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Home My WebLink About2015-01217 - plumbing CITY OF ORONO * z p� 1 5 - 0 1 z 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: 09/2U2015 • ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2755 ETHEL AVE PIN : 20-117-23-24-0017 LEGAL DESC : CASCO HEIGHTS : LOT 006 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS (5)LAVATORIES (2)[3ATHTUBS (1)KITCHEN SINK (2)SILLCOCKS (1)FLOOR DRA[N (1)LAUNDRY TRAY (1)WATER HEATER VALUATION OF PLUMBING 10000 APPLICANT PLUMBING FIXTURE FEE 125.00 STATE SURCHARGE PLBG (VALUATION) 5.00 BEN SCHERER PLUMBING& HVAC INC. TOTAL 130.00 4520 85TH STREET SE DELANO, MN 55328- Payment(s) (763)972-8137 CREDIT CARD 4343 130.00 OWNER Everlast Enterprises,Inc. CLEARY,JAMES 4109 NORTH SHORE DR MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construc[ion authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � r ��' v-��C` `"� l�1 � !� _. Applicant Permitee Signature Date Issued Signature Date * FOR CITY USE ONLY • � �O�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crysta]Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � � (952)249-4616—P ax y�' �� CITY OF ORONO- PLUMBING PERMIT ��kESH�� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) htt �://��.�Ili.mn.��o�•/C('1_1),'PU1�/�c �lumb�lanre��a>>. �dr 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 wil]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 A 1 ) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: r�-.�� J� �-�-�� U� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �� c.�.e.!'c��U�Cont�ct Person: �'e-� Address: � 5�� S��f� State Bond #: ��- �`{ g 5 -�6 City: ��'�� Zip'S�� Expiration Date: �a'�/-/ 5 Phone: ��Z� �� - �s�� Alternate Phone: �] Insurance -Current: �� 1 1, . � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 S� 21D OTHER FIXTURE BSMT 1�' 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains Lavatory � � � Sewer Ejector Bathtub I ' Laundry Tray � Shower Washer 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 Residential fixture ar appliance that meets all three of tbe 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � j . PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply; follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � �� V x .0125 $ (contract price) (minimum$50.00) 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 ar estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be cbarged to the customer far 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 ar 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 Perinit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies tllat all stateinents made on this application are coinplete, true and correct. ��,�� Applicant's Signature: ��--�"v Date: ��. ��)�_ 3 , c ��-- s' / DATE TIME CITY OF ORONO CALLED IN `�'�-I INSPECTION��ICt ,,J� � SCHEDULED �� .�C�� PERMIT NQ, l ��t"`E � COMPLETED __.__ 1 ADDRESS ` �_:-�ZS.S �-.��L.G'-� r-�L-� f'ILC.�_ OWNER TELE,F NE NO�'`z ''�'Z—r��j �j CONTRACTOR � ' 7��' � � DESCRIPTION `CJ - L U�}L._., lL ❑ FOOTING D O-FINAL f/ ❑ SEPTIC FINAL Q ❑ POURED WALL ��LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �_ G • -� ��_G • � 11 r�J r/ l�vc .sc�. 4� 0 �=� � •r �e s�i — `s ��a0r�r � >. - � ��P/�rJ v �d G I'l4 -L ��4L��S �/E�'Ott�'e�cs�et O � � �1} � • �_L — __ �—�S� 2 ��J' e. � ,I'"4,�a n ��e�2�' v�rt L �o �� 3l,�'� � Scs•�+^-� �J'4 5/lC� j �.� 1 �6✓6J e 06�M•�ri CX✓� p K S c� O W� ❑WOFiK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE ACx'A�RECT WORK d�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 V�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for inspection 24 hours in advance. (g52) 249-4600 ctor on site: °G Inspector: "'— White Copyflnspector's Flle Cenary CopylSke Notiee � �� - DATE E CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� PERMIT NO. 2a l �—�`L1� COMPLETED ADDRESS 2—7 S5 �-}—��f ,�� OWNER TELEPHONE NO. CD �Z Z�-'�I� CONTRACTOR S �' Ir �!' ' � DESCRIPTIO� d � � �� m� �//"�� / 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ EPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:�YES_NO Gv� �l � COMMENTS: W a � � / O >. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ OJECTCOMPLEfE � ❑CORRECT WORK&PROCEED IS UE CERT�FICATE OF OCCUPANCY W � ❑COHRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance (g 2 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice