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Home My WebLink About2015-00457 - plumbing CITY OF ORONO * Z 0 1 5 - 0 0 4 5 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/2U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4166 HIGHWOOD RD PIN : 07-117-23-44-0027 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 033 BLOCK 000 PERMIT TYPE : PLUMB[NG(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS, (1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER VALUATION OF PLUMBING 10000 APPLICANT PLUMBING FIXTURE FEE 125.00 STATE SURCHARGE PLBG(VALUATION) 5.00 KAB PLUMBING LLC TOTAL 130.00 20725 196TH AVE NW Payment(s) B[G LAKE,MN 55309- CREDIT CARD 6396 130.00 �, Minnesota State License#: plbg-690863 � OWNER Willow Creek Development P O BOX 4551 ST PAUL, MN 55104- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,app►icable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at y time f �d�e causer-- f ( / ,� ��,'L Q---fL_�� l Z� / l J Applican Permitee Sig ture Date Issued Signature Date r , FOR CITY USE ONLY �O A TO City of Orono ° ` ` <y P.O.Box 66 Date Received: Pertt�it# 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y�'�q ��`� CITY OF ORONO—PLUMBING PERMIT kESHO� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/Iwww.dli.mn. ov/CCLD/PDFJ e lumb lanreva . 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 RECENE 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 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 (�'R'�idential ❑Commercial(Approval Required) / ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � t'f� �'�� Owner:GU 1 ��v� � �- �1. �j�a+�Mailing Address: P4 �o yr �[5�J � City: � a�� Zip: SS N Z � 10 • Home Phone: �� j7� Alternate Phone: � Contractor Information: Contractor: 1'�� 'Q��`P�'�`� Contact Person: Address: ��7_a� ��l�o �d�lit%'r�✓'�'� State Bond#: pG �P�� J ` oi�'" CiTy: � Gri� Zip:�✓�Expiration Date: �� Phone: ��`�i Z�9 �7�pg Alternate Phone: ❑ Insurance—Current: 1 1 � ` I, PL�B�C�F�tTRE�,:�� '.T�ST�iL�.�� {�° `� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet , � Floor Drains � Lavatory I � Sewer Ejector Bathtub � Laundry Tray , Shower � Washer � Kitchen Sink 1 Water Heater ` Disposal � Water Softener Dishwasher 1 Wet Baz ! Sillcocks � Miscellaneous . Y t ft�'Y 3 . �.. : .: '?"'F 4 X- �t�. f :�..§�� ...� �z p. , � Fye S ! b '�J .' i Ti ° k �? °'t,"ts3 ��:-� v Z - 'y' x"y`"� y tr�; ��[ s�i:+fC S +.�;��' a��• ��,, x" .w� � � � �a'"v.��,.-,�v�'��,- t 'v ❑ Yes,this section applies T'he 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;excludine 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) �� x A125 $ ( ontract price) (minimum 550.00) 2. STATESURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /v�(J i � ■ * 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 ar 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 APPLICATIQN 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 11 statements made on this application are complete, true and correct. . Applicant's Signature: Date: � � l 1� 3 � �� `�"� _ DATE TIME � CITY OF ORONO �CALLED IN INSPECTION I�,'/�/�//� CHEDULED �� PERMIT NO.�� OMP ED i ADDRESS ' 0 OWNER ELEP NE�NO. 3� l�-�S CONTRACTOR l� � DESCRIPTION l� ❑ FOOTING ❑ M -F AL ❑ SEPTIC FINAL � ❑ POURED WALL PLU G RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF PL MBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W C � � O �. � O ' � W � Q � 2 � � W � � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CO RECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN O STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in a . (952) 249-4600 OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopyfSfte Notice i� �� DATE TIME CITY OF ORONO CALLE N �� INSPECTION NOTICE SCHEDULED � �j.,�1 PERMIT NO. ZL��7- C��COMPLEfED ADDRESS �� OWNER TELEP NE NO. ��'�3 Z �<��C1C� CONTRACTOR CC �F �, 7 . � DESCRIPTION ' ��'""�� t �� ly ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ S PTIC INSTALL � OWNER/CONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: � a a /i/�a r�a �S h��c � � � � ��'L•S�, cdh n.¢c,��yr S4s /.`1 C � �' LtJ .. C(. � �' � �/ �r K• 5� ��-Aa l•c c t-rx�c..�� — � ✓ �3��s �,..��G Q - " � 3 �i .5�s.�.p h.c� Co� � - --- � J2 c-S� �� W j 1��•,cv�/Q Y'�� 1/a--t� c�S W ❑WORK SATISFACTORY:PROCEED �01ECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CAIL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: �r i C. Inspector._, /'� White Copyllnspector's File Canary CopylSite Notice