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Home My WebLink About2015-00779 - plumbing CITY OF ORONO * Z p� 1 5 - 0 0 7 7 9 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015 � ORONO, MN 55356- 952 249-4600 FAX: 952) 249-4616 ADDRESS : 517 FERNDALE RD N PIIV : 36-118-23-14-0007 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (7)WATER CLOSETS,(11)LAVATORIES,(3)BATHTUBS,(4)SHOWERS,(2)KITCHEN SINKS,(3)DISPOSALS,(3) DISHWASHERS,(2)SILLCOCKS,(3)FLOOR DRAINS,(1)SEWER EJECTOR,(2)WASHER,(1)WATER HEATER,(1)WET BAR VALUATION OF PLUMBING 22000 APPLICANT PLUMBING FIXTURE FEE 275.00 STATE SURCHARGE PLBG(VALUATION) 11.00 SERVIN PLUMBING&HEATING 24752 705TH AVE TOTAL 286.00 DASSEL, MN 55325 Payment(s) CREDIT CARD 4098 286.00 (320)275-0190 OWNER BURNET,RALPH&PEGGY 392 FERNDALE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoke at ny time for due cause. � �"'� -`-�`�`rSrt� � l�LI/ l / � p icant Perm tee Signature Date Issued Signature Date FOR CTfY DSE ONLY � ' �O�O City of Orono P.O.Box 66 Date Received: Permit tF 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y�' �` CITY OF ORONO-PLUMBING PERMIT t�k�SH�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :Uwv��vv.clli.mn. oF/CCLD/PDF/ e lumb lanreva . df GENERAL INFORIv1ATION 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 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 ly) �Residential ❑Commercial(Approval Required) �-�Iew ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Ixiformation: Site Address: _�1`l FGY v`. n.l � ,(/ Owner: � o �q,��i N•t s Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: S�Y �;,� �lti.w�.bi v�� Contact Person: Ti rti Y� ,•,� Address: �l-(-�5Z �b 5��+�'�- State Bond#: � t��{�'j-j�� SS zS- City: �aSSe.\ Zip: Expiration Date: Phone: .�ZU �-94'0 -��OG, Alternate Phone: ❑ Insurance-Current: 1 PLUMBING FIXTURES 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 / � l' Bathtub ,Z � Laundry Tray Shower ' � � Washer ` � Kitchen Sink � Water Heater � Disposa] f Z Water Softener l Dishwasher � � Wet Bar � Sillcocks ,Z Miscellaneous PERMIT FEE �ALCULATIOi�T(S) BASED OFF-20D2 STATE STATUE � ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of tbe following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ 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 ' PEItM�T FEE CALCULATIflN S --JOBS OUER$500.00 ` If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.2 %of contract price with a(Minimum Fee of$50.00) 2 x .0125$ (c ntract price) (minimum$50.00) 2. STATESURCHARGE 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 materiais, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any materiai, 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. PLLTMBING PE�MI`T APPLICA'TION�1GR�EN�NT 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: � (� �� i 3 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. z��J�—�d 7�9 COMPLETED Z I � l�/� .., ADDRESS �"� OWNER TELEPHO E NO. CONTRACTOR �U��v � e�%�� DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL `�LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ 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 ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ° COMMENTS: �ara� 2 �Gt��LS � W a o ��'a9 e �'c , n �-p��i - ��,�-� � om ° � , r' '1/'4 n ho�r W • Q l'iR d ��,�1�'1 C �/� //t �O �Yv171%C �S�S�C'�'� � z W � W � j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 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. (g52) 249-46�0 OwnerfContra on site: Inspector. ' White Copyflnspector's File Canary CopylSite Notice L� �� DATE TIME CITY OF ORONO cnLLED IN �"'� INSPECTION NOTICE SCHEDULED �+/S F�S= a PERMRNOo'��5"�� COMPLETED ADDRESS � �� d ��2 � OWNER � � �IONE Or��'S�� CONTRACTOR �J� ✓� ID � DESCRIPTION �� ✓� t~y ❑ FOOTING ❑ DE - INAL ❑ SEPTIC FINAL Q ❑ POURED WALL �•2� G RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 01MNERICONTRACTOR TO MEET YiOU:_YES_NO c�n COMMENTS: � 4 o U- �, - ,n r� v - �1 �s s�. 4r� - �. � ° �� .;- �� s �� - •Ks W � Q � �' e�.vt.0� � `� wEl%�r'1 h�� ro..� W ' g `t"!�`rpG�i c �o r�/" � �.E�f� `� w . ' • j ,�•h �ti.,n, propsv ,p,L�c�( � O W� ❑VYORK SATISFACTOFlY:PROCEED ❑PROJECT COMPLETE �RAECT VYORK 8 PROCEED O ISSUE CERT�FICATE OF OCCUPANCY � ❑CARRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECObERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours�c�vance. (952) 249-4600 OwnedContractor on site: G�G � Inspector. White CopyllnspectoPa File Cenary CopylSNe Notiee �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTI� C SCHEDULED Z� �� PERMIT NO. �� I� lr%T; I�r I COMPLEfED ADDRESS �� I � �—�1��.l.� �'l_f i' �I � OWNER TELEPHONE NO. ��` �'� %�� CONTRACTOR �F'R�� I I1� � DESCRIPTION �c �� `�t"� t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING v3 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ 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-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ E TIC INSTALL 2 OWNERICOHTRACTOR TO MEEf YOU: YES_NO c�n COMM NTS: o� � •'� s u�' -G —' � 1 - ��a��i � J O . )., �� .. � `�� Y-' ;�f� l%` l �"y�% r, O �/ ! 1 y' � !" �i�') b�!`'�-.�� >i�Z r.t' ' � ,�, l', �'�..�'_Sl(/('�v�`f'YiC��' � � ° f Q / � 2 �!f 1 ' n � d '�- � 7 � �C[c l �l4.7��5 `� �.,� � 1 J O W� O WORK SATISFACTORY:PFiOCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ��ORE CdVERiNG PERMANENT �� ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advanoe. (g52) 249-46�� OwnedContr�¢r on site: _. � , .� Inspector:;��r'�'"'��,�_ —7 WhiM Copyllnspecto�'s File Canary CopylSHe Notice ��c' /�� , �a�. �4 { �� •>.��DAT,E�� TIME CITY OF ORONO ��nLE�D�N o�o! � � INSPECTION NOTICE SCHEDULED � —' ��- � PERMIT NO. �Q Ls��9 COMPLETED � ADDRESS �`�Z 7`�/�-�'(.A:�-e�� c- OWNER T.��PHONE NO��-33�3-g�3-3 CONTRACT�R �LL� f� X � DESCRIPTION �' ly ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: %I�IDNO — l.� /�6/�� ' � ' � or t�✓es - s� + 5c�� . � � �° /'�!( I�JOrI� Co w�,p/�t�, — ,�l.�.c�Z� ��z�� W 2 Q � rewv,v 2 rdo� Vrc.t7i L4/� 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECTVYORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca " spection 24 hours in advance. (g52) 249-46�0 Ow rIC ntra r on site: ��G� Inspector. White Copyllnspector's Ffle Canary CopyfSite Notice � DATE TIME CITY OF ORONO CALLED IN o7 0�'� INSPECTION NOTICE SCHEDULED - — �� PERMIT NO. �(��s��9 COMPLETED � ADDRESS �`7 '�L-� � OWNER TF �PHONE NO��-33,3 -8S� CONTRACTOR ��L� f�` � � DESCRIPTION �' tN ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ,/'I�DND — l.7 /�6/�� r O ��✓ef .. Se� {~ SG�9.'�dd�— ). � /�l � ��/- � �� l�/D I'�6 CD r►'l iQ��i�. ' ,�.rn.t�� -f f✓l 4f�� W � Q �' 1"ewtU v 2 rd J� I��ti L4�/� 2 W � W � 1 J d W� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca ' spection 24 hours in advance. (952) 249-4600 Ow rIC tra r on site: ��G� Inspector. White Copyllnspector's File Canary CopylSite Notke