HomeMy WebLinkAbout2014-00618 - plumbing � , CITY OF ORONO * 2 0 1 4 — 0 0 6 1 g *
2750 KELLEY PARKWAY DAT� ISSUGD: 06/17/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1535 FAIRVIEW COTTf1GE LA
PIN : 07-117-23-43-0007
LEGAL DESC : ORCHARD BEACH
: I,OT 003 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPF, : FIXTURES- MULTIPLE
NOTG: (6)WATER CLOSETS.(7)LAVATORIES,(2)BA"I�I{TUBS,(5)SHOWERS,(3)KITCHEN SINKS,(2)DISPOSALS,(2)DISHWASHERS
(2)SILLCOCKS,(2)FLOOR DRAINS,(2)LAUNDRY'I�RAYS,(1)WASHER,(1)WATER SOFTENER(1)WET BAR,(1)WATGR HEATER
VALUATION OF PLUMBING 40500
APPLICANT PLUMBING FIX"1'URE FEE 506.25
STATE SURCHARGE PLBG (VALUATION) 20.25
SWANSON PLUMBING INC. TOTAL 526.50
16591 - 351 AVENUE
HAMBURG, MN 55339 Payment(s)
(6l2) 508-9474 CHECK 2761 526.50
Minnesota State License#: pibg-643453
OWNER
HOUCK, DANIEL&JANE
1705 ELDORADO CIR
SUPERIOR, CO 80027-
AGREEMENT AND SWORN STATEMENT
I�he work Cor which this permit is issued shall bc performed according to
the approved plans and speciticatiuns,applicable City approvals,and thc
State Building('odc. 'I�his permit is for only thc work dcscribcd and docs
not grant permission tbr additional or related wurk which requires separate
permits. All provisions of laws and ordinanccs governing this type of work
shall be compied with whether or not specified hcrcin."I�his permit will
expir�and become null and void if construction authorized is not
commenced within 180 days of the da[e of issuance,or if construction is
suspendcd for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance H�ith the State Building Code.This permit may be
re;voked at an�timc for due c use.
/ i�.
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Applicant P itee Signature Date Issued y Signature Date
- �— FOR CITY USE OPILY
���0^'\ City of Orono
�' �yO� P.O.Box 66 Date Received: Pertnit#
� 2750 Kelley Parkway
�, Crystal Bay,MN 55323 Approved By: Amoun[$:
� 1 � (952)249-4600—Main
� I (952)249-4616—Fas
�w' ,�(� �`� CITI'OF ORONO—PLUMBING PERMIT
\��kfs}+o�� (All Commercial Permits Musl be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applicatians wili 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. PERMTI'S ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON TI�JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plutnbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. Alt 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 orior approval and may need('t t'.(Per Orono City Code,Chapter 78,Article I�
Job Site/Owner Information:
!
Site Address: __ .�, .rJ� F,�;2 Ji�•� �t►-�q� �--�..�•a.—
Owner: �N �-�`,� k- Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��-soN �����ContactPerson: ��/V �•�A���-
Address: �(!-�J�� ,�S � 1��� State Bond#: ��'�t.'7 3`��
City: � ��� Zip:�✓I Expiration Date: /Z-� �3l ` Z�/J`
Phone: t,e��-j5o�9 Y7�/ Alternate Phone: ��Z—J�$ — 1l�4
❑ Insurance—Current:
1
PLUMBING FTXTURES BEING INSTALLED
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 � i '
Shower r � � Washer �
Kitchen Sink ( � Water Heater 1
Disposal a Water Softener /
i �
Dishwasher � Wet Bar '
�
3illcocks � 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 no 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 $ I5.00
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:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��5�� � r� x.0125$
(contract price) (minimum 550.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT F'EE(Add Lines 1-3 Above) $
■ • CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work includine materials, labor,profit.and other fixed costs. It is the amount to be charge:
to the customer for the work done. If any material,equinment.labor or installations are fumishee -
the owner,tenant or any other narty.the reasonable market value of such items must be added to cr::
:snmatea cost or contract nrice 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 certi�es that all statements made on this application are complete, true and
correct,
Applicant's Signature: Date: C2'L(B-—���/
3
�_7 �� TIME `�
CITY OF ORONO CALLED IN —�
INSPECTION NOTICE CHEDULED _''�� //� D�
PERMIT NO. D - /�OMPLEfED
ADDRESS ��3
OWNER �fyK� EPj+��E NO. /o�—
CONTRACTOR yr�
� DESCRIPTION �� —
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� ❑ FOOTiNG MBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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
J �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for t ' spection 24 hours in advance. (952) 249-4600
Owner ntractor on site: �
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
�+� \� DATE TIN4E/ �
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �.'�
PERMIT NO.,1���-�X�r I C� COMPLETED
ADDRESS ��� �" C'�t Y- i.� � e��..� �',t�
OWNER TELEPHONE NO. � ���-'�� ` 4 ��
CONTRACTOR ��'��-��� ����
�: DESCRIPTION - � L�'�� ` �� �� ���'�
� .
ly ❑ FOOTING LUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESHORE/WEfLANDS
�
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 O SEPTIC MAINT. ❑ FOLIOW-UP
_ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
v O PLUM8ING RI 0 SEPT INAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W, WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours i dvance. g-46�0
OwnerlContractor on site:
Inspector.
White Copyflnspector's File ,�� anary CopylSite Notice
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� � � TE TIME �
CITY OF ORONO CALLED IN '
INSPECTION NOTIC ,q.� SCHEDULED — —I �
PERMIT NOa'-d � - V V �� COp�1PLETED r
ADDRESS � yl �� �
OWNER TELEP E N(�(� �" / �
CONTRACTOR �° �"` ��
� DESCRIPTION � � �. �O l,�
�
� ❑ FOOTING ❑ PLUM IN FINAL ❑ EXC / RADING/FILLING
Q ❑ POURED WALL ❑ MECH ICAL RI ❑ LAK ORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J '�PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/FiEMOVAL
� OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �1NORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ���RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR W{LL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor or�site:
Inspector. �^-'
Whi Copyllnspector's File Canary CopylSite Notice