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Home My WebLink About2014-00700 - plumbing t � CITY OF ORONO * 2 PJ 1 4 — 0 0 7 0 0 * 2750 KF.LLEY PARKWAY DATE ISSUF.D: 07/07/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 940 DAKOTA AVE PIN : 26-118-23-33-0016 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 001 BLOCK 000 PERMIT TYPE : PLUMBING (% $500) PRONERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MUI_"T�IPI.E NC)�Il�:: Pl.l_'�'�1I3ING FIXTI'RES: (1)WATF?R CLOSt?�T.(1)LAVA�I�ORY.(I) SHOw'I�:R. (I)L�11�NI)RY�I�RAY AND(I)W�1SHI;R VALUATION OF PLUMB[NG 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 COX PLUMBING LLC STATE SURCHARGE PLBG (VALUATION) 0.75 17041 172ND AVE SF. TOTAL 50.75 BIG LAKE, MN 55309- Payment(s) (612)242-9247 CHECK 5394 50.75 Minnesota State L.icense#: plbg-59474 OWNER DIERINGER, M�T"[�}��iEW& 'I�AMI 940 DAKOZ�A AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�he work Yor which this permit i�issucd shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Buildin�Code. This pem�it is for only the ti�ork describcd and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work tihall be compied��ith N�hether or not specitied herein.This permit will cxpire and become null and void if construction authorizcd is not commenecd within 180 days of thc date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assurine all requircd inspections are requested in conformance widi the State Building Codc This permit ma}�bc revoked at anv time for due causc. � 7-��5� 7/ 7 / / � Ap i ant Permitec S'>natur� Date Issued Signalure Datr � � FOR CITY USE ONLY �O�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 5�323 Approved By: Amount$: (952)249-4600—Main >. (952)249-4616—Fax y�' �` CITY OF ORONO— PLUMBING PERMIT ��KFSHo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://ww�ti�.dli.��ui, ov/CCLD/PUF/ e lumb lanreva i . clf' 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. 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) ❑ New ❑ Additional �Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: / � � �I� �o�-vr � i1 Q �-,� L�.C� hcN� �S�(�� Owner l/kt�►�t✓►� ��'y�Q,e� Mailing Address: ��U /��-�c�, �v� City: 1 �,,.� G-�-� Zip: �.S��v� Home Phone: Alternate Phone: ��o�� 3r1� -S�� Contractor Information: Contractor: L(-�-- Contact Person: �� !�� k � � S� State Bond#: �� '�� Address: /7D y/ �.�"�� -° � City: �i �� Zip:S�J� Expiration Date: �� '��S Phone: �/��- �-�v.�'".�7�� Alternate Phone: ��a" c��o�'/��-�1�7 ❑ 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 Bathtub Laundry Tray t Shower W asher � 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 Residentia] fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electricai 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 t�is 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 � � PERMIT FEE CALCULATION S)—JOBS OVER$500.00 ` If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) �l�(�7�� x .0125 $ (contract price) (minimum�50.00) 2. STATE SURCHARGE 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 charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant ar 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: �'� 7^�� 3 � � � D TE TIME V CITY OF ORONO CALLED IN 7 — INSPECTION NOTIC SCHEDULED — � PERMIT NO.�O -�o ��COMP ETED ADDRESS OWNER TELEPHONE NO. �� ' °�-�°��7 CONTRACTOR >; DESCRIPTION � DU � � ❑ FOOTING ❑ PLU IN FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME H ICAL 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 � ❑ 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 Pl4. U-G. -� �F-G • fo r L.L , a b � - o ShaW�r� W_C . , (/k.1•�C� � �/c. ►-t� �.. . � ��r� r 1 �"G Ci G,.. � � 1� � �- �1 as s G!- �ro � W Q �/C��P � e�c�s f �,�s C. Z 1'�In/I/ � Z -'F�7�s� -� le��s r•��a ve•�� — � �'� r��-F -+ d f� --de C'a�e r � � a W� ❑WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W OFRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cal1 ' spection 24 hours in advance. (952� 249-4600 OwnerlC ntract on site: �� K Inspector. l w-' White Copyllnspector's File Canary CopylSite Notice � � � � -�� 3ti�E CITY OF OFiOI�fO CALLEO IN (,` 1� �� INSPECTIO O�I(i �� SCHEDULED ' —�� —t •""' PERMIT NO. �� OMPLETED ADDRESS '"�� -{—�� Q OWNER TELEPHONE NO.��' �� `"+'�'�`1 CONTRACTOR ��' �x �; DESCRIPTION � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C(1MMENTS: a G�i�/aiC e " N/-C. , �L.�v . � /4 4..��r� J ^ o .�� -{- p t,S¢.� ��f W�S�L /'NkGif�.r;e. — '� � Prouc�e I" a�i �� r �*,t'�Sdr��c�✓��& � W ��e�/o r k �'�-w�,ol��: e � Q � � � Ga-�'�Qc� � �a/�� W � j a W� ❑/1�V'�ORK�SATISFACTORY:PROCEED �.PROJECT COMPLETE C�/�G3L6RFfEGT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or the next in ion 24 hours in advance. (952� 49-4600 erl ontractor on ' . � �� a'� Inspector. �- White Copyllnspector's File Canary CopylSite Notice