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Home My WebLink About2014-01191 - plumbing ]HEM 1111111 CITY OF ORONO * z 0 1 4 -ll0 lll > 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2014 ORONO, MN 55356- '►5d (952) 249-4600 FAX: (952) 249-4616 ADDRESS -NORTHERN AVE PIN : 17-117-23-34-0002 LEGAL DESC REG,LAND SURVEY NO.0763 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1) DISPOSAL,(1)DISHWASHER, (2)SILLCOCKS,(1)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)ICE MAKER VALUATION OF PLUMBING 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.50 22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00 MN 55070- TOTAL 197.00 (763)753-3373 Payment(s) CHECK 18892 197.00 OWNER Real Assets 11,LLC 550 25TH AVE N ST CLOUD,MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ApplicanT Permitee Signature 4"t':Z/Z_ ISSLVIBy Signature Date City of Orono RECEIVED F R CYFY USE ONLY #/YjP.O.Box 66 Date ReceiPermit#'-o��/ 2750 Kelley Parkway OCT 142 1 17AD Crystal Bay,MN 55323 pproved By: Amount$: � (952)249-4600—Main (952)249-4616—Fax CITY OF Oft Ow s� c` CITY OF ORONO—PLUMBING PERMIT rs HO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.i!ov/CCLD/PDF/pe plumbylanrevapp.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. 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) *New ❑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: Site Address: o Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: N o Y•►'v-, / Contractor: Pq'0k-e` Contact Person: 1(�yer`�a�•�c-�,r, 2 ZSq o Address: 9,vvw.Q;ve-. R ki f State Bond#: City: S-, �a v�cA Zip: S150l 6 Expiration Date: I t/ ► Phone: Alternate Phone: kk IL —h (rt -10 2) ❑ Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT IST 2m OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet ' 2 Floor Drains Lavatory I I S Sewer Ejector Bathtub Laundry Tray ` Shower Washer 1 Kitchen Sink Water Heater Disposal ( Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous i c� ma PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or ap1p iance 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;excluding 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 PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 5, o(D U x.0125$ lo. 'sD (contract price) (minimum$50.00) 2. STATE SURCHARGE I ( on x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ -1 , U ■ * 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: Date: X to 3 CITY OF ORONO CALLED IN d 1 C «,� INSPECTIO"�I E�l1q, SCHEDULED Z!o — PERMIT NO,y' ' COMPLETED ADDRESS OWNER TELEPHONE NO J(O(Z ' (o 9 2-025 CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ EXCAV/GRADING/FILLING C ❑ 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 W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS- 0 0 W 0C Q W W j d W RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc W ❑ CT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V SEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATIO/ISWSUE ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 ho In adva i9r) 249-4600 Otlm dContractor on site: Inspector. White CopyAnspectoes File Canary Copy/She Notice lam+ SQ �j DATE/`, TI E CITY OF ORONO ED IN INSPECTION NOTICE SCHEDULED 4v;L PERMIT NO.�� /COMPjETED ADDRESS J V OWNER T EPHO CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DE FINAL S PTIC FINAL Q ❑ POURED WALL ❑ PL M ING RI ❑ EXCAV/GRADING/FILLING ti ❑ 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 v ❑ DEMO-SITE EVEPTIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: CC W CCa J M O cc O aAX Aly le W cc Q 2 W Z W cc J d WXORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 4RECT WORK 8,PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hurs in advance. (9 49-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary CopylS to Notice DATE TIME- CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /;7C-)/1 PERMIT NO. 2LL9-Ul I Q COMPLETED n ADDRESS 3-7 5c; OWNER TE PHONE NO. / CONTRACTOR DESCRIPTION V ! S(�� L✓�'1 /5�1— W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 2 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑VEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO TO M�YOu: YES_NO COMMENTS: �54 q/. LU . C• le�L — �w v LU CC K Zr G pve 0 W cc Q 2 W W CC j G1W&AW6RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE Cr W ❑CORRECT WORK&PROCEED 1-1ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED • STOP ORDER POSTED.CALL INSPECTOR LJ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. Whi Copyllnspector's File Canary Copy/Site Notice E E _0W CITY OF ORONO CALLED IN INSPECTION NOTICE 011V SCHEDULED , ' PERMIT NO. 2 Uj6 7 COMPLETED ,' ADDRESS 315 61 OWNER 11", �,,� TELEPHONE CONTRACTOR �'"'t �� DESCRIPTION W ❑ 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 ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W O QC O W c Q 2 W Cr. J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORKS PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E]CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. OQ Owner/Contractor on site: Inspector. White CopyAnspectoes File Canary Copy/Site Notice