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Home My WebLink About2015-00429 - plumbing CITY OF ORONO * Z 0 1 5 — 0 0 4 Z 9 * '' 2750 KELLEY PARKWAY pATE ISSUEn: 04/15/2015 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1141 ELMWOOD AVE PIN : 07-117-23-14-0027 LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA : LOT 007 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WI&3 WATER CLOSETS,R/I&4 LAVATORY,R/I&2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 D[SHWASHER, SILCOCKS, 1 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER,R/I WET BAR VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 STATE SURCHARGE PLBG(VALUATION) 6.00 PRECISION PLUMBING& HEATING INC. MAIL-IN FEE 2.00 4124 MACKENZIE CT ST. MICHEAL,MN 55376 TOTAL 158.00 (763)497-7486 Payment(s) Minnesota State License#: plbg-PC643806,mech-MB004099 CREDIT CARD 9808 158.00 OWNER ALNESS, RYAN&STACY I 141 ELMWOOD AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be ��^ revoked at any time for due cause. J � �{��-� � �-� ��'Y�� S Applicant Permitee Signature Date (ssued By Signature Date �. FOR CTTY USE O LY � O City of Orono '�-� �.-��j--- /, ' �� g- �O P.O.Box 66 Date Received:��ermrt# 2750 Kelley Pazkway �1;� Crystal Bay,MN 55323 Approved By: Amount$:� (952)249-4600—Main (952)249-4616—Fax C�/ yF �` CITY OF ORONO –PLUMBING PERMIT !�`��SH�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://v��;-w.clli.mn. ov/CCLD/PDF/ 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 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 Y ' ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site / Owner Information: Site Address: � I �I � � �I�/� (�✓'�(��^`� '�U� -,--r—�-- ��v- �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: (�t�i5�oh r��.d;.�7 � �f�t�� K�Contact Person: �� Address: ��a r� �iVl�.�Z� c��c State Bond #: C��_. b y 3�� City: �-.�l;�kc4( Zip:�537L Expiration Date: I�/R�i� Phone: �(�� -4�t7-�4q/_ Alternate Phone: -�— ❑ Insurance–Current: 1 �� ! PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet R� } � Floor Drains I Lavatory �� I � Sewer Ejector Bathtub �� Laundry Tray 1 Shower I Washer •I Kitchen Sink � Water Heater � Disposal Water Softener � Dishwasher I Wet Bar n� K Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance 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; 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 this 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 1.25%of contract price with a(Minimum Fee of$50.00) x .0125 $ contract price) (minimum 550.00) 2. STATESURCHARGE 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: � `��1� ' 3 I ✓� �� DATE TIME �'✓ CITY OF ORONO CALLED IN INSPECTION NOTICE �CHEDULED � ,// .C� PERMIT NO.�� S��7cOMPLETED ADDRESS_I� �1 � �� /�'l G(?�'�1/`_��`�. OWNER TELEPHONE N0.��3��y��' CONTRACTOR f r�C�l��lL[�� >; DESCRIPTION P��.C�'Ylf"/ /`-� ly ❑ FOOTING ❑ DEM - ❑ SEPTIC FINAL Q ❑ POURED WALL PLUMBING F3L_� ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOA TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � � � Q � 2 W � w � � d W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEHTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR 'J CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advan . 249-46QQ OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notiee �i� <�� DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NO I f SCHEDULED �� PERMIT NO. � `� OMPLETED ADDRESS �� ` � OWNER TE NE NO. � 7- CONTRACTOR � � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING R ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �LUMBING F L ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: w' �' ` OK � . � /'I�v nb - k.5 �cD�c.Q.•�-c ' o " -�r�".cs�rf " S G� S�G+�.p � . � rp�i idc. :G �4�►s a r �.,L . G.J f/ /n, !„�GfJC�oc.�. � � Sts� ��rRs.. w, E/. �/e n'fT �i►t,�/i 'f 5`G� W y� � �C�S�i djC�✓l� �c/yl sa/f d� Q 2 �cr.�p✓t ✓A�� .sE Co�S � f�ol'�c' ��v Q��-' SSS " �?�6 � �iv►��u- �s� - S 3S- 7777 - wi��/� a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W �6GRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspecto � � White Copyllnspector's Flle Cenary CopylSfte Notice