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Home My WebLink About2014-00971 - plumbing � CITY OF ORONO * 2 0 1 4 - P1 PJ 9 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 2699 KELLY AVE PIN : 21-117-23-23-0041 LEGAL DESC : WALTERS PORT : LOT 002 BLOCK 002 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379 TOTAL 22.00 (952)445-4803 Payment(s) Minnesota State License#: cont-057209PM CHECK 5313 22.00 OWNER MORIN&TANYA SKEPEL,CHARLES 2699 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Si ture Date FOR CITY USE ONLY ,,¢�� City of Orono O Q P.O.Box 66 Date Received: Permit# 2750 Keiley Parkway � t,+'x r Crystal Bay,MN 553�3 Approved By: Amount$: +.o'� (952)249-4000—Main �'�'asao��' (952)249-4616—Fax CITY O ORONO —PLUMBING PERMIT (All Commercial Permits Must e Approved by the State Prior to City Approval) (sig�tz:"r��1^.tc.��ii.�i;�..��;� �� _ r.';'i�a; �?i- �iFt;3r't>�iitl:D'�'Satt�t').t3c�E GENERAL INFORMATION 1. You may apply for plumbing pe ts by mail or in person at the City offices. Applications will be reviewed and a permit will be issu d within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMTTS ARE NOT VALID UNTIL YOU RECEIVE PERMIT. WORK MUST NOT BEGIN UNTiL THE PERMIT CARD IS POSTED O THE JOB SITE. 3. Plumbing permits may be issued NLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or re odeling is involved,a separate building permit must be obtained. 5. All work must be done in accord ce with State Code requirements. 6. All work must be inspected and ai tested before it is covered. Call(952)249-4600. (24-48 hour notice required) PE OF PERMIT C eck All That A 1 ❑Residential ❑ Commercial( pproval Required) ❑ New ❑Additional ❑ Repairs �Replace ❑ in Accessory Structure? *You will need prior approval and ay need<;;t,.:('.(Per Orono City Code,Chapter 78,Artide IV) Job Site/Owner Information: Site Address �� t� t / � Owner: �z�.c� Mailing Address: City: Zip: Home Phone: L��v7-�QI- �5� Alternate Phone: Contr�ctor Information: Contractor: A liance Connecti ns Inc.Contact Person: JGl mi�e, � � �/ 12850 Chestnut Ivd. Address: Shako ee, MN 5 379 State Bond#: �� G?9 952-445-480 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 PLUMBING F TURES BEING INSTALLED FIXTURE BSMT 1ST 2�' HER FIXTURE BSMT 15T 2�D OTHER TYPE FL FL TYPE FL FL Wate> ;loset Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater % Disposal � ��Iat?r Saf±ener Dishwasher Wet Bar Sillcocks Miscellaneous PERMI FEE CALCULATION(S) BASED F - 2002 STATE STATiJE ❑ Yes,this section applies The replacement of only one Residential fi ture or a liance that meets all three of the following requirements: 1. D�es not require modificatio 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 repl ceci by the homeowncr or iicensed piumbing contractor. Skip next section, if this appl s; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ��C(� (Permit Fees Continued On Next Page) 2 . � , If above dces not apply;follow guidelines low: 1. CONTBACT PRICE •is 125%of contract price with a(Minimnm Fee of$50.00) x.0125$ (conCract price) . (minunum Sso.00) 2. STATE SURCHARGE •• dd the State Bldg Code Div.Surcharge(Asiaimu�m Fee of SS.00) . x.0005 $ � . ��p��)� (mininwm S s.00) 3. POSTAGE&HANDLING( y on Mai!-in Applications) $ 2.00 4. TOTAL PERMIT FEE(Ad Lines 1-3 Above) S � • * CONi'RAC'T PRICE or 30� CrJ meacss the aatual or estimated dollar amount charg,ed for the permitted a�vork including materials,l r,pmfit,and other fixed costs. It is the amount to"be charged to the custoraer for th�work done. I any material,equipment,labor or instal�ations a�e fiunisliod bY the owner,tenaat or any other party, �e reasonable market value of such items must be added to the -stimated cost or contract price for� it fee purposes. In the eve,nt that there is a dispute on the . mouat of the job cost,the City request the submission of a signed copy of the actual contract. ■ *#The STATE SURCHARGE is. S of ffie contract price under$1,000,000 or$5.00—whichever is greater. For valuations ov�r 51,000, call the Building Departrnent at(952)249-4600 for the price. The undersi�r►ed hereby applies to City for issuance of a Plumbing Permit, agrees to do all v�,ork in strict accordance with the es of the City and the regulations of the State of Minnesota, and certifies that all ents made on this applicaiion are complete, true and correc� ' s ��t Applicant's Signature: Date: � �M . ` ` , . � 1 " . � '�. , � r � - , , � : 3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2ld!¢-GL7��/ COMPLETED !d e7 7-�'j/ ADDRESS �l j� ��lly OWNER TELEPHONE NO. CONTRACTOR /¢��c� ��n��d : � DESCRIPTION G'Jttc v /��e/ /'�, � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y 0 FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ��INAL O SEWER HOOK-UP ❑ COMPLAINT Q O DEMO-SITE ❑ SEPTIC MAINT. �F,OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL r ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �Grwt:t �ral.Pc � �•�� 7�5 �tll �'a.� � s OJ/r[LV �I'/5.0��-�i�/L � � o , w,�{e✓ �cc�C� rcDl�.r[��c� — W � ' G � �� ' I.Ke Q z " �Plz I/� �� - a� ^ � '' G,k.IS�i r�t� �f��•6r� ? f��[� Cowl_Dl � ❑WORK SATISFACTORY:PROCEED ��COMPLE7E � ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. a11 ior the next inspection 24 hours in advance. (952) 249-4600 tractor on site: �K r Inspector. ^^- Whits Copyllnspector's Ffle Canary CopylSNe Notice