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Home My WebLink About2013-01007 - plumbing CITY OF ORONO * 2 0 1 3 - 0 1 0 0 7� s 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2013 ORONO,MN 55356— (952) 249-4600 FAX: (952)249-4616 ADDRESS : 475 OXFORD RD PIN : OS-117-23-41-0010 LEGAL DESC : STIELOWS ADDN : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (7)WATER CLOSETS,(9)LAVATORIES,(2)BATHTUBS,(6)SHOWERS,(3)KITCHEN SINKS,(3)DISPOSALS, (3)DISHWASHERS,(5)SILLCOCKS,(5)FLOOR DRAINS,(1)LALJNDRY TRAY,(1)WASHER,(1)WATER SOFTENER (2)WET BARS,(5)GARAGE FLOOR DRAINS(1)GARAGE SINK VALUATION OF PLUMBING 61900 APPLICANT PLUMBING FIXTURE FEE 773.75 FREEDOM MECHANICAL STATE SURCHARGE PLBG(VALUATION) 30.95 8382 172ND AVE SE BECKER,MN 55308- TOTAL 804.70 (612)363-6190 Minnesota State License#: 004042PM OWNER CKO VACATION PROPERTIES 575 OXFORD ROAD MEDINA,MN 55340- . AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate pertnits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 SO days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This pertnit may be revok at or ue cause. %�;�� g��'�ao�3 q, 2�v�-C3 App licant Permitee Signature Date ssu d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,.i - FOR CITY�USE O1VLY �O A T City of Orono (�� r . 1 y P.O.Box 66 Date Received:`_��ermit# �/ D7 � 2750 Kelley Parkway D Crystal Bay,MN 55323 Approved By' Amount$:� (952)249-4600—Main (952)249-4616—Fax y�� `�` CITY OF ORONO—PLUMBING PERMIT '�kFSHo� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :Uwww.dli.mn. ov/CCLD/PDF/ e lumb 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 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 PEl�MIT . (Check All That A ly) �Residential ❑ Commercial(Approval Required) ,�,New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) 7ob Site/Owner Information: Site Address: '��5 �a-y`o2ct � Owner: ��t�2 �.�h?L Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Tnformation;. Contractor: �e�`v�c i�'�c Contact Person: �<</` �� Address: �,J'8�7�n�,� �(l 1a1 State Bond#: ��,,Z 1^6 City: Zip:�08 Expiration Date: /r��/� a�� ado o�yr Phone: Alternate Phone: �i� 363 6r y'o ❑ Insurance—Current: 1 ♦, . , . ' � , , . n � .M . Y , , - � � .. �, . ,4 x � �� ,, � x .: . . ' � :�4 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains � r 7 E � Lavatory � � � Sewer Ejector Bathtub / ' Laundry Tray � Shower � / � Washer r Kitchen Sink / I I Water Heater � Disposal � l � Water Softener r ! Dishwasher / l � Wet Bar � l Sillcocks � Miscellaneous (� �l o�' ��z� —S a� ❑ 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 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 � , ,.. ,. � - �- ,....,. � � . „ - r4C. �'`:' � "„ .N. .. , ..-. . ai � ' � � � ' ' �. � r r1:�. " .._i..��,... � . •rp' t• - -,,e m...: �rs, � ... , � 3 «. -� ..i�.. .,.�..�.-, ., . .. . �-. .. . _...:5 ._ .... If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �/, `/'DO� x.0125$ �contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� '�D ■ * 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. � � �. :�� . �. av b.. . .�. . ,��.,�,� �� . �. � ��y � � ° � �, � 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: ��%�-c_ Date: j�vZ��i�ZOl.3 3 � `� /. �� TIME �� CITY RONO CALLED IN �_�� INSPECTION OTICE SCHEDULED /�� PERMIT NO. O ��^I P� o ADDRESS OWNER T HONE O '- '� CONTRACTOR - � DESCRIPTION I ` —�L � �/,v � � ❑ FOOTING ❑ PL ING FINAL ❑ EXCAV/GRADING/FILUNG Q ❑ POURED WALL ❑ M C ANICAL RI ❑ tAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ��/L ��' p, IC � 0 �. � 0 � W � Q � z W � W � � W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE i W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETtJRN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next ins on 24 hours irt advance. (952) 249-4600 Owner/Contract r -� Inspector. White Copyllnspector's File Canary CopylSfte Notice �� DATE TIME �/ CITY OF ORONO CALLED IN /f-Z/-!� INSPECTION OTICE SCHEDULED ��- o?�!3 l� PERMIT N . � `�� OMPL ED ADDRESS OW N ER T E�.��1/L-C C: N� ' D� CONTRACTOR � - /Gf L�� DESCRIPTION v� /U � ly ❑ FOOTING P UMBING INAL;� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ��❑ ECHANICAL R ❑ LAKESHORFJWETLANDS y ❑ FRAMING MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: o� W C j � l � � � 1 c� 0 � W �_ 4 � � �� Q � � W � W � � � d � RKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on s' e: Inspector. ,� White Copylinspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �_ PERMIT NO.��' •DlGts1 COMPLEfED '-�"'� ADDRESS�,7�'� ��'Q L� OWNER TELEPHONE NO. CONTRACTOR �ree�d�w� �'�I� . � DESCRIPTION O��• �� ❑ FOOTING �PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL '❑�ECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP � O DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: dYI�Kd - „Ot I�D(,Qr•� � a _� Pro�,b� TP2 I/Qlvi .l•a��a � w�il.�; /�'" � D� �lv� O 1 • � � � MoC.��S YaIOC rw L.L• �rsr rr�C��r �u�L� �� O � � � ��6O /�f?�.r� S�i�� . idoa�o•� �! Si•r,E + W �1 �+ • � " �C�/�Lf� S�K . a/]L?[�elr 'V— {ciasS�C N't4s�✓ Q /T Z6 f�tD�c�✓ — „ � ��'f�$/� ct- (�.�� ✓ /'�e c�g��r.L�!/�.., W � j W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR �J�ISPECTION REQUIRED.CALL TO AFiRANGE ACCESS. cau ion 24 hours in advance. (952) 249-4600 Ow ctor on site• ��% Inspector: �'" White CopyAnspector's File Canary CopylSfte Notke ��► p TIME � �----- /�-'� CITY OF ORONO CALLED IN INSPECTION TIC SCHEDULED L�� w� PERMIT NO. � -� ��COMPLEfED ADDRESS / J/II� OWNER TELEPH NE NO � 7� �`� CONTRACTOR ��-��'�� ; DESCRIPTION ` � � � ❑ FOOTtNG ❑ PLUMBING I AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANI� RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL C� FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO n � j ��1�� v�, C6MMENTS: r�� W a � � O ). � O � W � Q � 2 W w � � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJ COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan 49-46�� OwnedContractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice