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Home My WebLink About2013-00712 - plumbing ! ��" CITY OF ORONO * 2 0 1 3 - 0 0 7 1 z * 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3625 EILEEN ST PIN ; OS-117-23-21-0024 LEGAL DESC : RIEDEL CO STUBBS BAY ADDN : LOT MB BLOCK MB PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: BASEMI�;N"C: 3 WC,3LAV, 1 TUB,2 SHOWER 1ST PL: 3 WC,4 LAV, 1 TUB, l SHOWER, 1 K[TCI{EN SINK, I DISPOSAL, ] DISI IWASHER,2 SILLCOCKS, 1 LAUNDRY TRAY, 1 WASHER VALUATION OF PLUMBING 17000 APPLICANT PH MECHANICAL PLUMBING FIXTURE FEE 212.50 5056 SULGROVE RD STATE SURCHARGE PLBG (VALUATION) 8.50 MOUND, MN 55364- TOTAL 221.00 (612)418-1 123 PAID WITH CC# 6894 OWNF.R RYAN, BOB 3625 EILEEN ST MAPLG PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The��ork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing diis type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 1 AO days oY the date of issuance,or if construction is suspended f period of 180 days at any time atter work has commenced. �he appli nt responsible for assuring all required inspections are requeste in onformance with e State Building Code.This permit may be revok ny[ime f due �se. � � � � / / Applicant Permi�e Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . ,� ' � � FOR CITY USE ONLY �O� City of Orono P.O.Box 66 Date Received: Permit# 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � >. (952)249-4616—Fax �' c,` CITY OF ORONO-PLUMBING PERMIT �"�KssHo��' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.m��.fo��/CCLD/I'DF/�e �lumb �lanreva� . df GENERAL 1NFORMATION 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 RECENE 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) !�f,Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior a�proval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address• 7 � ^ > t' �� --�� S - Owner: �c,L� �,., rrv� MailingAddress: City: �rvv� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: i.If,i!h t��.i�.v�3�=� Contact Person: � �-V L j-4-�1� �C (�4-�iozL Address: .�� (� s.�1c,,�,✓� � State Bond #: ��,..- P►MO`��r5 7/� City: �p�� Zip:�43G y Expiration Date: 1.Z-�l --�j� �x 45�--`-�� -L- 7 ti�. Phone: (�./�-�!(s�/(L�_ Alternate Phone: ��L-t-!l��l��? ❑ Insurance- Current: 1 ' �. 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 � l � Shower Washer 1 Kitchen Sink 1 Water Heater I 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 ap liance 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; excludina 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 $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � 1 PERMIT FEE CALCULATION(S)--JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) l�l��U � ✓ x .0125$ ' (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 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: �� '�� 3 � � \ , DATE - ) TIME � CITY OF ORONO • Xl'r�/ CALLED w �7" �� . .; . INSPECTION NOTIC?E SCHEDULED � � �� PERMIT NO. �(� B_"� ( C 7�� COMPLETED ADDRESS ��' .-�r �= / /�'F"/' 1 '�� OWNER TELEPHONE yQ..�- �� 3 CONTRACTOR � -�� l7 � >; DESCRIPTION � .� � ') 7!—� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 ❑ SE T FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a o �� a �r� � `� �� l� � � 0 � W � Q � z W � W � � a W��IAAKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector. '� White Copyllnspector's File Canary CopylSite Notice �e�"" ' DA E TIME J CITY OF ORONO CALLED IN /� INSPECTION NOT E SCHEDULED — ' 7 • Q� PERMIT NO.C��'��'`�� COMPLETED ADDRESS �2 S �� °S� OWNER TELEPHONE NO�« `�/� �� CONTRACTOR � �e�> � DESCRIPTION � � � ❑ FOOTING $[PLUMBING FINA� ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 0 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO 2 � �/�� COMMENTS: /�� ' �S ff0/GE'rt�p W a o � ,Oro � �o c, �i'` 9l��Z cams ��r a � l�'� r,� . C. �� L•�. 0 � W Q fz es f 4 pa�r�s l�� z W � w � J d � ❑WORKSATISFACTORY:PROCEED Q�ROJECT COMPLEfE � � � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call ext inspection 24 hours in advance. (952� 249-460� OwnerfC ntractor on site- �4i+ � Inspector. ^'� White Copyllnspector's Ffle Canary CopylSite Notice