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Home My WebLink About2014-00484 - plumbing a _ CITY OF ORONO * 2 0 1 4 — PJ 0 4 8 4 * 2750 KELLEY PARKWAY p�.TE ISSUED: OS/20/2014 ORONO, MN 55356— (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPI,E NOTF: (])Wn"1�l?R CLOSLT,(1)LAVA"I�ORY AND(1)SI(OWER VALUATION OF PLUMBING 1900 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 0.95 WELTER& BAYLOCK INC. TOTAL 50.95 307 PERSHING AVE. N NEW PRAGUE, MN 56071 Payment(s) Minnesota State License#: plbg-PM65425,mech-7900379583 CREDIT CARD 0640 50.95 OWNER O'CONNELL& LYNNE RASUMSSEN, BRIAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicablc City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void iY'construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requestcd in conforman� with[he State Building Code.This permit may be revoke at any time f u ca se 5 %�/ oQ s ,�� i� Applic�� itee. i�nature Date I:�ted By Signature Date � 4 FOR CITY USE ONLY � " City of Orono ��NO P.O.Box 66 Date Received: Permit# 27�0 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � >- (952)249-4616—Fax �f c,` CITY OF ORONO— PLUMBING PERMIT ��kFSHo�� (All Commercial Permits Must be Approved by thc State Prior to City Approvalj htf ://w��.dli.mn.*ovlCCLll/PDF/ e �lumb�(anreva� . 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 warking 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 wark 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 prior aaaroval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/ Owner Information: Site Address: �� ( �'-V��-� ��-�� Owner:��- D��E- �� Mailing Address: � ' City: �a�D Zlp: ss� � Home Phone: �5� �I 7� -��I Alternate Phone: Contractor Information: We'`�e'( 1 �� Contact Person: �� `� Contractor: � Address: ��'��► �i �Je u State Bond#: �C- � 7 3 D I� 7 City: ��'� Zip:�b�( Expiration Date: ��— 3� — ��S Phone: �o I �� 1— �7.�� Alternate Phone: ❑ Insurance—Current: 1 � � PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet i Floor Drains Lavatory � Sewer Ejector Bathtub Laundry Tray 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 electricai 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 $ 5.00 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 125%of contract price with a(Minimum Fee of$50.00) I� o0 �� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE rD � � �� 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: -S"�`�� 3 �J�' V f� DATE TIME ✓ CITY OF ORONO CALLED IN '-�D I INSPECTION NOTICE SCHEDULED ��i'�-�j-/S� .'D� PERMIT NO. � COMPLETED ADDRESS ��$5 ��_� C%�..e-��c iA t U`Q-- OWNER ELE HONE NO.��a—��-��5� CONTRACTOR `'� �� DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FI L ❑ SEWER HOOK-UP 0 COMPLAINT � ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � RICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � W C � �. J � O �' '1 � O ' � � '�? W � Q � 2 W � w � j d � RKSATISFACTORY:PROCEED ❑ PHOJECT COMPLETE W . RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILLREfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. (g5 ) 249-4600 OwnerlContractor on site: Inspector. 4 • Z White Copyllnspector's File Canary CopylSite Notice Dp�T TIME ✓ CITY OF ORONO C LED IN 7_/ - INSPECTION OTIC �/��EDULED ! 5� ._�Q�(>� PERMIT N ' Y� OMPLEfED ADDRESS l� o� � OWNER TE ONE O. CONTRACTOR y 0 �; DESCRIPTION ��4G � � ❑ FOOTtNG �,PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA O LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a PLi • �cxL�4�es se�' -� s�l� � � 0 � �a�,� �g�,.cDle L-� 0 � W � Q � 2 W � w � � J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �—' White Copyllnspector's File Canary CopylSite Notice �'� �� DATE TIME� CITY OF ORONO CALLED IN - Z� INSPECTION OTI SCHEDULED —1 � PERMIT NO �� COMPLEfED ^ ADDRESS �`Z'� �- L��2� 4� c, OWNER PHO E N .��'�✓°��3�d CONTRACTOR � a DESCRIPTION � � ❑ FOOTING ❑ DEMO- I AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �2LLIMBING 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a ��tt�v y rov� �'c.Ko�� -- � � J .- �i r 5� �L ' O � � ° �rx�c�� 5 �t � 5�21� '' W � Q � L.sJc� r << 4��s � ,-,,��1�'� — z W � S � pt.i w�.e.0 �r[rr,l� J W ❑WORK SATISFACTORY:PROCEED ,�RFiQJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor oQsite: Inspector. /h--� White Copyflnspector's Ffle Canary CopylSite Notice