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Home My WebLink About2014-00045 - plumbing - CITY OF ORONO * Z 0 1 4 - 0 0 PJ 4 5 * 2750 KELLEY PARKWAY DATE ISSUED: OU15/2014 ORONO, MN 55356- (952 249-4600 FAX: (952 249-4616 ADDRESS : 2605 MAPLERIDGE LA PIN : 21-117-23-21-0005 LEGAL DESC : SHORE HILLS : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET (1)SHOWER (2)LAVATORIES VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 STATE SURCHARGE PLBG(VALUATION) 3.00 GRABOW PLUMBING, INC. TOTAL 78.00 8420 REDWOOD STREET Payment(s) COON RAPIDS, MN 55433 CHECK 14844 78.00 �) Minnesota State License#: BUIL-038623PM OWNER PAULSON,ERIC 2605 MAPLERIDGE LA EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /��G��- /�iJ'�/��_ � / /�S l/ pplicant Permitee Signature ate Issu By Signature Date I FOR CITY USF.ONLY /�A'O City of Orono � �O.� P O I3ox 66 Date Received: Permit# 2750 Kelley Parkway � � Crystal Bay,MN 55323 Approved By: Amount$.� (952)249-4600-Main -+ �. (952)249-4616-Fax yF ` CITY OF ORONO—PLUMBING PERMIT lqKESHv�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/h��.dli.mn.Qo��%CCLD/PDF/ �e lun��b �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. 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 BF,GIN 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. AI I 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 l ) [�Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs [�'Replace ❑ [n Accessory Structure? *You will need prior approval and may need C'UP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �?�a.� /�/�o�c �� lc.+e. Owner: /�a�/So� l�es. Mailing Address: �aa�e City: f"a.,.� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: G ta�nw PI��L:�S Contact Person: ��ii� r? �. 6 Y3��y Address: g�12� 1�C'��oo�s/ State Bond #: f'.C /llt�oo�/-�35 City: �� •� Z�p:�S�3 Expiration Date: i,? / 3� / �y Phone: y��' 786 '3 S�s"� Alternate Phone: � ,�/,�• 79v • �od� � / Insurance—Current: �co�� % �e�� /�� y6�� PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2ND O'THER FIXTURE BSMT 1ST 2rI° OTHER 7'YPE FL FL T'YPE 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 PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ 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;excludin¢the cost of the fiacture or appliance:and 3. [s 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 PERI�IIT F�E CAL,C[3LATI41'� S --34�5(3VEit$540.4Q If above does not apply;follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �t� oc� , �1a xA125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 , 4. TOTAL PERMI'I'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,proftt,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 APPLICATION 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. Applicant's Signature: %/� G� ��lv"� Date: / � /3 //y 3 / �`aR� D TIME � CITY OF ORONO CALLED IN �' �� INSPECTION NOTI E —�SCHEDULED �� PERMIT NO ''�� COMPLETED ADDRESS � � OWNER TE E NE NO.��Z �� CONTRACTOR Q r��' ��• � � DESCRIPTION ��'/`'�''b� �� V«� �! L`�� ❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL HI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROCaRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v '�RLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL ? OYYNERICONTRACTOR TO MEEf YOU:_YES_NO c�.� COMMENTS: �f' •G- II l Sct 4EL � �D �u V - �a S 6c�C� yo - o , �1D - ��d �+o�el.•.�s �'or- A-es .� �°!/d�. - �. ' a � �Slb.td� I�C�K�/�ti i�s/ YQa,i-F,► �G�te � W Q f�Q5Q1(.�'r. �c-'�tr ro+ k.�E�` � 2 ,/ w06C 7`7r (�.DU�C d � � J � �MIOAIESATISFACTOR�F.PROCEED ❑PRWECTCOMPLETE W �CORRECT Y1bRK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advaru:e. (g52) 249-4600 OwnerlCoMractor on site: Inspector: �r , v� c�� White Copyllnspecto►'s File Canary CopylSite Notice E—" O � DAT-g� TIME � CITY OF ORONO CALLED IN 3'a`�' INSPECTION NOTIC SCHEDULED �� :lJ� PERMIT NO.� � S COMPLETED �_ ADDRESS OWNER L PHONE O. ��-7q0-�� CONTRACTOR � DESCRIPTION Ci� ' � ❑ FOOTING LUMBING FI ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL O M HANICAL I ❑ LAKESHORENVETLANDS vj ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ ppp(;qE� � O FINAL ❑ SEWER HOOK-UP p COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � j �O � O W � Q � W W � J O W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT Y1bRK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in adv . (952) 249-4600 OwnerlContractor on site: inspector: White Capyllnspector's File Cenary CopylSite Noties