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Home My WebLink About2017-01203 - plumbing • CITY OF ORONO 1 I I j 1 I I 1 I I L I1 I I I I I I 1 I I 1 II I 2750 KELLEY PARKWAY * 2017 - 012 3 DATE ISSUED: 09/28/22 017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 4105 HIGHWOOD RD PIN : 07-117-23-44-0014 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 016 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(4)BATHTUBS,(1)SHOWER,(2)KITCHEN SINKS,(2)DISPOSALS,(3)DISHWASHERS, (2)SILLCOCKS,(1)FLOOR DRAIN,(2)LAUNDRY TRAYS,(1)WATER HEATER,(1)WET BAR VALUATION OF PLUMBING 21000 APPLICANT PLUMBING FIXTURE FEE 262.50 STATE SURCHARGE PLBG(VALUATION) 10.50 LEGEND SERVICES,INC P 0 BOX 382 TOTAL 273.00 LORETTO,MN 55357- Payment(s) (763)479-5002 CHECK 8280 273.00 Minnesota State License#:plbg-PC644501,mech-MB005090 OWNER PETERSON,JASON 4105 HIGHWOOD RD MOUND,MN 55364- 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 ca e. imEuL /L6- /i Applicant P rite Signa re Date Issued Signature Date Sep 27 17 11:24a Legend Services Inc 763-479-6003 p.2 / 0 p City of Orono FOR CITY USE ONO/ \ P.O. Box 66 Date Received: "-f• al 7_;I/ • ) 2750 Kelley Parkway ± Crystal Bay,MN 55323 Permit# U 7 — •:' (952)249-4600-Main gxFSH„1-'`z (952)249-4616-Fax Approved By. Amount$: 1 /5; CITY OF ORONO— PLUMBING PERMIT c1 (All Commercial Permits Must be Approved by the State Prior to City Approval) httpalwww.dli.mn.govlCCLDlPDF/pe piumbplanrevapp.pdf GENERAL INFORMATION 1_ You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 5. All work must be inspected and air tested before it is covered. Call (952)249-4600. (24-48 hour notice required) TYPE OF PERM1T(Check All That Apply) RRcisidential ❑Commercial (Approval Required) [Backflow Device:❑AVB ❑PVBJ ew ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/Owner Information: ll Site Address: LI/C 5 t 11A Owner: -1�$C t1 /T 2 p .' Mailing Address: 5.i-P-e- City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: I- `j J d Ur Gf S X-PC Contact Person: Address: rb 60X 3f3a, State Bond#: 17(if 6'1 50/ City: La-te- f 0 Zip: 5 35 7 Expiration Date: )01)311/ 7 Phone: 7 3-- 2-17q- Alternate Phone: Etliisurance-Current: .444.7r, C.2wi - LS Page 1 Sep 271711:24a Legend Services Inc 763-479-6003 p.3 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT I 18T 2ND OTHER 1 FIXTURE BSMT 13T 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet I I 3 Floor Drains 1 Lavatory I I H Sewer Ejector Bathtub ! 3 Laundry Tray I j ShowerI Washer Kitchen Sink I 1 Water Heater i Disposal ( I Water Softener Dishwasher I -(``� i / Wet Bar f Sillcocks ‘)- Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2 /1 400 x .0125 $ .).6.A , sc (contract price) (minimum $50.00) 2. STATE SURCHARGE a r +?c9 a x.0005 $ /0. 5-O (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ A 73 * 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. 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: t 'ge iwflei, Date: 9 7-/ 7 Building Official/Inspector: Date: Page 2 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED lO - (p 3t0 C PERMIT NO.54.01,7-01,20-.) COMPLETTD ADDRESS 4065 "itth k OWNER TELEPHONE NO.1'I 71 CONTRACTOR 2-e4l EDESCRIPTION P/( ?-- ` W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: PC) G )2 ' V O 4 6-0L,0S Gi J r 7S' c;C o G✓.�'1ar �ne,S v/� cc OO cc CC ts.yIIORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC W 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN o STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on she: Inspector. White Copyllnspector's Flle Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE , SCHEDULED 1 Z 1 � II .. 60 PERMIT NO. I I - AO II COMPLETT ADDRESS LPO h wood 7� OWNER TELEPHONE NO.60i),- -) a9 CONTRACTOR /a-n& >. DESCRIPTION 9\ I P 1 with r U ❑ FOOTING ❑ DEMO-FINAL / 0 SEPTIC FINAL 4.Q ❑ POURED WALL PLUMBIN 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE t PLUMBING FINAL El TREE REMOVAL • ❑ LATHE MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ElSEPTIC INSTALL <--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COril MENTS: cc im peya' �'e - S4 r.‘4 c ccW / /i'P 4- — P�,.� z coo i.c0 11, c 4ortaU o &sa., e2K 1 co&A€k, - : , W CC Q 2 W Z W CC j d WCC RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY ,oielr O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra oonnsite: �I Inspector. (�% _, r .g White Copyllnspector's File Canary Copy/Site Notice b -:-.) CITY OF ORONO CALLED IN TE OTE TIME INSPECTION NOTICE ZD3 SCHEDULED 1fFY .r c2 PERMIT NO. /!`0 COM LETED ADDRESS &5 wto d. Rd OWNER JE HONE NO.7i 7f-500D— CONTRACTOR f 00 -- CONTRACTOR r0 GO DESCRIPTION J P/i" Flo LLI ❑ FOOTING 0 DEMO-PHQAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: (U I#inill Gnf..i�l, T f' -, asdl.) vS cc by /o+.1.1 -0 G 'a" /fes s1 a..rG d pg"' o #, PBL .f JoS'_2./.i cc 4// lira S 5Cr Q'1 J sal sod W "Ay -Y i h 0"0,d % Cir I�/ ' a . • j W CC 0 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY tZCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector: ' 4-7-r---.5.2.-3. A White Copyllnspectors File Canary Copy/Site Notice