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Home My WebLink About2013-00860 - plumbing CITY OF ORONO * 2 0 1 3 - 0 0 B 6 0 * „ 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2013 � ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 REPRINTED ON 8/26/2013 ADDRESS : 3625 JACOBS MILL RD PIN : 32-118-23-24-0013 LEGAL DESC : JACOBS MILL : LOT 003 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT:3 WC,3 LAV,2 TUB, 1 SHOWER,KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WASHER, 1 WATER HEATER, 1 WET BAR IST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 LAUNDRY TRAY, 1 WASHER, 1 WET BAR 2ND FLOOR: 1 WC, 1 LAV, 1 TUB VALUATION OF PLUMBING 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 SOUTH MECHANICAL CONTRACTORS STATE SURCHARGE PLBG(VALUATION) 7.50 21005 LANGFORD AVE JORDAN,MN 55352 TOTAL 195.00 (952)492-2440 OWNER SCHMID,KURT&CAROL 2950 ISLAND VIEW DRIVE MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued sh�ll be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspend or a p iod of 180 d s at any time after work has commenced. The a li ant is spons le r suring all required inspections are requ te in co orm e t the State Building Code.This permit may be rev at an ime fo d use. / / / / A p i e ee ign ture Date Issue y S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. i , ' FOR`GTTY,USE ONLY City of Orono �-�� P.O.Box 66 Date Received: Permit# � � 2750 Kelley Pazkway Crystal Bay,MN 55323 'Approved$y: Amowrt$: (952)249-4600—Main � � (952)249-4616—Fax F �` CITY OF ORONO-PLUMBING PERMIT tqk�SHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ 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 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 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 Th�.t Apply) �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior apuroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/�umer Information: , _ Site Address: r �/ �" `' _� � Owner: � �, C'�-�= Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: , Contractor: �v�-f� °�-v� Conta.ct Person: (Il/� Address: �l�6� �'1�,��`State Bond#: � t'� � City: c��r..� Zip:�� Expiration Date: ��' "3 I '�r� Phone: �.�'a��'��7S Alternate Phone: ❑ Insurance-Current: �)��Tc� i-,.�2�'�`Sv�`"/ 1 � � t � ��, � . � - . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains / / Lavatory � � � Sewer Ejector Bathtub � ' � Laundry Tray I Shower l ' Washer Kitchen Sink I Water Heater � Disposal Water Softener Dishwasher I Wet Bar Sillcocks Miscellaneous ❑ 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;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 appiies; 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 s k "H � T..T��,fr�45..'� Y"= ,°�"" � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � x.0125$ (co vact pnce) (minimum$50.00) 2. STATE SURCHARGE 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 actua] contract. � ,. � ; r , a ,. , � � � �� . ��.,�� m.�,� ��. 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: '� �� l� ^O�� 3 � DATE TIME � CITY OF ORONO CALLED IN � INSPECTIONA�OTIC�E SCHEDULED � PERMIT NO.�CO(3-Dv86a COMPLETED ADDRESS �D Z-5 JQ.C�bS M 1 /f K� OWNER TELEPHONE NO.��z u� �g� CONTRACTOR aSBG�'�l /u�[`� � � DESCRIPTION '�� ❑ FOOTING ❑ PLUMBING FINA p EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE � SEPTIC MAINT. � FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL Z OYYNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: a� a j � � O � O W � Q � W � W � � J � �RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑ RECT YYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECfOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site Inspector: White Copyllnspecto�'s Ffle Canary CopylSfte Notice � �` DATE TIM � � CITY OF ORONO CALLED IN � 3 �� INSPECTION NOTICE SCHEDULED —(I � PERMIT NO. I�' -�-�j3"�Y�MPLETED ADDRESS�� S ��G�Cd L� V�.Q� t�� OWNER TELEPHONE NO.� � 2- Zu �� CONTRACTOR �¢��i M� �„�4�f5 � DESCRIPTION � �'7 � � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a o �`af� �S � � r (�� . � 0 � W se � Q � � � wQ a. � � � `� � e ^ W � � �.: a � W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit : Inspector. � White Copyllnspector's File Canary CopylSite Notice C�� _9�TE �� TIME V CITY OF ORONO CALLED IN f� �� INSPECTION OTI E SCHEDULED � PERMIT NO O c PLETED ADDRESS OWNER TEL PHO NO -�' �� CONTRACTOR ' >; DESCRIPTION `� � � ❑ FOOTING ❑ PLUMBING F A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANIC I ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � %f oc� � 0 � � � 0 � w � Q ti Z W � W � � a � �i9R}(�SATISFACTORY:PROCEED C7 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice G�� ATE TI E CITY OF ORONO CALLED IN �� l 3 (�� INSPECTIO TI�� SCHEDULEO v-2-(3 L � � PERMIT NO. cOMPLETED ADDRESS ��P2-S �CLCU� �S1.Qp P�, OWNER �-� �-�`� d TELEPHONE NO��a'�2'�� CONTRACTOR S�-�'ti �� -�o-►-�cs.1J � DESCRIPTION '`---r"`�� ❑ FOOTiNG �N6fMlA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL C—FFANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ��_� ( O s o � 0 � W Q /�1 , � � � 2 W � W � j d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE CWERING PERMANEN7 ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTEO.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next insp�ction 24 hours in advance. (g52) 249-4600 OwnerlContractor on si : Inspector. White Copyllnspector's File Cenary CopylSite Notice �'—" � .r / TIME �/ CITY OF ON CALLED IN ` � ` - INSPECTION NOTICE SCHEDULED �— — 2 -2.� ` PERMIT NO.g�l�/.3'��I� COMPLET D ADDRESS OWNER LEP ONE NO�` '�/�I'✓�� CONTRACTOR � � DESCRIPTION �/� . � � ❑ FOOTING PLUMBING F A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL , ❑ CHANIC ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERJFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAIM' J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: ' a� a j 0 �. � 0 � _ � � Q � a � W � J O W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑ RRECT VIfORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR YVILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in adva . (952) 249-4 OwnerlContractor on site: Inspector: White Copyflnspector's File Cana ylSite Notice