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Home My WebLink About2014-01404 - plumbing � • CITY OF ORONO * z 0 1 4 - 0 1 4 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 12/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2680 PHEASANT RD PIN : 21-117-23-23-0020 LEGAL DESC : PHEASANT LAWN : LOT 020 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTF,: 2 WATER CLOSETS,3 LAVAI�ORIF,S, 1 E3ATH"[�UB,2 SHOWERS VALUATION OF PLUMBING 3500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 1.75 SANTEMA PLUMBING, INC. TOTAL S1.75 4407 LOCKE AVE SW Payment(s) COKATO, MN 55321 CREDIT CARD 4719 51.75 �) Minnesota State License#: BUIL-004065PM OWIYER DOLLIFF, MATTNEW& KATHY 2680 PHEASANT RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work deseribed and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speciYied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in confonnance with the State Building Code.This permit may be � revoked at any time for due cause. /"_� �', �5\Y Y �' l� � ! �-.�.... ��---- � o � '� ��--�--i� %.�-�'''/5/ / / Applicant Permitee Signature Date � Issued By Signaturc Date I � ' FOR CITY USE ONLY � �O� City of Orono � (� O P.O.Box 66 Date Received: Permit# , (, 27�0 Kelley Parkway �'� Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main -� �. (952)249-4616—Fax y� c,` CITY OF ORONO — PLUMBING PERMIT t�kESHo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :Uw��w.dli.n�n. ov/CCLD/PDF/�e ilumb �l�inreva� . df' GENERAL INFORMATION 1. You may apply for plumbing permits by mail ar 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) r�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 Addres��1 ��is�� :-�'�` �a�d n / , l Owner: Lc+�( , � Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: / � Contractor: ��i(�� Y'�(�� Contact Person: -��v � Address: `%y��L�.e �� fi�� `�� State Bond #: �C(y� 7�7y City: � • � Zip:S�3.�� Expiration Date: /�— ��"`/ S Phone: C�u �,��l/C ~�/��( Alternate Phone: ❑ Insurance—Current: �,� � 1 * , � `��t� 44E`,��tt�.��.,��t�w��1 u '� 1" �• �� .. .x ;?�`�' ?� �' ,S 3 � '�a,"n�. r-r-� t�F FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains ( Lavatory � � Sewer Ejector Bathtub 1 Laundry Tray Shower � r Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous , ,�. _: �� s�� ❑ 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 1 ' �N,F a�n*�'� f ��` �� .�.. A y� � � "��"��^�' ��.7SI�a 3I11`��"��,.,'��a�&��i If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �3�a o X.oi2s $ (contract price) (minimum$50.00) 2. STATESURCHARGE x.0005 $ (conVact 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. �^�� K'.,��`i$-�`,s�5� "�,-'7}� � � `, .s;"`�v��`+�.� ,±��"`.. 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: /a—�`�—�� 3 �•iw , DATE TIM E CITY OF RONO CALLED IN � i�� INSPECTION NOTICE ,/�,�sqr�EDULED /i7z'.S! /�d � PERMIT NO�� "D��[J�MPLEfED ADDRESS � �O Q � '��q� ��- OWNER TELE Q E NO. CONTRACTOR � �; DESCRIPTION � 4i ❑ FOOTING LUMBI FIN ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ECHANICAL RI ❑ LAKESHORE/WETLANDS H O ❑ 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 O SEPTIC INSTALL ❑ HARD COVER REMOVAL J �LUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL 2�OWNERICONTRACTOR TO MEET YOU:_YES_NO V�S4�� c�n COMMENTS: RZ �a�' L,L. �,/r- �N�G. Y !4u � � . � _ , a fev✓►�i�I.r K< <w ��c i 1%�.c�'�s - cr'7.��✓�r �a,,�, ' � � ,� /�BS �,:o �— �.s�.st,.� P�/G d�kl v w/�,�•ss�o., 0 � �'6�/i�.r - 0 � Q /'N4�✓ 6 r.►�e �i/'I�r� n.�- /'e`.,�,aQ+G I— � ��!/- �Cy �� TO �� .O Q��c�� Ni f �� W �Sfi/1� Ll0 l�/ IvreSf�on, �JKD/��f � � � L'QG�d J d W SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. next inspection 24 hours in advance. (952) 249-46�0 Ow rlContractor on ' '� Inspecto . 'e Copyllnspector's File Canary CopylSite Notice �� DATE TIME N CITY OF ORONO C ED IN INSPECTION OTICE / SCHEDULED PERMIT NO. ' �/ COMPLEfED ADDRESS � OWNER TELEPHONE NO. �'� .��G CONTRACTOR � � e� � � � DESCRIPTION �� ` � ty ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ HARD COVER REMOVAL _ v ❑ DEMO-SITE PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONT�� YES_NO � COMMENTS: � W a � J O � � O � W � G Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: ' '' f Inspector. �-%� White Copyllnspector's File Canary CopylSfte Notice