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Home My WebLink About2015-01150 - plumbing CITY OF ORONO * z 0 1 5 - PJ 1 1 5 0 * ' 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1340 FOX ST PIN : 02-117-23-31-0056 LEGAL DESC : MINNETONKA BLUFFS : LOT MB BLOCK 14 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RES[DENT[AL COIVSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 5 WATER CLOSETS,7 LAVATORY,3 BATHTUBS,2 SHOWERS, 1 KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRA[N 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMBING 25000 APPL[CANT PLUMBING F[XTURE FEE 312.50 STATE SURCHARGE PLBG(VALUAT[ON) 12.50 LAKELAND PLUMBING TOTAL 325.00 27185 BAYSHOIRE CIRCLE NW ISANTI, MN 55040- Payment(s) (763)753-0092 CHECK 8815 325.00 Minnesota State License#: plbg-PC644669 OWIVER Chamberlain Capital LLC 11578 CHAMBERLAIN COURT EDEN PRAIRIE,MN 55344- AGREEMENT AND SWORN STATEMEIYT 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion 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 at�er work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with th State Building Code.This permit may be �� revoked at any time due c �� / �� ,. - 0 � / \--�� lS � � i � i Applicant Permitee �gnature � Date Issued By Signature Date �• I� FOR CITY USE ONLY � City of Orono � � �ONO P.O.Box 66 Date Received: � /�S Permit# �a�5 `�S� 2750 Kelley Parkway i Crystal Bay,MN 55323 Approved By: _� Amount�: ��_ �� (952)249-4600—Main a � (952)249-4616—Faa yf� �� CITY OF ORONO -PLUMBING PERMIT �KFSNo�� (All Commercial Permits Must be Approved by the 5tate Prior to City Approval) htt��://��.dli.mn.«o��/CCLU/PDI�/�c �lumb�lanre��a >>.�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 contractars 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 ) Q 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: i�-a i'�` ��% X ;�'� Owner: ��;,-,��,-+�;,,, ��'��;., Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: -T , „ -� Contractor: ��, ��r.��c��6( � u-�1��.N� ContactPerson: ��(� �� C.)�.w, Address: ��> ; ./Sc.iSlj,;.ry �: - State Bond #: ��.: �/� �=��=� ;�,,'r'L) City: �-�_S�,.� . Zip:A� Expiration Date: jL '�l- I S� Phone: (�,/7-S C'-�� -OL��5`( Alternate Phone: �� S 7 - U c:��Z. ❑ Insurance -Current: 1 .� � �, ' r PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1'T 2�D OTHER FIXTURE BSMT 1'� 2'�D OTHER TYPE FL FL TYPE FL FL Water Closet -� Floor Drains � � _� Lavatory � Sewer Ejector � � Bathtub f� Laundry Tray .� � Shower ` ( Washer ( I 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 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;excludinQ 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 s• r ' •. • 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 witb a(Minimum Fee of$50.00) n� x .O125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE ] � QO�/ I%� x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-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 wark 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 Pluinbing Permit, agrees to do all work in strict accordance with the ardinances 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. � � j Applicant's Signature: � � � Date: � ��— /5� � �- _, , 3 �J � \ DATE TIME � CITY OF ORONO CALLED IN INSPECTION N T C SCHEDULED �I PERMIT NO. • 5 D COMPLETED ADDRESS I c, �Ci � �X � OWNER TELEPHON NO. ��2- �-�Z�� CONTRACTOR ,Q i P.L I l�. �c� �,T�� DESCRIPTION vi 51UL'�- � 7� I l.L/'l�I�� W ❑ FOOTING ❑ DEMO-FINAL �/��/�� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ��tlL�❑ EXCAV/GRADING/FILLING O ❑ 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 _ ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YO YES_NO c�.� COMMENTS: � W � J � ) O �. � O � W � Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP OROEFi POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adv �. 49-46�� OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice r � �''' DATE TI� CITY OF ORONO CALLED IN , � INSPECTION NOTICE SCHEDULED PERMIT NO. ��l S-t�1 I,�h COMPLEfED ADDRESS � � � � `��C �' OWNER TELEPH NE NO. �� 3�� S.� �0� CONTRACTOR Q I�- ��.�'lC� �1�t./n� � DESCRIPTION � I«-�YI-KJ • � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �Pt{iMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ �E/PT� IC INSTALL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO /! � COMMENTS: ��pvC- �S�l'!' 'X� •G- � C� �- a ��v ' l a � � u �. �e d wt O 1� ��ce� r�c - r�-.+� i- � �e,r-�—b a '' �Pi.c,:.- �� ic�t �^�.»ti .� �f � ��r• ��435 �� Cl��4•� r�t.s�•t � W � Q 2 �.CS�i I>K ' W � W � � J d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W �QRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ��0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for 'nspection 24 hours in advance. (g52) 249-46�� Owner! ntractor on site: �� Inspector. /w White Copyflnspector's Ffle Cenary CopylSite Notice �� C\�� _ , CITY OF ORONO CALLED IN �p� TE TIM��3� INSPECTION N �T�I�E� SCHEDULED �C°'� PERMIT NO._��'u i�—�I 15U COMPLETED � ADDRESS I��'�� OWNER TELEPHONE NO. — � �Z � � CONTRACTOR � DESCRIPTION �l. �--/��y1 LL � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �2�MBING 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 OWNERfCONTRACTOA TO MEET 1I�UU:�YES_NO y COMMENTS: �� . � a f1'l6l?a ' /s ho�� .�s - o ��rvvcij� s�i�i6-o-�f's �cr L.�. � �/jvva � /av . -�'.rr r��a� - a� O ' !� ►r2 ✓G D� (� Cs. Q /o�/ � � wt � Cv�� 'on�[e`� 2 r�c�6n ✓c�r�� s�.�� cbvc.i " � ✓ �) �/��,. -�%•�i� �F S.� K ,d��.��-.�G, � j O W O WORK SATISFACTORY:PROCEED O PROJECT COMPLETE � "E�OBBE�T WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT VYORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: � Inspector: � � �'�- �- White Copyllnspector's File Cenary CopylSite Notice