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Home My WebLink About2014-01295 - plumbing , .� CITY OF ORONO * 2 0 1 4 - 0 1 2 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 11/OS/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3309 CRYSTAL BAY RD PIN : 17-117-23-41-0016 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 001 BLOCK 000 PFRMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES- MULTIPLF, NOTE: (4)WATERCLOSETS,(4)LAVATORIES,(1)I3ATHTUB,(3)SHOWERS,(1)K1TCtfI;N SINK,(1)D[SPOSAL,(1)DISHWASHER (2)SILLCOCKS,(l)FLOOR DRAIN,(1)WASHER,(1)WATER HEATER VALUATION OF PLUMBING 11000 APPLICANT PLUMBING FIXTURE FEE 137.50 STATE SURCHARGE PLBG (VALUATION) 5.50 P.H. MECHANICAL INC TOTAL 143.00 5056 SULGROVE RD MOUND, MN 55364- Payment(s) (612)418-I 12� CHECK 8865 143.00 OWNER SCHMID, DAVID 3309 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMF,NT AND SWORN STATEMENT The work for which this permit is issucd shall bc performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for onl��the work describcd and docs not grant permission for additional or rclated work which requires separate permits. All provisions of IaH�s and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended tbr a period of 180 days al any[ime after work has commenced. 1'he applicant is responsible for assuring all required inspections are reques[ed in con�omianee with the State Building Code."This permit may be revoked at any tf�ne for due cause. ` C %�� /�� (�_ / ( / � // Applicant Permitee Signature Date Issu By Signature Date � ,� * ,� FOR CITY USE ONLY �O�O City of Orono P.O.Box 66 Date Received: Permit# 27�0 Kelley Parkway Crystal Bay,MN 553?3 Approved By: Amount$: (952)249-4600—Main y � (9�2)249-4616—Fax �' c,` CITY OF ORONO —PLUMBING PERMIT l�KESHO�� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) htt :l/w��+�.dli.mn. ov/CCLD/PDF/�e �lumb lanre��a� . xif' GENERAL INFORMATION 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 NOT BEGIN UNTIL THE PERMiT 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. Al] work must be done in accordance with State Code requirements. 6. All wark 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) �Iew ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78, Article IV) Job Site / Owner Information: Site Address: -3-3iJ ` �' �� v'J �, •� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �f� � 1�t�-- Contact Person: iv�V L t�-Lf-%�v 1��n c:�✓��-�-- �. Address: 5�'�l� _S��vr.�� State Bond#: City: l�Ln�� Zip:sy '�� Expiration Date: /-�—�/— /S Phone: �, ��--�(� � ��-� Alternate Phone: ❑ Insurance—Current: 1 � . � � . PLUMBING FIXTURES BEING 1NSTALLED FIXTURE BSMT 1 ' 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains Lavatory Sewer Ejector I / Bathtub / Laundry Tray Shower r Washer / � Kitchen Sink / Water Heater / Disposal ! Water Softener Dishwasher 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 r • , w 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$50.00) J`J �� X .��2$ $ (con[ract price) (minimum S�0.00) 2. STATESURCHARGE x .0005 $ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In 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 charbed 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 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: Date:�,� rS —�y 3 pqTE ,/ TIME / CITY OF ORONO CALLED IN /a � r --�,� INSPECTION NO SCHEDULED /i3 '/D/ � /•✓v - � PERMIT NO. � co ErE� ADDRESS � OWNER TE HONE NO `� CONTRACTOR ' � � DESCRIPTION v ` � lu ❑ FOOTING ❑ PLUMB FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MEC NI AL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MEC CAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SIAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J j�PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ��OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �pwv �- ,P�L Sc�i� 46 � . � �--.�q� �,:- f Qst � �.5 ho��s 0 � � (l� P�D��d+2 �r�4��L S�r�n �or 6�,,►� Q tva [� �e� �PoK J�e n�- -tv� t�ld�e — � � Cd�re Lf � I3� �+� C,D(�� -- W � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �08RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O�U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ' n 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Gt u Inspector. ��''-' '�`-� White Copyllnspector's File Canary CopyfSite Notice ��—��-�' � � o� � f ` .� DATE TIME (�CITY OF ORONO CALLED IN INSPECTION OTICE —SCHEDULED �1�� _��`'_.�"'. PERMIT NO.��{—D I L��S COMPLEfED ADDRESS :_� �`,� C �Z,I�_:� � � r4-t r ��I � —�-- OWNER TELEPHONE NO.G��2 y �� CONTRACTOR ��f" I f��C'� f I�., � DESCRIPTION �� lN ❑ FOOTING ❑ DEM FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF LUMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS:�-1 � W a � J O � � O � W � Q � 2 W � W � 1 V W WORK SATISFACTORY:PROCEED G PROJECT COMPLEfE � ❑ RRECT 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 ORDEfl POSTED.CALL INSPECTOFI �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspector. �' White Copyflnspector's File Canary CopylSite Notice