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Home My WebLink About2014-01389 - plumbing . ' ! CITY OF ORONO * 2 0 1 4 - 0 1 3 8 9 * 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2801 FOX ST PIN : 04-117-23-34-0004 LEGAL DESC : FARVIEW : LOT 001 BLOCK 003 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NO�I�E?: WATER IiF.A"fl?R APPLICANT PLUMB[NG F[XTURE FEE (<$500) 15.00 STATE SURCHARGE PLBG (<$500) 5.00 CHAMPION PLUME3ING LLC MAIL-IN FEE 2.00 3670 DODD ROAD- SUITE 100 EAGAN, MN 55123- TOTAL 22.00 �� Payment(s) CHECK 30057 22.00 OWNER KLUI�I I, DAN & MAGG[E 2801 FOX ST LONG LAKF., MN 55356- AGREEMENT AND SWORN STATEMENT Che work for�rhich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 'Chis permit is for only the work described and docs not grant permission for additional or related work which requires separatc pennits. All provisions ot�laws and ordinances governing this type of work shall be compied with�vhether or not specilied hcrein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any timc after work has commenced. l�he applicant is responsible for assuring all required inspec[ions are requested in conformance with the State[3uilding Code.'I�his permit may bc rcvoked at any time for duc cause. C� � � � �/� ��_� p �� ilpplicant Permitee Signatur Date Issued _�Signatu Date t • *'� , � �— FOR CTTY USE ONLY City of Orono �� P 0-BoY 66 Date Received: Permit# � � 2750 Kelley Parkway (';_�� t Crvstal Bay,MN 55323 Approved By: Amount$: � (952)249-4600—Main ' l (952)249-4616—F� y � �', �� CITY OF ORONO-PLUMBING PERNIIT �k�s�O� (All Commercial Permits N1ust be Approved by the State Prior to City Approval) hr��://w�v�v.dli.��z�.voti�/��'T D/PDF/�e nlzara�!»��taarcv<tq��.s�df GENERAL INFORMATION 1. You may apply for plumbin;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 NdUST NOT BEGIiv UrTIL THE PE2MIT CARD IS POSTED ON THE JOB SITE. 3. PlumbinQ 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 ootice required) TYPE OF PERMIT ------ (Check All That Appl� �,Residential ❑ Commercia] (Approval Required) ❑ New ❑ Additional ❑Repairs �Replace ❑ In Accessorv Structure? *You will need prior approval and may need l.Ur.�Per Orono City Code,Chapter 78,Article Tv� Job Site/Owner Information: �—�� Site Address: d�� oX J� Owner: �U� IL 1�3T� Mailing Address: a�0� ��c � c�ry: �-�h �a��. z�p: �� 3 S� Home Phone: ��- aaG 4qS� Alternate Phone: Contractor Information: n + � °�-'� � n �T. � r _�i� ��.� , - n r �,+p, �C ti`iit.��I�: /i %�I-'; ��;j� c c:�: l�Ull�'u_t �,r>>Cl�: , — ----- Address: ~��% � ti�:' �V'C:�� State F3ond n: City: '�--��« Zip:��'�L`-- `' Expiration Date: d Phone: � � r � `,<::'-��-��="��- l �-=� ` ��' Alternate Phone: ❑ Insurance-Current: � 1 .�'� �r� • , R. , PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSATT 1sT 2�'° OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor D rains Lavatory Sewer Ejector Batbtub Luundry Tra.y 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 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;excludina the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner oi•licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchar�e $ 5.00 Mail-In Fee(If Applicable) $ 2.00 T«tai Parmi#Fc:�� a2.00 (Permit Fees Continued On Next Page) 2 c . -� . 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(Minimurn Fee of$50.00) x.0125$ (contract price) (minimum�50.00) 2. ST'ATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-.i Above) $ • * CONTRACT PKICE 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 ar 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 i he ::ndersigned '�ereb�.� applies te 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. `� )1 2� 2o y Applicant's Signature• ��=�'`� Date: � J ��y� DATE TIME . CITY OF ORONO CALLED IN � INSPECTION NOTIG SCHEDULED ' � PERMIT NO. U� �' COMPLEfED ADDRESS �Z��I 1-�� '� • _ OWNER ��..� 1 I(.t�FG� TELEPHON NO� `4� �� COt�FTRACTOR �; OESCRIPTION � �� l 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING F�NAL ❑ 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 ❑ �Ef�TIC INSTALL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:�4 YES_NO � COMMENTS: ✓ ` � W a � J O �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑ CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 2) 249-46�� OwnerfContractor on site: Inspector. White Copyllnspector's File Cana CopylSite Notice