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Home My WebLink About2015-00883 - plumbing , CITY OF ORONO * Z 0 1 5 - 0 0 8 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 945 FOREST ARMS LA PIN : 07-117-23-12-0019 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 000 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(Q KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) S[LLCOCKS,(1)FLOOR DRAIN,(2)LALTNDRY TRAYS,(2)WASHERS,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR VALUATION OF PLUMBING 18000 APPLICANT PLUMBING FIXTURE FEE 225.00 STATE SURCHARGE PLBG(VALUATION) 9.00 SWANSON PLUMBING INC. TOTAL 234.00 16591-351 AVENUE Payment(s) HAMBURG, MN 55339 CHECK 3008 234.00 (612)508-9474 Minnesota State License#: plbg-643453 OWNER EATON, BOB&JENNIFER 2721 COMSTOCK LA N PLYMOUTH, MN 55447- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring alI required inspections are requested in conformance with the State Building Code.This permit may be revoked at any ti for due cause. -� ��-�� Q -��i�� i � r��J Applicant mitee gnature Date Is u y Signature Date � FOR CTI'Y USE ONLY � City of Orono , �-��O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax ��' �� CITY OF ORONO—PLUMBING PERMIT `qkESH�4� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://w�i�w.dli.mn. ov/CCL.D/P'DFi e �lurnb 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 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 / — ❑ In Accessory Structure? *You will need arior aparoval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) Job Site /Owner Information: Site Address: __�_�� '%��S�` ��''"` �""'�X /� � � Owner: I��'�fl'��N� e+ �-c'�'� "�'' Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �,_,..r�I�"`5�"� ��'''"'4`�''��Contact Person: �� Address: 1C��j I ��I �vf State Bond #: � C,2�� / �-� City: •'� ✓•' Zip:�>� Expiration Date: �� 3/`�S Phone: �� Z' �f�� / Alternate Phone: �S��` / � ��3 7�� ❑ Insurance—Current: //.�� 1 ^b r PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains � _ � Lavatory y 3 __ Sewer Ejector _ _ _ 1 Bathtub � � ._ Laundry Tray � i r Shower � � � Washer J � .- Kitchen Sink .� � ,_ Water Heater � _ � Disposal ' � ,_ Water Softener � � � Dishwasher r � _ Wet Bar � ^ — Sillcocks L _ � 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 $ 1.00 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) d�{' 1�, ovd-- X .0�25 $ (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 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: 3 �-� ��- � — _DATE � TIME� CITY OF ORONO CALLED IN INSPECTIONN�T� J /�J Q SCHEDULED � 3:.3U PERMIT NO�`-'�'� +'�"� �u COMPLETED ADDRESS �`�'ti� S OWNER TELEPHO �a- D �� CONTRACTOR 1/ � � DESCRIPTION - �'�'`-� tN ❑ FOOTING ❑ DEMO- INAL ❑ SEPT C INAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCA RADING/FILLING y ❑ 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 ❑ SEPTIC INSTALL 2 OWNERICONTHACTOR TO ME YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W 2 Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou i advance 249-46�0 OwnerfContractor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice ,�� ✓ C�� DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED -�Y-st-t'-`-' ''� ��s-�� PERMIT NO. ��J ��COMP�� ADDRESS �� , �'��y �m �� OWNER TELEPHONE NO. �' ��-��'�y� CONTRACTOR ►"�� rn� � DESCRIPTION l�� /�`�`'' C'��'1 I lU ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 ❑ �EPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:��YES_NO � COMMENTS: � (�(.�. 1� I,c/v ' �/C Sc!- �o � � J O _ , _ � � � G•.� � e S� !S .�o�,�c 0 � W � c�G�6yt l/G�t t � � ve•�c��d oc�t a� Q z .s,�.,� � h4 S�c.� - W � � l�� G'v vc� � d � RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (g52) 249-46�0 OwnerlContractor orLsite: Inspector. �y`'- White Copyllnspector's File Ca�ary CopylSite Notice �— �IC''-C/� � DA E TIME CITY OF ORONO � CALLED IN J —� INSPECTION�TlC/EJ CHEDULED y�— ��s � PERMIT NO. � � OMPLETED ADDRESS / S S OWNER TEL PHON NO. —�S��7 CONTRACTOR � �"/ � �: DESCRIPTION 'Y�l/� �`7iK.�-C� � ll� ❑ FOOTING ❑ DE O-FINAL ❑ SEPTIC � Q ❑ POURED WALL UMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF BING FINAL ❑ TREE REMOVAL � RADON SLAB ECHANICAL RI Z ❑ ❑ 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 ❑ SEPTIC INSTALL � OWNERICONTRA R TO MEET YOU:_YES_NO � COMMEN ��. � � J C O �. � O � r , � � / Q � 2 W � w � j d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPIEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pf{OTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) -46�� OwnerfContractor on site: Inspector. White Copyllnspector's Ffle Cenary CopylSite Notice l DATE TIME �� CITY OF ORONO CALLED IN -/ �� INSPECTION NOT CE SCHEDULED �� / • �`'' PERMIT NO. -�� OMPLETED ADDRESS � �S ,'7�f �7Y'�'t�S c�� OWNER TELEP O CONTRACTOR �; DESCRIPTION ly ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL LUMBING RI ❑ EXCAV/GRADING/FILLING y Q ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � __.� J / - O � �. � O � W � Q 2 � W � W � j d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ISS CERTIFICATE OF OCCUPANCY W 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 ho rs in advance. (g52 9-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice