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Home My WebLink About2014-01282 - plumbing CITY OF ORONO * 2 0 1 4 — P1 1 2 S 2 * ' � 2750 KELLEY PARKWAY nATE issUED: l l/03/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 248 CYGNET PL PIN : 04-117-23-23-0017 LEGAL DESC : SWAN LAKE ADDN : LOT 008 BLOCK 003 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F1X"I'URES- MULTIPLF, NO"I�E: (3)WATER CLOSI�:"CS.(5)LAVA"I'ORIES,(1)BATHTUB,(1)SI[OWGR,(1)LAUNDRY WALL BOX VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 STATE SURCHARGE PLBG(VALUATION) 6.00 TRENK MBCHANICAL LLC TOTAL 156.00 1 1086 CHAPARRAL AVE Payment(s) SHAKOPEE, MN 55379- CHECK 16058 156.00 Minnesota State License#: PLUM-PC644680 OWNER CHANCE,JON& BIANCA 248 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I'he work for which this perniit is issued shall be perfonned according ro the approved plans and specifications,applicable City approvals,and the State Building Code. "I�his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein."I'his permit will expire and become null and void if construction authorized is not commenced wiUiin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applieant is responsible fo�`assuring all required inspections are requested in conformance w}t�-th�State Quil�g Code.This permit may be re o ed at any time for due4 ausa.�'\ , � '�..._ '�. __... / i.:- � i il A plicant e itce ignature �ate � Issued ��Signature Da e � FOR CITI'USE ONLY �JO ` City of Orono ' � NO\ P.O.Box 66 Date Received: Pem�it# �� ( ?750 Kelley Parkway � Crystai Aay,'.�iN 553?3 Approved By: Amount$: I� � � i f�5'_}_'49-;G00-Main �, � - .� (�?�1?�49-dtill�-FaY '` � �`� CITY OF ORONO-PLUMBIPV'G PERiV[IT ��'��es f+��%� (All Commercial Permits Must be Approved by the 5tate Prior to City Approval) htt��:%'�i��e��.dli.mTi.eYm��{�CLD/YL)Fr'�3e lun�b lanre��x �. d}. GENERAL INFORMATION 1_ Y ou may apply fur plumbing permits b�mail or in person at the Cit�ot3ices. Apptications wil[be reviewed and a pennit will be issued witliin two working days. Z. Permit cards will be sent by retwn 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 licen_ced plumbin�contractors and to property owners residin�in the dwellina. -�. �hen any new�eunslruction or remc�eleng is in�ol�ed,��eparate building pemzit must be obtained. 5. Al(work�nust 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 norice required) TYPE QF PERNIIT Check All That A 1 } �Residential ❑Commercial(Agprovat Required) i� ❑Nevv ❑Additional ❑Repairs ❑R.e�tace ❑ In Accessory Structure? �You will need priur approval and may need CUP. (Per Orono City Code,Chapter 78,Article I� Job Site 1 Owner Information: Site f�ddress:�."`� � n �� .�� D��1�(� � Owner! `� A (�u,� Mailing Address: Z. ' � �� a� � c��y: �,�n ►.. r� z;P: H�me Phone: — �Z Alternate Phone: Contractor Information: � Contractor: I I�eY��il Y�1 I �Contact Person: I r l,� �`�`J' � i Address: I I �r � State Bond#: � O � D�r� b�L _20► � � City: Zip: Expiration Date: Phone: �l � �- Altemate Phone: �I��LO`� �'�! V Insurance-Current: � � ---� 1 PLUMBING FIXTUR.ES BEIlVG INSTALLED F[XTURE BSMT 1 S 2' ' OTHER FIXTURE BSMT 1 s 2 OTHER TYPE FL FL TYPE FL FL Water Claset I �i Floar Drains 1 Lavatory I( I Sewer Ejector I Bathtub Laund�y Tray Show�er 11{�asher Kitchen Sink Water Heater Disposal Water Softener Disliwasher t�et Bar Sillcocks ,Mis�l�neous � �� , c��i u� PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only oee Rcsidenteal fixttzre or appliance that meets a!I three of the following requirements: l. Does not require modification to electricat or 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 Pennit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 • Total Permit Fee $ (Permit Fees Continued Oo Next Page) 2 PERMIT FEE CALCULATION S)-JOBS OVER $500.00 If above does not apply; follow guidclines below: 1_ CONTRACT Pi2ICE *is 125%of contract price with a(Minimum Fee of$50.00) .D�? � �o �" IZ,c� . X.«r�5 $.� �5c� �(cuntract price) (minimum$50.00) 2. STATE SURCHARGE � �� (�� x .0�05 $ (eontract priee) 3. POSTACE&HANDLING(Only on Mail-In Applications) $ 2.00 L� �� 4. TOTAL PERMIT FF.E(Add Lines 1-3 Above) $ � �J ■ * CONTILACT PRICE or 10B COST means the ac:taal or estiinated dollar amount charged for the pe�nnitted work inchtdmg materiats, labor,pcUfit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installatioiis 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 far permit fee pur�oses. In the event diat there is a dispute ov the amount of the job cost, the City may request the submission of a sigi�ed copy of the actua) contract. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plutnbing Permit, agrees to do all work in strict acwrdance with flze ordinanet;s of the City and the r,egulations of the State of Minnesota, and certifies that atl statements inade on this application are compiete, true and correct. Applicant's Signature: Date:�,3 � 3 �" � J/ —DATE TINF� CITY OF ORON� �r�AtCED IN INSPECTION NOTICE � �CHEDULED /� �� , PERMIT NO.�0�5�-C��a��ycOMPLETED ADDRESS a OWNER TELEPHONE NO�Sz�31�� CONTRACTOR �G �; DESCRIPTION I � � ❑ FOOTtNG ❑ PLU BI FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ 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 Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: +�14J//- �'� �1r� LjU ' '�'e�ts esc�,st�/•T— a f�'CG�SS S G!i. � 9- ,F x�5�►�f C .y' .r �� J/�t.£�`r�, o Cy�,°�—`T f S # A�� dst tS o!�-� ' �. � o ��i �- W � Q � 2 W � W � J W ❑WORKSATISFACTORY:PROCEED C7 PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �`^-' White Copyllnspector's File Canary CopyfSfte Notiee ��J� ��7�"� D T TIME � CITY OF ORONO CALLED IN -�� INSPECTION TI SCHEDULED � PERMIT NO. � cOMP EfED ADDRESS OWNER TELEPHONE NO.�!Ic�_d8�^"��CJ CONTRACTOR �r��1 r �: DESCRIPTION _ • � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �CPIUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO � CQ�MMENTS: �• G• �/�S ,LiI�FG W C � �. L. ,��h ra�� ` �I W I/� ��.5 � �Sc�Ce�4�� a - �� ` ca�� U Cit�� ✓'br - r ♦ _ -GJf y��s<on cb�l��o W � Q Z t3 ,lL � C`o v�r � W � W � j GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �l! O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CAIL INSPECTOR U CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: .Tf�� Inspector r"'' White Copyllnspector's File Canary CopylSite Notice �� DATE TIME� CITY OF ORONO CALLED IN 5�8'�J INSPECTION OTICE 9 SCHEDULED (� -�/5 �— PERMIT NO. l -D/ a COMPLEfED ADDRESS OWNER LEPHONE NO��'��7�� CONTRACTOR � � DESCRIPTION � W ❑ FOOTING ❑ DEMO-FI A ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN R ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �PLUMBIN INAL ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:�_l�1,�s¢L a � �$�/�✓ue� 1'Yw.t�-G!S 0 ` �1�� i�4�� 4�'c � 5c� ' �• t��4 r�c�s.. � SCllr�c�< ��GK /''t( C�l/ !�'S fl�• ' O � Q ��d f 1�i/6 r lG Co�,,d�,�L�� + QoD�.�s O� Z C � G.'/*I.�t /t �c✓lre liCO W � � W ❑WORK SATISFACTORY:PROCEED �RAdE-CT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on site: 7��2�'C Inspector_�� White Copyllnspector's File Canary CopylSfte Notice