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Home My WebLink About2014-00170 - plumbing CITY OF ORONO * 2 0 1 4 - 0 0 1 7 0 * 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2014 • ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 380 LEAF ST PIN : 04-117-23-23-0027 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 026 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(2)SHOWERS VALUATION OF PLUMBING 5250 APPLICANT PLUMBING FIXTURE FEE 65.63 STATE SURCHARGE PLBG(VALUATION) 2.63 FREEDOM MECHANICAL TOTAL 68.26 8382 172ND AVE SE Payment(s) BECKER, MN 55308- CREDIT CARD 4420 68.26 (612)363-6190 Minnesota State License#:mech-004042PM OWNER BURKE,FORREST&RENEE 380 LEAF ST LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked time for due cause. ��li,�� ,2-�..-�-/Y oZ i� i Applicant Permitee Signature Date Iss d By Signature Date � ✓ FOR`CITY USE ONLY City of Orono ` _ �-��O P.O.Box 66 Date Received:' Permit# � 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: , Amount$: (952)249-4600—Main (952)249-4616—Fax y� �` CITY OF ORONO—PLUMBING PERMIT `�'�ESHO�� (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. Percnit 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 That A 1 ) ,�Residential ❑Commercial(Approval Required) ❑ New ❑Additional �Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Uwner Infarmation: Site Address: ,.,��C� ,E�9-� �5 7� — Owner:�,Q �S �i��c.�e.e �� Mailing Address: City: �i�I� Zip: Home Phone: Alternate Phone: Contractor Information: ' Contractor: f-2e-ec�cr�- ��K Contact Person: f/�� /��— Address: B.3c�� 02�/1�- State Bond#: City: �-C��`C Zip:� Expiration Date: /a2 -�/— / '� Phone: �2 3G 3 v�/5'(� Alternate Phone: ��t� /��- ❑ Insurance—Current: 1 � � , . . , , �_. � , . � �� . . . �x_�.. ,�,. . r _ . ..�. , ..z`r 'd .�x...:�. '� Y. . , �. ,� rv 9 ="..a R .�,, v . ' . a_ .., .. ..."s. „e , �.i iy 7�. e ,; ..� v..� 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 Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher 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 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 r d „ �,. �. _, , � . . . . . . � � �� ,� ��,�_� _ � �� , ,,� . ,. � ��. � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��p�� -� x.0125$ (contract price) (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 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. �� .�� ,.� ��, .,.� . : .�o�� .a �ti ��.� �_.x.� . ,. . : . � ��. � � �.„ �� . � . � �rt � < < .,,�_ ., 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: � ��" �'1� 3 �^� ip� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED — —'t .'� PERMIT NO. D �7O COMPLETED ADDRESS OWNER TEL H NE NO. -- La3� �� CONTRACTOR � DESCRIPTION � � � � ❑ FOOTiNG PLU BING F A ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL M HANIC ❑ LAKESHORFJWEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEEf 11�U:_YES_NO y COMMENTS: � a o� ' � 0 � 0 W � Q � � W � � J O W� ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE � ❑CORRECT W'ORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WffHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP OHDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva . ( 2) 249-460� OwnerlContractor on site: Inspector. White CopyAnspecto�'s File Canary e Notke �� D T TIME CITY OF ORONO CALLED IN �� INSPECTION NO E SCHEDULED D;,� PERMIT NO. ' �170 COMPL ED ADDRESS ��O GPQ T �� OWNER TE PHONE NO.��Z 363 9o7Z CONTRACTOR r�� P� � DESCRIPTION P��'��"'� �l�'l.� � ❑ FOOTING �PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/REMOVAL 2 OWNERlCONTIUCTOR TO MEET YOU:_YES_NO y COMMENTS: a � b��s — F�z.+�.�s - s�.� �� aI.�/a r K C'd•w..0l�-� — a � � /�r M..'t r f�L � W � Q � � W � � , d � ❑WORKSATISFACTORY:PROCEED `�i6QJECT COMPLETE W ❑CORRECT VYORK 8 PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC04/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C ion 24 hours in advance. (952) 249-4600 ctoronsite: C/�� inspe�ctor: �� White Copyflnspector's File Cenary CopylSke Notiee