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Home My WebLink About2015-01062 - plumbing ' CITY OF ORONO * Z 0 1 S - 0 1 0 6 2 * � 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2015 ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 140 HACKBERRY HILL PIN : 33-118-23-44-0005 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : WATER SOFTNER VALUATION OF PLUMBING 1100 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.55 ROBERT B. HILL CO. MAIL-IN FEE 2.00 7101 OXFORD STREET MINNEAPOL[S,MN 55426- TOTAL 52.55 (952)925-1444 Payment(s) Minnesota State License#: BUIL-WC646096 CHECK 048256 52.55 OWNER ETAL,LAWRENCE GLEASON 140 HACKBERRY HILL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be I� revoked at any time for due cause. � r � �i�-�l i U ��i�j� (� ti c�.c 1 � Applicant Permitee Signatur Date Issued By Signature Date FOR CITY i'SE ONLY � City of Orono ��( �'► �� P.O.Box 66 Date Receiced:�S�`��i�Permit# _��:.-v�� L� 2750 Kclley Parkway G� Crystal Bay.MN 55323 Approved By _ �_ Amount$:� �✓ (952)249-4600—Main � � �� (952)249-4616—Fax ` � �:` CITY OF ORONO— PLUMBING PERMIT ��'��s��`�� (All Commercial Permits Must be Approved by the State Prior to City Approval) trtt �:l/w��+��v.�lii.rtt�t.�rrar�IC;f`t_.t)iP1�}9��1 e �E�an�t� �1an►�er�a �. �€if 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 RF,CEIVE A PERMIT. WORK MUST NOT BF,GiN 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. �. All work must be done in accordance with State Code reyuirements. 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) ❑ 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 lnformation: Site Address: '� [j C�GIC'�' �,V'��1�� 1'L'�?C� , I'1'�li� � Owner: 1Q,�r��(��4� MailingAddress: /�D �G7-�r,��3r'.ryZ/ f�/l� �_/ City: Zip: 5�3� � I�ome Phone: L2%o?-"`f�3-�SS Alternate Phone: Contractor Information: Contractor: ��,Y-�" �j �� Contact Person: ��,�..�J� ��(r-�L�-uX. Address: �(�� { State Bond#: ��! (p�(p(J9(p City: j�• ��1.�5 ��ip:�'��(�Expiration Date: /o? � l l� Phone: �.�.3 - �i,:.,2 7 �`�`�� Alternate Phone: � Insurance—Current: (j�j��Q� 1 PLUMBING FIXTURES BEING 1NSTALLED `'`� ' E_,i_ FIXTURE BSMT ls' 2�D OTHER FIXTURE BSMT 1'T 2 OTHER 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 PLRMIT'FL� CA�.CULATION(S) BASEll Oi�l' - 2002 S"TATE S"I'AT[JL_ ❑ 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;excluding 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 F'ER.I�IIT`,��E CALCULATION S -Jt�BS OUER$SQ4:Ofl ' F..,, ::. If above does not apply; follow guidelines below: 1. CONTRACT PRiCF, * is 1.25%of contract price with a(Minimum Fee of$50.00) /,��}� x .0125 $ �j(� (contract price) (minimum$50.00) 2. STATE SURCHARGE I� �OC� x.0005 $ a j� (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines l-3 Above) � �� `� ■ * CONTRnCT PRICE or JOB COST means the actual or estimated dollar amount charged ior 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 fumished 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. '. PLI3IvIBlNG PERMIT"`fAPPLICATION AGREEMENT' The undersigned hereby applies to the City far 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 ��nature: __ � Date: (� / 3 � � C�� \ / DATE � TIME V CITY OF ORONO CALLED IN INSPECTION NOTIC /'/� ,�/SCHEDULED /�•�� PERMIT NO.�� z� � COMP ET ADDRESS � v �� OWNE �� TE P,HONE NO. S -��3 S� CONTRACTOR • �G� �; DESCRIPTION Lv�� "`� lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ 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 ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: . . � �l'O v��,�. cf�r g4� {'a" ,��Sc�4�Pt o /,h a � � 0 � W . � �6f{ec� -� ��t l� �ar /'ei n Si'J�.ct�6h Q � 2 W � w � j a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK fl PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �4dSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I for the next inspection 24 hours in advance. (g52) 249-46�0 Owne tractor on site: L��r� G�e�s6� r. ��..:- White Copyllnspector's File Canary CopylSlte Notice �� C � DATE T1t�� CITY OF ORONO CALLED IN INSPECTION NOTICE , . � SCHEDULED __�� PERMIT NO. �f>/�"�✓��`'� COMPLEfED e ADDRESS � '7 � f �l C l��//L` ��j /� OWNER '`CC i�2�C��'f.CS�.�ELEPHONE O. � �� 7�� — CONTRACT�R �--f l�� ` '� � i C� . � DESCRIPTI�N G� �� l,y �� _ )<,'�i f/2� 2 �n��/ lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING 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 J �-FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _#�� AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL O- TE ❑ TIC INSTALL O NERICO RACTOR TO MEET YOU:�YES_NO c�., COMMENTS: o� W a J Gf�✓ r" 0 �. � 0 � W � �✓� �v"��Pf G Q � - 2 n W ./�B�w Z -�i�t��` � � � � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑I E CERTIFICATE OF OCCUPANCY O ❑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. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractoronsite: �i Inspector. o '^� White CopyAnspector's File Canary CopylSite Notice