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Home My WebLink About2015-01126 - plumbing . CITY OF ORONO * 2 0 1 5 - 0 1 1 2 6 * : 2750 KELLEY PARK�VAY DATE ISSUED: 09/03/2015 ORONO,MN 55356- 952) 249-4600 FAX: 952 249-4616 ADDRESS : 2560 KELLY AVE PIN : 20-117-23-11-0007 LEGAL DESC : REG.LAND SURVEY NO.0088 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 4 WATER CLOSETS,8 LAVATORIES,2 BATHTUBS,2 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN,2 LAUNDRY TRAYS,2 WASHERS, 1 WATER HEATER VALUATION OF PLUMBING 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 STATE SURCHARGE PLBG(VALUATION) 7.50 EASCO PLUMBING&HEATING INC. MAIL-IN FEE 2.00 7965 PIONEER TR LORETTO,MN 55357 TOTAL 197.00 (612)369-5486 Payment(s) CREDIT CARD 3448 197.00 OWNER International Ministerial Fellowshi P.O.BOX 100 NAVARRE,MN 55392- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.l'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be � revoked at any time for due cause. < ` �,�..� � P..�-�� °l , ,� , � Applicant Permitee Sig ture Date Issued By Signature Date � � . F+DI�CITY USE ONLY O City of Orono ��p � � � P.O.Box 66 Date Receiv�d: ��acmit# C�� — d �� 2750 Kelley Parkway � � Crystal Bay,MN 55323 Approved By; Amount$:�� (952)249-4600–Main (952)249-4616–Fax ��'t' ��`� CITY OF ORONO—PLUMBING PERMIT kESHo4 (All Commercial Permrts Must be Approved by the State Prior to City Approval) htt :/Iwww.dli.mn. ov/CCLD/PDF/ lumb lanreva . df GENERAL TNFOgN1ATIQN 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 cornpleted. 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 That A"pl esidential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior aauroval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner It�o�rnation: ` Site Address: � S�o � �.e l�t� 04 V2 Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �(,t S�v (��-l-(�' Contact Person: _t J r'�� Address: � �(o � �I�O+r��e2 -�Ye State Bond#: City: L�r`�'�L Zip: 5�3S7Expiration Date: Phone: ��dl--3(�9— S�� Alternate Phone: ❑ Insurance—Current: 1 � . _ � . 4P f'�'g��:�` hA �'�'. 2 �' �Y G�'4-.�4� &�$e a^'. �...n: � ,a„-d. �a,t��<s�'S�� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains � Lavatory L �J Sewer Ejector � Bathtub ' � Laundry Tray I Shower I Washer � � Kitchen Sink � Water Heater � Disposal I Water Softener Dishwasher t Wet Bar l Sillcocks Miscellaneous � � �� `�z� � � _� �� .� y �4 �k'," 3 �� ,�° ��`�;E� + '� �� v � �`�4 �t� `��`� `�� x � �`� � �. "Fr� �r��, � : �„ � �..s�`,�, L .. �wb��,.�s �'Y ��yr�,�h.� � ,�y �'� �- -�°c ,��: E .�f,PE r€ �,x,=-.� :�. 'cv�!d ❑ Yes,this secrion 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 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 � ` .� . , � ,, � s. , .� . . � � ��r � < � A�Y � � � �p ,��,�� 4 r � ��<v�.,�, �n�� .,�-- � _ ��,+�.. :'�. �r,A..� "�h�,„�r""»,,. _�;:_ If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a um Fee of$50.00) r (1V�ig��ii... �� r � �� x.0125$ (contract pr�ce) (minimum 550.00) 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 parly, 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. � � � � ` tl ` �r�kX� ''R 7 � &3 ',�`'� '�3�r� ��a -$' S.b;': s., � ,��P. �,. 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: % 2 l� 3 � , o �� DATE TIME � CITY OF ORONO CALLED IN _ INSPECTION NOTI scHEou�E� PERMIT NO. Z COMPLETED ADDRESS � � �� OWNER TELEPHONE N .�o��r��oq —�� CONTRACTOR j DESCRIPTION 6 4~j ❑ FOOTING ❑ O-FINAL SEPTIC FINAL � ❑ POURED WALL PLUMBING RI Q ❑ 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YWl: YES_NO y COMMENTS: o� W � j O � O W � Q � W W � j O � ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK�►LL FOR REtNSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR 1NlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours i advance. 9-4600 OwnerlContracMr on site: Inspector: YVhite Copyllnspecto�'s Flle Cenary CopylSite Notke �—�U �-e� � ��L� v/ DATE , TI � � CITY OF ORONO CALLED IN �� INSPECTION NQ�ICE / SCHEDULED �� PERMIT NO. o�U,S- D 6 I� C MPLETED ADDRESS �s b �L OWNER TF�,�PHONE NO.��3�� `5�"g'� CONTRACTOR �� r✓ U� �, � � DESCRIPTION �� v l� ❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL � MBING 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 k1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO , v�, COMMENTS: � ` _ a ,t2 - ,� G. � � �..- � � 0 � ^ /1 RJr/ �!/G ��f - �6 — 0 � � �!-� ,�.i -�rsL� �.5 /�la� .s � — Q zS�� s��se n�� •�d �s,�e�� .C_s �,..�a � �i� `� Co��✓ W � j �� TISFACTORY:PROCEED ❑ PROJECT COMPLEfE v— W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. '�-� ite Copyllnspector's File Canary CopylSite Notice � �� DATE TIME � CITY OF ORONO cn�LED IN INSPECTION NOTICE SCHEDULED � � PERMIT NO. �UI�`� I�� COMPLETED ADDRESS � � �' � �- � � � OWNER TELEPHONE . � � " � � CONTRACTOR �a .�'t� � DESCRIPTION ��Z.-'� ��'-� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �ING 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 ❑ SE R HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTRACTOR T�-ME_�U: YES_NO c�n COMMENTS: a • `zlDXl�' /S �il�l�P�'�S � � ✓ ��ur�� - Sc_�'—�F- �Ql� ' o � ��ri�S� /�l� �� N'�..L . �u� �-ri�.t cJ�e..� � o c�v�.iQble. Q " � 7"/js�isr7e � �r��tcan. ll�� /LJ� i hs�4�� 2 " ��w�Odc� f o� �ent� � � � � �" , ' a R��t �<¢ . �'�s4,�1 D � ❑WORKSATISFA ORY:PROCE D �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call " spection 24 hours in advance. (g52) 249-46�� Ow rlContractor on si . Inspector. F`' White Copyllnspector's File Canary CopylSite Notice