The URL can be used to link to this page

Home My WebLink About2017-00321 - plumbing `� � CITY OF ORONO * z 0 1 7 - 0 0 � z 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/OS/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 135 LUCE LINE RIDGE PIIV : 31-1 I 5-23-34-0007 LEGAL DESC : PAINTERS CREEK : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES-MULT[PLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SILLCOCK AND(1)FLOOR DRAIN VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.25 SCHERER PLUMBING TOTAL 51.25 4520 85TH STREET Payment(s) DELANO, MN 55328- CREDIT CARD 7621 51.25 (763)972-8137 Minnesota State License#: plbg-648530 OWNER JOHNSRUD, MICHAEL&SUZANNE 135 LUCE L[NE RIDGE MAPLE PLAIN, MN 55359- 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 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 1 AO days of the date of issuance,or if construction is suspended for a period of 1 SO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requesred in conformance with the State Building Code.This permit may be revoked at any time for due cause. c � �- r�-�� 7 Applica t Permitee Signature Date [ssued� Signature Date �� ` p City of Orono � ^T �J%�,� FOR CITY USE ONLY O P.O. Box ss Date Received: � —� -/ �_ 2750 Kelley Parkway �� _� Crystal Bay, MN 55323 Permit# � v��/ y�"� c? (952)249-4600—Main "�kfSHO�� (g52)249-4616—Fax Approved By: Amount$: l� � CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp pdf 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 propsrty 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 Apply) �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] ��ew ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner fnformation: Site Address: � � � ��. � L.;.� ��"�c�Z Owner: l�i��2 �� 1�15 rv� ' , Mailing Address: �3� L:� L, � �� City: ��c�a Zip: ��.3 a-3 —�._ Home Phone: Alternate Phone: Contrac#or Information: Contractor. L��' ��vu 4-��er�tact Person: 5�'� � ��`� Address: �/�� 'S� ,Sfr-u-� SL°' State Bond #: �%��'6 ��3� City: ��(,�v_ Zip: {'�'�//� Expiration Date: l� 1'Z-,(� Phone: ��--�,3�- �S`�'y Alternate Phone: Insurance - Current: Page 1 �� s � � PLUMBING FIXTURES BElNG1NSTALLED �� " �." � ,` FIXTURE BSMT 1sT 2ND OTHER FI�PE E BSMT Floor Floor �THER TYPE Floor Floor Water Closet � Floor Drains I Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks ' Miscellaneous ��.n� � a �� } <.. � t ��.��•• � �`� �� r. �ix. =a �,��x �� .F'ERMIT FEE CALCULATION � ��F� �� 1. CONTRACT PRICE "' is 1.25% of contract price with a (Minimum Fee of$50.00) a . ��'a x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ �.0, 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��/� �� " CONTRACT PRICE or JOB COST means the actual or estirr�ated 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. PLUMBING PERMIT APPLIGATION�AGREEMENT � � �.� '� _� .� .:`=� 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. ApplicanYs Signature: Date: 7 � �� Building Official/ Inspector: Date: Page 2 � �/! --�� DATE/� TIME /' CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �- lo-/7 /� PERMIT NO. '��l� ��Z/ COMPLETED _ --�— ADDRESS I��JS �(-� LL�'L�- t'�L� Q,�� OWNER TELEPHONE NO.��3�-�� CONTRACTOR --��-r�� DESCRIPTION �'J � � � ❑ FOOTING ❑ D O FINAL ❑ SEPTIC FINAL � ❑ POURED WALL PLUMBING RI u� ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF [�PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SUAVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: � �o.�/ U cz� � 'S ' o ' 0 -/ �� Db�_S' G)QOC�' W OC Q l / 2 1/`1�a�Ti�r ��+PiS �00� �?OOd G�n� ,Z^�5�� b i- Glt��,��l�nG3 � j W�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: ��'�'��• White Copyllnspector's File Canary CopylSite Notice � ' � � DATE TIME � CITY OF ORONO CALLED IN INSPECTION TICE �32 scHeou�� ! :� sc PERMR NO. 1� � / COMPLEfED ^. ADDRESS / 1—�-C-C__. �l�l�� OMINER �2 _ ^ T LEPHONE NO��' �-3'3 S� CONTRACTOR ��'� '' DESCRIPTION �� -""` � ❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PL MBING RI I ❑ EXCAVlGRADIN(iIFILLIN(9 O ❑ FOUNDATION WATERPROOF �LUMBIN(i FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPU►CE O COMPWP�T � ❑ FINAL ❑ WATER HOOK-UP 0 FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL g dwN6YCOKTRACTOR TO MEET 1DOU:_YES_NO � COMMEN'T'� . q � ..i 4/�� e � o /S�t c��,rs S�d Se4l� '' - h20� i S �'id .-r.a � - 5 fi .f-ar� ,o vav r�� • �'lr.�a h S c�r� da�.�s�iiP � Q L�.ls r K �b� �o��c � � W W � j � O WORK SATISFACTORY:PROCEED �JECf COMIPLETE W o oo�Ecrwor�c a�� ❑issuE c�rn�►�oFoax�r►Ncr o O OORRECT W�OfU(.CALL FOR RONSPECTION TdAPORARr � BEFORE COVERINO PERMANBVT O CORRECT UNSAiE OONOI'TION WRHIN HOUR3. ❑PHOTO TAKEN INSPEC7OR WILL RETURN ❑STOP ORDER P08TED.CALL INSPECTOR ❑C1TA710N ISSUED ❑INSPECTIONN REOUIRED.G1LL TO ARRAN(iE ACCES3. caM tor n�s next�nspect�on 24�wurs in sd�►a�,os. (952) 249-4600 on si� � wMe.��p�ceo�'ti FlM c.n.ry co�IN Moaa