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Home My WebLink About2014-00374 - plumbing � CITY OF ORONO * 2 0 1 4 - 0 0 3 7 4 * 2750 KFLLEY PARKWAY DATE ISSUED: 04/30/2014 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2385 GLENDALE COVE LA PIN : 34-118-23-33-0069 LEGAL DESC : GLENDALE COVE : LOT O10 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 0.25 WATER DOCTORS MAIL-IN FEE 2.00 8201 CENTRAL AVENUE SPRING LAKE PARK, MN 55432- TOTAL 52.25 (763)535-1800 Payment(s) Minnesota State License#: mech-WC645002 CHECK 11449 22.00 CREDIT CARD 9569 30.25 OWNER ALPINE CAPITAL 9401 73RD AVE. N #400 BROOKLYN PARK, MN 55428- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc performed according to the approved plans and specifications,applicablc 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 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 time afier work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By � nature Date � ' FOR CITY USE ONLY ,/��A t�, City of Orono s�/�� P.O.Box 66 Date Received: Petmit# ��' � 2750 Kelley Parkway Crystal Bay,MN 55323 Approvcd By: Amount�: � (952)249-4600—Main -� �� (952)249-4616—Fax ��y�'` �' CITY OF ORONO-PLUMBING PERMIT ��k�sxQ�'� (All Commcrcial Permits Must be Approved by the State Prior to City Approval) htt .lt�vF��r�4�.dli.��in.<*ovlC'C"I.I}lP[)E( f� Iuinb Ia►�rc�•a a .�df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at tlie City offices. Applications will be reviewed and a pern�it 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 UNT[L YOU RECEIVE A PEKMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 1S POS'l'ED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. Whcn any new construction or remodeling is involved,a separaCe 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 Required) �.j�1ew ❑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 l Owner Infarmation: Site Address: aJ�� -�N�� C�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: (�U 14'C'�2 p 2 � Contact Person: � ��V� Address: $o?(� � C�^�T2�9'(- A'V� State Bond#: w G (y�-1,s0 D Z City: SI R�^�� °►'� �e Zip:S.�I3�Expiration Date: � a^3� �� S MN Phone: �(�� —�3.� I �S OU Alternate Phone: ❑ insurance-Current: y � l 1 • PL,UMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1'T 2"i' OTHER FIXTURE BSMT lsT 2ND OTI�ER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PFRMIT FEE CA�.CULATION(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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ a� �OC� (Permit Fees Continued On Next Page) 2 � , . PERMIT FEE CAL�ULATION S -JC?B�OVER $SOO.OQ If above does not apply;follow guidelines below: 1. CONTRACT PR10E * is 1.25%of contract price with a(Minimam Fee of$50.00) x.0125 $ (contract pricc) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract pricc) 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 ainount charged for the permitted work including materials, labor, �rofit, and other fixed costs. It is the amount to be charged to thc customer for the work done. If any material, equipmenY,]abor or installations are ft�rnished 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 subinission of a signed copy of the actual contract. PLUMBING PERMIT APPLICATIO� �G�E�VIENT 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 � �3 0 -�.�n � � � DATE TIME CITY OF OR � CALLED IN INSPECTION. OT CHEDULED � �� PERMIT NO. � � COMPLEfED ADDRESS ��' � OWNER TELEPHONE NO?��"S,�S'^It�UO CONTRACTOR ��C �r�S �: DESCRIPTION ��"�C �s'C'��. I� � � O FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FJNAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMp�ENTS: � l�.C�L.� '��C C � - � �1� , � � ° . _ � Q'►r ��t D ,O rov c►'J� - - 0 � Q �,�e r l< <'ow�.,Olc�L�� W - _�/ � �CY I�•� �t�u�t� W � J d � ❑WORKSATISFACTORY:PROCEED T COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � /� �`'�' White Copyllnspector's Ffle Canary CopylSfte Notice