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Home My WebLink About2014-00150 - plumbing ` CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 4 - 0 0 1 5 0 * , DATE ISSUED: 02/19/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4055 ELM ST PIN : 06-117-23-41-0106 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 009 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: BSMT: 1 WC, 1 LAV, 1 SHOWER,2 SILLCOCKS, 1 PLOOR DRAIN, I LAUNDRY"CRAY, I WATL:R EiEA"I�ER, 1 WA'I�GR SOFTNER 1STFLOOR: 1 WC, 1 LAV, 1 KI7'CI(EN SINK, 1 DISPOSAL, l DISHWnSHER 2ND FLOOR:3 WC, 5 LAV,2 TUB, 1 SHOWER, l WASHER GARAUF,: 3 FLOOR DRA[NS. 1 LAUNDRY TUB VALUATION OF PLUMBING 14500 APPLICANT PLUMBING FIXTURE FEE 18125 STATE SURCHARGE PLBG(VALUATION) 7.25 PRECISION PLUMBING INC. TOTAL 188.50 4124 MACKENZIE CT ST. MICHEAL, MN 55376 Payment(s) (763)497-7486 CREDIT CARD 5332 188.50 OWNER FRITZ, MATT 9125 LOUISIANA AVE N BROOKLYN PARK, MN 55443- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned according to the approved plans and specifications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does no[grant permission Yor additional or related work which requires scparate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days oY the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may bc revoked at any time for due cause. c � '' i �� _ d-��-�y , : _.. __ _�..._ _. -��-.. -- � � App an e itee S�ignatw�e Date Issued By S�g ature Date ♦ � ♦ FOR CITY USE ONLY City of Orono , �-��O P.O.Box 66 Date Received: Permit# 27�0 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main -� >. (952)249-4616—Fax y�� c,` CITY OF ORONO — PLUMBING PERMIT �"�KFSHo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://ww��.dli.mu. ov/CCLD/PDF/�e .lumb lanreva . dt' 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) �esidential ❑ Commercial (Approval Required) �ew ❑ Additional ❑ Repairs ❑ Replace T� ❑ In Accessory Structure? *You will need prior anproval 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: Alternate Phone: Contractor Information: Contractor: ��k��(;��j��C... Contact Person: : �I�ie. or ��s Address: ��a� (�(;k,�t'S'��, State Bond #: City: ' , �' � Zip:�4,, Expiration Date: Phone: ��7f,�3 �t�{�- �1 y�,('„ Alternate Phone: (o I��-3��'�- ��i_I(v ��►►��e., ct•M-,e,�) CC.�llf1S) ❑ Insurance —Current: 1 # . � PLUMBING FIXTURES BEING INSTALLED FIX'IURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet ; ` � Floor Drains � �� Lavatory I S Sewer Ejector Bathtub Laundry Tray I ,� � f �?caruyt U Shower � � Washer 1 1 Kitchen Sink � Water Heater � Disposal I 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 aQpliance 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; 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 $ I 5.00 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: ]. CONTRACT PRiCE * is ].25%of contract price with a(Minimum Fee of$50.00) /� /, S�v 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 far 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 �o 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. J -- . r� ,�--- ��-- ...� 1 �..J Applicant's Signature: U��v Date: � � � " � / 3 �� ,J D qT TIME � CITY OF ORONO CALLED IN ` / � INSPECTION NOTIC SCHEDULED �- ; O l� PERMIT NO. —�� COMPLETED ADDRESS 7�J�.S �L fv� Sf OWNER Q �L P�NO.7(2� 7 7Tl�� CONTRACTOR � DESCRIPTION lT �-�� ❑ FOOTING ❑ PLUMBING FINAL Q EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 � �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �('` a �a«�G 'T�(J�r' �✓b�"is '�► P,�. �'� j �nks r�» � a�ov� y �� o � � ° 0 6.J V — ��lG S��(�c�l� �p � W Q �� !��r -�es� �s ��. , � z W � W � j d W KSATISFACTORY:PROCEED ❑PROJECT COMPLEfE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. �w White Copyllnspector's File Canary CopylSite Notice ��7 <J� ,DATE /./ TIME ✓ CITY OF ORONO CALLED IN � /�� INSPECTION NOTICE SCHEDULED / � PERMIT NO. !�Cl�-(�Y`/S�'� COMPLETED ADDRESS yn �J � l � y 1 S f� OWNER TELEPHON E NO. ��/ ��(n C� CONTRACTOR /–i L��'j c, l C�Y) ��/ j � >'; DESCRIPTION ��j ��j�� Cl� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIEfLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT)C FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:�YES_NO �-----�� COMMENTS:_ /�-. G � a - bk� � - � �Gs�,c. y� _ � _ . o _ ��o F ��, �,s �a a �` ��,�v�.�bl� 7�ix,o � !� L •� .- � �j�' Ci�: -#as� IS /Loldr•� W � Q � — p/'o e rdo �,'/ ��fe� -� �-� �s�C z � Co h rt e�-�i,�� b2'�� Q�6e�e 4�s e wif e �'l. � �l�� ,�04«� — J d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITtON WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITAT�ON ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. �t ^^'� White Copyllnspector's File Canary CopylSite Notiee 5 "'� �_D�4� TIME ✓ CIN OF ORONO CALLED IN I INSPECTION O SCHEDULED Z-ZQ-! /l.� PERMIT NO `" �I COMPLEfED ADDRESS '�055 �� .SZ�' OWNER TE/L�EPHONE N0.6�a c��T O�C�O CONTRACTOR �" U" �; DESCRIPTION V Lu'rn�� n 9 �Z � ��Q-, � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DE -SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP W ❑ MO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OW RICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: W �' / a J , O > � � 0 ' � W � Q � 2 W � W � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W O CO ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a 49-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's Ffle Canary CopylSite Notice ,�� ^'" '� / ATE TIME " CITY OF ORONO CALLED IN (v ///�� INSPECTION I�,OTICE. L, SCHEDULED � PERMIT NO.o�D I�� Jl,�COMPLETED ADDRESS '7�'��J ��Y1 � OWNER TELEP�NE NO. ��-�S( �h'�D� CONTRACTOR ` �E'C' � ` � DESCRIPTION � � ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESNORE/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 D HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � J d W� ❑WORKSATISFACTORY:PROCEED P OJECT COMPLEfE � ❑CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours' advan 4 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopytSite Notice