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Home My WebLink About2014-01347 - plumbing � CITY OF ORONO * 2 P1 1 4 - PJ 1 3 4 7 * �� ,� 2750 KELLEY PARKWAY DATE ISSUED: 1 U19/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 A��aEss : �22 sco ciR �jbpS jC�,�� iY�-1� �s�; '�,''nc-� � -�' e. .� PIIV . 20-I 17-23-43-0056 S��, �,�, r� (�� LEGAL DESC : SPRING PARK �, r �l�� : LOT MB BLOCK MB PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO�I�E: 2 WA'I'ER CLOSETS.3 LAVATORY. I SHOWER.2 KITCHI�;N SINK, 1 DISPOSAL. I DISHWASHER. I MISCELLnNEOUS VALUATION OF PLUMBING 6000 APPLICAIYT PLUMBING FIX"1�URE FFE 75.00 STATE SURCHARGE PLBG (VALUATION) 3.00 VAN WINKLE PLUMBING TOTAL 78.00 5430 TEAL ST BIG LAKE, MN 55309- Payment(s) (612)599-2124 CHECK 1751 78.00 Minnesota State License#: pibg-0057�6 OWNER O'ROURKE,JAMES I I 81 VAGABOND CT N PLYMOUTH, MN 55447- AGREEMENT AND SWORN STATEMENT l�he�cork fbr tihich this permit is issued shall be perfonned accordin;ro the approved plans and specitications,applicable City�appro��als,and the State Building Code. This permit is for only the work described and does not crant permission for additional or related work which requires separate permits. All provisions of laws and ordinances govemin�this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance.or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Ruilding Code.This permit ma��be revoked at am�time for due cause. �� / �� ,� ,Q � �� `-�`= / / Applicant Permitee Si�nature [)ate Issued 13�� Signature Date I�� S� ./' ,� FOR CITY USE ONLY � � O City of Orono t � � P.O.Box 66 Date Received: Permit# � 2'750 Kelley Pazkway Crystal Bay,MN 55323 Approved By:; Amount$: (952)249-4600—Main (952)249-4616—Fax y� �` CITY OF ORONO—PLUMBING PERMIT !q'FESHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.clli.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 pertnit 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 A11 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) Job Site/Owner Information: Site Address: � G ��d�U G �G��"��` Owner: S� P U e. G P r� �J P/ Mailing Address: 3� D Y�� y��D City: �y�n G Zip: Home Phone: ��G `� S.P �r y l Alternate Phone: Contractor Information: � , Contractor: ��" �'`�'" � �� P I�°1 h � ^C�ontact Person: ✓�o� S`I3G r1"P�( Sf PC (�1�701 Address: State Bond#: City: �'� �'°h� Zip:�� Expiration Date: �`2 � �r — �5 Phone: � f°'� S �( °2 r �� Alternate Phone: ❑ Insurance—Current: 1 1. � ` � � � �'��„�� a� � � � .� �� f, �' � �' ,;� �� '��.� �.�� .,.�,'fi � � �� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory � Sewer Ejector Bathtub Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal r Water Softener Dishwasher / Wet Bar Sillcocks Miscellaneous � ❑ 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 electricai or gas service. 2. Has a total cost of$500.00 or less;excludine 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 � , � • � � # � � a� �� , � ,,� ��, ,,��;e�� }:'��,��)�'� � T��. ��:= ..� .�,��`� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � ��v x.0125 $ (contract 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 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 pariy, 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. YM.��,�'��x�e`��"`�.. - � .r �: � �r_ ,�..t �.,.ze. .,,��: . .,. r.� � ��.'� m, t, �� ,� � �. ,....��k. �.-. •�� a.,� 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: �ti+ V�h W�- Date: [ / /� �� 3 �� ) Df� , DATE TIME '� CITY OF ORONO CA�LED IN INSPECTION N T�E, . SCHEDULED l � I �� t�t� PERMIT NO. �U ' � COMPLETED ADDRESS �� -��_�` ��T�� l�--1—�V� OWNER TELEPHON NO. �4 ��Q�� CONTRACTOR �Q� 1�1�1K��= ��(u7?��. � DESCRIPTION ��i�-�-i�l'1 !!/► � ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA ING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETL4NDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO YES_NO � COMMENTS: a �.�-�- 9�� tv�iur� ,si/lk �- /$'f�i�/ ��K�IC ' o D� y s�,,�` C�,� /Ol�� ` f/e�P �i1LY"O '' ��5�rK�,►'�GJ� ` S�rC �j �!/G � � 0 � Q ..5� f��r �es� �� i�«< — � W � � -r��a� e ✓ w � � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEEO ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (J52� 249-46�0 OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice �� AT TI � CITY OF ORONO CALLED IN C � INSPECTIO O I `�� SCHEDULED � PERMIT N �d �COMPLETED ADDRESS�,� C��C�r'� � OWNER T E NO. �' -2-� CONTRACTOR � �; DESCRIPTION S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TAEE 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: a W � j � O �. � O � W � Q � / 2 W � W � � W ❑W SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau for the next i spection 24 hou ' advance. (952) 249-4600 OwnerfContractor on si Inspector. White Copyllnsp tor's File Canary CopylSite Notice .Zr� r � TE TIME�j CITY OF ORONO CALLED IN " INSPECTION NOTIC _D!3 �SCHEDULED �/.h ,�� PERMIT NO COMP o ADDRESS �(�I"�� OWNER � LEPH NO ��Z53 1� CONTRACTOR �; DESCRIPTION �� ly ❑ FOOTING ❑ DEMO- INAL PTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI f EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATtON ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � J O � � O � � ,n � i�� a W � W � � � W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W- O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. 952� 249-4600 ; OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice