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Home My WebLink About2013-00730 - plumbing CITY OF ORONO * Z 0 1 3 - 0 0 7 3 0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 140 CRYSTAL CREEK RD P[N : 33-118-23-33-0010 LEGAL DESC : CRYSTAL CREEK : LO"I' 004 BLOCK 002 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG (<$500) 5.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 (952)445-4803 TOTAL 22.00 Minnesota State License#: 057209PM OWNER BRODEN, DAVID& LAYLON 140 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORIY STATEMENT �he work for��hich this permit is issued shall be perfonned according ro die approved plans and specitications,applicable City approvals,and the State Building Code. This permit is fbr only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with«�hether or not specified herein.'I'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time at[er work has commenced. The applicant is responsible for assuring all required inspections are requested in confbrmance with tke State Building Code.This permit may be revoked at any time fo�due cause. �/�v`'�."_� �il.�. l l l l Applicant Permitce Signature Date Issued By Si ure e SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED AB E. ` FOR CITY USE ONLY /¢p� City of Orono P.O.Box 66 Date Received: Permit# � �a;,.,, �' 2750 Kelley Parkway �;1i . y_- � Crystal Bay,MN 55323 Approved By� Amount$: � ��;��`,%�y�,o (952}249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must t+e approved by the Building Official or Inspector) GENERAL INFORMAT'ION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a perrr►it will be issued within tw�o 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 S1TE. 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 sepazate 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; � J� ❑New ❑Additional ❑ Repairs /�Replace �� ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � �� Owner: Mailing Address: City: _ Zip: _ Home Phone: �1�"`��+ Alternate Phone: Contractor Information: Contractor: ions In�ontact Person: � ` Address: 12850 Chestnut Blvd� State Bond#: `��y�� , 5379 City: 952-445Li4803 Ex iration Date: � 3 �� P'-- g Phone: Alternate Phone: ❑ Insurance--Current: I � FTiU1�73ING FI�TLIRFS BE.ING INSTALLED FIXTURE ' BSMT 15 � 2'� OTHER—TFIXTURE BSMT ]S 2 OTHER TYPE FL i T�l, i TYP'E FI, FL -----� ---- L--- — Water Closet � Floor Drains i Lavatory Sewer Ejector Bathtub Laundry Tray Shower �— Washer Kitchen Sink i � I Water Heater I � I Disposal —�Water Softener � Dishwasher Wet Bar � _ I Sillcocks i Miscellaneous � i �'ERMIT FEE CALCULATION(S) _ � BASED OFF - 2002 STATE STATLTE � Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not requ;re rr,�dificatic;,:o�lec:;;�al c;r gas service. 2. Has a total cost of$500.00 or less; excludine 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 $G��'✓7 „ T� �C�(J�.� (Permit Fees Continued On Next Page) 2 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) , x.0125$ (conoract price) (minimum$50.00) � 2. STATE SURCHARGE •* Add the State Bldg Code Div.Surchazge(Minimum Fee of 55.00) • x.0005 $ (contract price) ' (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) S y • * CONTR.ACT PRICE or JOB COST means the actual or estimated dollaz 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 mat$rial, 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. 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. ■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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 aze complete, true and conect. ` � � �� 13 Applicant's Signatu�: Date: s��:�+y�� . � . � , .. . � _ , � r . . � _ 3 � �,�, DATE T �/ �% CITY OF ORONO CALLED IN ' } — 3 ��_ � INSPECTION OTICE SCHEDULED �—�c3 10 '_ 3� PERMIT NO. �i3 � COMPLETED ADDRESS I�C� �i'L� �x�.;. ' �-; _ �_ _�.� OWNER ��'� TELEPHONE NO— -i��- -�t �tr��✓�dL CONTRACT�R �r�.-,�� C.�°�(��c�cJn � DESCRIPTION �`-�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING CHANICAL FINAL '�1RE ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v O 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 C � � O >. o� O � W � Q � 2 W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. 1 � White Copyllnspector's File Canary CopylSite Notice