I Water Heater ' Disposal t Water Softener � Dishwasher ` Wet Bar I 1 Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF- ?00? STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ 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 $ I 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 i PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above dces not apply;follow guidelines below: I. CONTRACT PRICE *is 125%of contract pnce with a(Minimum Eee of$50.00) ��C,SZ» X.o12s$ 33f.25 (contract price) (minimum$50.00) 2. STATE SURCHARGE a�,� � .�5 $ �3�� cconUact q;oe> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMI'T FEE{t�dd Lines 1-3 Above) $ 3��J� ■ * CONTf2ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted 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 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 pemlit fee putposes. 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. PLLIMBING 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. Applicant's Signature: 'U Date: �9 Reset Form 3 �� T TIME � CITY F ORON CALLED IN � � /� INSPECTION TIC SCHEDULED �� PERMIT NO. coMP�ETEo ADDRESS � OWNER TE� �ONE NO. � �� CONTRACTOR �: DESCRIPTION � � � ❑ FOOTING ❑ L MBIN FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ECHANICAL 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPT�C INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O �. � ----- O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ECT WORK&PROCEED ^, ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �Q52� Z49-46�� Owner/Contractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice �' ��%' V! ATE TIME CITY OF RONO CALLED IN � INSPECTION NO,TJ,C`��5/ SCHEDULED � z�� PERMIT NO. oCU COMPLETED ADDRESS �!� �z �CC� Gr/_lD OWNER TEL NE NO� 7 — �� CONTRACTOR C� � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA ICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � /�/�-�l�o M � �c-� TC�`T'. � �� 0 a � 0 � W x Q � z W � W � j d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � �� D E TIME � CITY OF ORONO CALLED IN � ""�� INSPECTION NOTICE SCHEDULED � �L7: �n PERMIT NO.o?4��-��Ss� COMPLETED ADDRESS ��7' �� /�-�u34e- U �� OWNER TELEPHONE NO. �� 3� ��o CONTRACTOR S�eC(�� >; DESCRIPTION (��'�� /��- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o ° t �l .Qr�.S a � o � ` � .�5 � � � W � Q � z w � W � � d RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the ne t ins on 24 hours in advance. (952� 249-4600 OwnerlContractor o site: Inspector. White Copyllnspector's File Canary Copy/Site Notice