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Home My WebLink About2015-00586 - plumbing , CITY OF ORONO * Z 0 1 5 - 0 0 5 8 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 AUDRESS : 3630 EILEEN ST PIN : OS-117-23-21-0013 LEGAL DESC : RIEDEL CO STUBBS BAY ADDN : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER VALUATION OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.50 RELIABLE PLUMBING LLC MAIL-IN FEE 2.00 17822 LINCOLN STREET NW ELK RIVER,MN 55330- TOTAL 53.50 (763)443-7411 Payment(s) Minnesota State License#:plbg-PC644738 CHECK 3072 53.50 OWNER MCCUTCHEON,MARK&JAYME 3630 EILEEN ST MAPLE PLAIN,MN 55359- AGREEME1vT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �`;Y('�.�� 5 ��3 � ��' Applicant Permitee Signature Date Issue y Signature Date � FOR TTY USE ONLY R�^�'vE O C�ty of Orono � l'� / �j Q� V � �O P.O.Box 66 Date Rece' Ed� // Permit#�� S �V� 2750 Kelley Pazkway MA� � � � '� Crystal Bay,MN 55323 Approved By: Amount$: � ri (952)249-4600--Main � � (952)249-4616-Fax h �'�1(p�pR c? CITY OF ORONO-PLUMBING PERMIT AK�SH�� (All Commercial Permits Must be Approved by the State Prior to City Approval) h![ �://H��s�ti�.�lli.mn.��m�/CCL1)/i'DEl�e �li�mh �lanreva > >. �df 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 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 A 1 ) •�Residential ❑Commercial(Approval Requued) ❑New �]Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need nrior aaaroval and may need�l'I'.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: .3(v 3G �,�EP:v `�T Owner: /��cU'�� I��C��:�C�'1eG�> Mailing Address: City: l%' iZ.r.�ti t`, Zip: �� 3 � �� Home Phone: Alternate Phone: (r.✓a- -��- 3� j y Contractor Information: Contractor: C�`�c��l� T"1Ur�W+��- Contact Person: v�r� �c...��- Address: I l�:��s c.��ST vl,1,c..' State Bond#: }�_(�� ,3� City: � � �T!' zip:ss 33�� Expiration Date: �2-- 3 I - ) S Phone: �7��3- '��3-- 7y/� Alternate Phone: [v� Insurance-Current: / � ;< � C R �J ��`7 N1r�5ir; �Iv.�b,- 1 -� t�� 0��9 y J'7 � PLUMBING FIXTURES BEING INSTALLED FIXTLJRE BSMT IST 21'1D OTHER FIXTURE BSMT 1ST 2T'1D OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains I,avatory Sewer Ejector � Bathtub Laundry Tray � Shower Washer � Kitchen Sink I Water Heater Disposal t 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 annliance that meets all three of the following requirements: 1. Dces 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 $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Negt 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$50.00) ��G(_) x.0125$ ��L% o c� (con�act price) (minimam$50.00) 2. STATE SURCHARGE 3,t�cc; x.0005 $ 1,SG (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. 1'OTAL PERMIT FEE(Add Lines 1-3 Above) $ J` . J�) • * 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 reasonabie market value of such items must be added to the estimated cost or contract price for pernut 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 ceriifies that all statements made on this application aze complete, true and correct. � Applicant's Signature: �x � Date: •�� -�,� 3 G �� G!i —� DATE TIME Cf 1 T OF ORONO CALLED IN INSPECTION TICE SCHEDULED � PERMIT NO. COMPL�TE ADDRESS 3 � �� ` e�� OWNER ELEPHONE NO. ��3"��7�I�I CONTRACTOR = I I Li_� � I�,�'}1. >; DESCRIPTION � � !^ � � ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL 0"F�E-tiM�TNG Rl �, ❑ EXCAV/GRADING/FILLWG y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL � '--_ Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO `�r � COMMENTS: � W a � � O �. � O W � Q � 2 W � W � � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CO ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 ours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice