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Home My WebLink About2012-00896 - plumbing . CITY OF ORONO * Z 0 1 2 - 0 0 8 9 6 * • 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2012 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 20 CRYSTAL CREEK RD PIN : 33-118-23-33-0007 LEGAL DESC : CRYSTAL CREEK : LOT 001 BLOCK 002 PERMIT TYPE : PLUMB[NG(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG (<$500) 5.00 3670 DODD ROAD- SUITE l00 EAGAN, MN 55123- MAIL-IN FEE 2.00 �� TOTAL 22.00 OWNER GAGNE& STACEY WILSON, STEVE 20 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORIV STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and spccifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant perniission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type ot�work shall be compied with whether or not specified herein.'i'his permit will expire and become null and void if construction authorized is not commenced within l80 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 requcsted in conformance with th�State Building Code.This permit may be revoked at any time for due cause. `-%�G-(,Gc.�l Gv(, l l l l Applicant Yermitee Signature Date Issucd By Si • ure Uate SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOV . . . ,��,��o City Of Orono FOR CI"I'Y USE ONLY P.O.Box 66 Date Received: Pennit# i 2750 Kelley Parkway : ' °" '� Ci�-stai Bay,MN 55323 `"t�l •' °, (952)�49-�600—Main Approved By: Amount�: �'SkSsxov"�.;.. � , - ..__ (9��)249--t616—Fax C'��'X Q��' �l��d� — �L�Jl@�FB�� I��1F✓��'�' (All Commercial Permits 1@��rst be Approved by the State Prior to City Approval) '' /%i�'t'�E^'.:�€i.Cae:t.�1`ri'i�,�:�ii!��/FF:, n!€�c::�;�fanrei a��..rfu i GENERAL INFORMATION 1. You ma}�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. Per�i�it cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK I�UST N�T BE�SI�'LT1�1'T�L'�'f3(� PER1��F��'C.�.Rp pS POS7'�D�N�'g-E�.�OB SI`TE. 3. Plumbin�per7nits may be issued ONLY to licensed piumbing contractors and to property owners ,-esidin�in;I;e dwe;l;n�. 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 A ly �Residential ❑ Commercial(Approval Required) ❑New ❑Additional ❑ Repairs [�'Replace ❑ In Accessory Structure? *You wiil need prior aporo��al and may need CLP.(Per Orono City Code,Chapter 78,Article IV) Job Site/O��ner Information: Site Address: �� vt � �(, C � � �� • � /'�� Owner: ` 1� l�Ct Mailing Address: �C�`'�Y1� c��: �� 1�1t�� z�p: � GJ�c�(v Home Phone: ��' �lv y� � 0 Alternate Phone: Contractor Infoi-n�ation: Contractor: � ' �� r ' �,p+y�ontact Person: 1'�—Y `�� Address: ��(} ` �`�� ,� . State Bond#: City: �',� ,v...� Zzp:5�(Z.�Expiration Date: � Phone: �(('�i C) ' `�- l � Alternate Phone: _ ❑ Insurance—Current: l �� . � FOR CTTY USE ONLY �:�,�� ity of Orono o P.O.Bo�66 Date Received: Pennit# 2750 Kelley Parkway '' ' °' � Crystal Bay,MN 55323 Approved By: Amount�: `"�'y � (952)2�9-4600—Main , sk�sxow�'y, (9�Z)2�9-4616—Fa�: �•�� 'k �J.'�.�1C� —�i 1L.W1vPiTJt1��i �I�.�a�� (All Commercial Permits I�If�st be Approved by the Sta�e Prior to City Approval) �,.....,:i/,.�ti{Fe.:�ii.c��.��,/E'��!�:3F/?�z r�t€:r::F�E�r�s•ev��t��.t�c�i GENERA,L INFORMATION : 1. You ma}�apply for plumbing pennits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two workin�days. 2. Permit cards wil]be sent by return mail after a review is completed. PERMTTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. W�RAC Ii�UST NOT B�GI1V U1�1�'�L T'r-�L PERh'Fi�'CQ,RD FS��SB'ED�N 7'B-6�JOB SI'Y'E. 3. Plumbin�perntits may be issued ONLY to licensed piumbing contractors and to property owners !-esiding in the dweIl;ng. 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. Ca11(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT � (Check All That A ly) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs [�'Replace ❑ In Accessory Structure? *You will need prior aoorovai and may need CL P.(Per Orono City Code,Chapter 78,Article IV) Job Site/O��ner Information: Site Address: �� t � �{,f c � � �� • � Owner: �' �C�. ' Mailing Address: �C�`'��'� City: ��'l�Y �l.i i �� Zip: � ��J�-aEJ Ho�ne Phone: ��' �(�� 0 Alternate Phone: Contractor Information: Contractor: y �� r � �,p�hs('ontact Person: t�-1 `�� Address: �(� � r`��C,� . State Bond#: City: �' v..+n Zip:�GJ��Expiration Date: Phone: � � '� `�" ��J Alternate Phone: ❑ Insurance—Cunent: 1 �� Y ♦ `' PLUMBING FIXTURES BEING INSTALLED. FIXTURE BSMT 1 2N� OTHER FIXTURE BSMT 15 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink \�✓ater Heater ( Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscel]aneous ' PERMIT FEE CALCULATIOI�T(S) BASEI?OFF-2002 STATE STATUE, � Yes,this section applies The replaceme»t of only one Residential f;xture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$�00.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Sl:ip next section,ifthis applies; Cost ofPermit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee �.��1� (Perrn�ot�'ees Co�itia�ed Qn I�ekt P�ge) 2 . PERMIT FEE CALCLTLATION{S '—JQBS'4VE�$�04.00 If above does not apply;follow guidelines below: l. CON'�'F�.A,C�'PR.FC'� "is l.2�%of contract price with a(]@idinimuan�'ee of�50.00) x.0125 $ (contract price) (minimum 550.00) 2. ST.h�'E Sg1RCFIf4RG� �* Add the State Bldg Code Div. Surcharge(1VEinimum�ee of�5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&H.qNDLING(Only on A7ail-In Applications) $ 2.00 4• T0�7'k�PE€�IT�'�E(Add Lines 1-3 Above) � ° * CONTRAC l PRICE or JOB COST means the actua] or estimated dol]ar amount charged for the perniitted worl: 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 o�mer, 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 ihe job cost, the City may request the submission of a si�ed copy of the actual contract. ° *'` The STATE SURCHARGE is .0005 of the contract price under$l,000,000 or$5.00—whichever is greater. For valuaiions over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBII�TG PERMIT APPI;ICATION 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 SiQnature: � Date: �`�� a E�� Fc�b�a 3 " � � �.j� DATE TIME `� CITY OF ORONO CALLED IN / �� INSPECTION N T�� SCHEDULED � " ��—/Z� �� PERMIT NO. COMPLETED ADDRESS OWNER LEPH O�//�°� ��7"��`�'" CONTRACTOR >'; DESCRIPTION �r� � � ❑ FOOTING ❑ PLUMBING 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. ❑ 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 >. � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED !�.DROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: ' Inspector. ,,L �- � � White Copyllnspector's File Canary CopylSite Notice