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Home My WebLink About2014-00228 - multiple fixtures � CITY OF ORONO * z 0 1 4�-�P1 0 2 2 B * ` 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2014 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 1453 PARK DR PIN : 07-117-23-42-0022 LEGAL DESC : SAGA HILL REVISED : LOT 009 BLOCK O15 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)FLOOR DRAIN AND(1)WASHER VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 STATE SURCHARGE PLBG(VALUATION) 4.00 BOB JASPER PLUMBING 5840 ENSIGN AVE N TOTAL 104.00 NEW HOPE, MN 55428- Payment(s) (763)234-7240 CHECK 7166 104.00 Minnesota State License#: plbg-059797 OWNER O'KEEFE,JUSTIN&NICOLE 1453 PARK DRIVE MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not comme within 1 SO days of the date of issuance,or if construction is su nded r a riod s at any time after work has commenced. he appli nt r�spo s e f uring all required inspections are requeste in n�rma ' the tate Building Code.This permit may be evok at a y me use. ,� _ � Q�� ,�.-EC-- iu ✓ A icant Per itee Signat r Da Is ed By Signature Date # FOR CITY USE ONLY � City of Orono �-�� P.O.Box 66 Date Received: Permit# � 2750 Keiley Pazkway Crystal Bay,MN 55323 Approved By; Amount$: (952)249-4600—Main (952)249-4616—Fax yF�q ��` CITY OF ORONO—PLUMBING PERMIT K�sHo� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :Uwwvv.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 o�ces. 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'pE�IT , (Check All That.A ly) '' �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner`Information: '- �� Site Address: !� � � Owner: �� P��"�� C: Mailing Address: City: ��'Z�''i`� Zip: q�p � Home Phone: GP��' ��a ` � ` � Alternate Phone: Contractor Tnformation: Contractor: � ��cl Contact Person: Address: ?��7D��j 1 G� ,�S j�p State Bond#: d�r `1 � l � "I /" I City: ��/��'�" � ��p7�� Expiration Date: � �'� �1� Phone: �� 3"�"r �� 7v . �� d�� ❑ Insurance—Current: 1 � , .� � � . � _ � �, , . .��. �� ;-�� =� ��, .,r �� €, � �' �� +«?n�+i'.5 ��cp i FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains 1! V\ Lavatory � Sewer Ejector Bathtub Laundry Tray Shower '�(' Washer � � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixture or a�pliance 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; 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 , �"��'� � ,4�. ��' '� �.,,�y', , xi� f ".r'n � �. �..,�.: �-� � � �� ,-� ��, If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �VUIJ iu/ 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) $ • * 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. '.s fit"' �.�..,, s.,. .T. v-. ._;.. ., t �. ., ._. ... . ,... : -. r;..,. . . ,.._ 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 a s nts made on this application are complete, true and correct. ,� J / Applicant's Signature: Date: � � 3 � � � DATE TIME � CITY OF ORONO CALLED IN ��'�/` � -� INSPECTION�O�ICE/_� n'dSCHEDULED o�• �� PERMIT NO. `f °`'�`a CO LEfED � ADDRESS l �i%T.�-- �! I (/`e� OWNER TELEPHO �O. - y'7d�D CONTRACTOR � DESCRIPTION �''�" — � ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FIWNG y ❑ POURED WALL ❑ MEC ICAL RI � LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOpD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNbATION/REMOVAL 2 OWNERK:ONTRACTOR TO MEET YiOU;,�.YES_NO y COMMENTS: L`� C� � /�<.516i?'� a � � . • �S�ow � �✓, C F/�. aDr � o �rs,� �S� W�cs�e.� �1 c�r�•w �a� �n�. '' d� w v - s c,{. 40 1�v � ►e� i K�o � � l� � S al- C �,SL� ��an / Nc� - �l��i W Q (�dLED�► rts t � � D� �t-- ��e .i � -- W � 3 a � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. a for the nex ion 24 hours in advance. (952) 249-4600 nerlContractor on sit • � ' Inspector: White Copyllnspector's File Canary CopylSite Notiee 71G/' DATE TIME V CITY OF ORONO CALLED IN S- INSPECTION� SCHEDULED � :D PERMIT NO. - COMPLETED ADDRESS_�I�S3 U'G�-� � OWNER TELEPHONE O Z Z CONTRACTOR �� — �0 ��/�� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENYEfLANDS "j O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � COMPUUNT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 ERlCONTMCTOR TO MEET Y�OU:_YES_NO � COMMENTS: � � , o ,r� a� O W � Q � W � W � J d W� RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W RRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call br the next inspection 24 hours in a ance. (g5 9-46QQ OwnedContractor on site: Inspector: '� White CopyllnspectoPs File nary CopylSlte Notke � DATE TIME � CITY OF ORONO CALLED IN � / INSPECTION NOTIC Zz SCHEDULED "�� `'aI PERMIT NO.o'�� '�Q �COMPLETED ADDRESS /�53 �� OWNER TELEPHONE NO. z�� Z�y 7Z�p CONTRACTOR ��Q L —�� DESCRIPTION �/`.S'-��m��9 ` ! ��` � � � ❑ FOOTING �LUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE O SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP p PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � �! 4J�LG` ✓ �'laSr�� 8� �l�i 4✓'�5 � ��1 � � � O � L. G• �/a4��f�ao.� � 0 � W � �O� r�� '{ .OQ i�tZ �l rl4�t� Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W �C6RRECT WORK 8 PROCEED ❑ ISSLIE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� Ownerf ontractor on site: Inspector. �""" White Copyllnspector's File Canary CopylSite Notice