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Home My WebLink About2015-00344 - plumbing � � CITY OF ORONO * 2 0 1 5 — 0 0 3 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: 03/25/2015 ORONO, MN 55356- 952) 249-4600 FAX: 952 249-4616 ADDRESS : 2749 KELLY AVE PIN : 21-117-23-23-0027 LEGAL DESC : REG. LAND SURVEY NO. 0891 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 BATHTUB& 1 SHOWER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 RIGHTMARK LLC STATE SURCHARGE PLBG(<$500) 5.00 P.O. BOX 343 TOTAL 20.00 BUFFALO, MN 55313- Payment(s) CHECK 8594 20.00 OWNER TEARLE,CHAD&ELEANOR 2749 KELLY AVE EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMEIYT 'Che work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � �� `�l� �� l�� J� � �S� � Applicant Perm' ure Date Issued By S� nature � Date � ��FOR CITY USE ONLY ~'�_"`� � City of Orono 'f �- • ' ��+ � P.O. f3ux 66 Date Received: �/^' �� f'ermit# "�,C `� � 2750 Kelley Parkway / �:�% � � Crystal Bay,MN 55323 Approved By: �� Amount$:�_ � (952)249-4600—M�in -� �. ' (952)249-4616—Fax �' � ' CITY OF ORONO —PLUMBING PERMIT �`�'��stt��'�� (All Commerciat Pennits Must be Approved by the State Prior to City Approval) _...____.._� ��t� �:Ilw�e��rn.c��i.xr��.�c3s�,r'�`£'i�l�,�I'I�1�1�c ��i�i�il��F��•e��s��7. �c�f' 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 BEG1N UNTIL THE PERMIT CARD 1S 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 wark 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 approva(and may need CL1P.(Per Orono City Code,Chapter 78,Article IV) Job Site / Owner Information: Site Address: z�`�� uy �� Owner: L°�� -�5�� Mailing Address: �- 7�`� �`GC� /r�i.�' . City: ��`�� '�v� Zip: � Home Phone: Alternate Phone: Contractor Information: Contractor: �'�"��'� �� Contact Person: �T�� .1��r r � . � � � - Address: �•�'' �I� Sq� 3 State Bond#: �.—�=� ��-' �� City: ��F��-�� Zip:SS�f� Expiration Date: ��l�l' Phone: I ��"��=�+� -��%% Alternate Phone: �`�� -a`��`-`�5�4 ❑ Insurance—Current: �,�1;� ��E� -!�5 1 ��' l��`i3� .. °PLLTMBING FI�TIJR.ES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub I Laundry Tray Shower I Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ;' � � � ° PERMIT FEE CALCULATION(S) � " � � � �� BASED OFF - 2002�STATE STATUE � � Yes,this section applies The replacement of only one Residential �xture 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; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. . �l Skip next section, if this applies; Cost of Pennit $ 15.00 State Surcharge ,'$ 5.00 Mail-In Fee(If Applicable) $ 2.00 � Total Permit Fee $ (Permit Fees Continued On Next Page) 2 r� ' PERMIT FEE CALCUL,ATION S -JOBS OVER$5q0.C1Q 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 .O125 $ � v�'' �'"� (contract price) <�� (minim m$50.00) �— 2. STATESURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-]n Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-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 ar contract price for pennit 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. PLUMBIN�'i PERMIT APPLICATI(3N.A�REEMENT 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. �Jr � �7�y r/ Applicant's Signature: ! "��U a l '� Date: � G"� !� 3 DATE TIME " F ORONC�� CALLED IN INSPECTION NOTICE SCHEDULED � (S �O PERMIT NO. G�I�-- Lt�3�J4 COMPLEfED � ADDRESS Z�4 � K�'.i �e� � OWNER TELEPH NE NO. �`' �Z y�L �.3yy CONTRACTOR � � ��- � DESCRIPTION L�-CYV�I'J 1 � � � � ly ❑ FOOTING ❑ D 010-FINA ❑ SEPTIC AL � ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING ILLING H O ❑ FOUNDATION WATERPROOF ❑ TREE REMOVAL Z ❑ RADON SLAB I ❑ 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 ❑�S,�PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR T�O_MEET YOU:y�_YES_NO � COMMENTS: � W a � J O �. _ � O �� W � � Q � 2 W � W � j W � RKSATISFACTORY:PROCEED O PROJECT COMPLEfE � ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑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 ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �-� � TE TIME C OF ORONO CALLED IN � INSPECTION NO I SCHEDULED � PERMIT N��COMPLETED ADDRESS a��9 OWNER TE HONE NO. s �`� Z CONTRACTOR �� ` a DESCRIPTION /� � 4~j ❑ FOOTING ❑ DEM - NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: ¢ � � S�'�-c9�.✓� -�-u i�� a �'�ww c��l s _ � � ° ��ca S�\ �Jl�wrc.-s W � Q 2 ta d��. ; � ��.. �1.�� W � 'C Y V+� i�' :v�(1��-�t� � j � W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS. ceu ro�tne�xt��sPe�ti 4 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: Whits Copyllnapectw's Flle Canary CopylSite Notiee