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Home My WebLink About2014-01486 - plumbing ., CITY OF ORONO * Z 0 1 4 — fd 1 4 B 6 * 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2014 ORONO, MN 55356- 952 249-4600 FAX: 952)249-4616 ADDRESS : 2720 PHEASANT RD PIN : 21-117-23-23-0052 LEGAL DESC : YALE SMILEY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW PLUMBING FIXTURES: SINK-DISPOSAL-DISHWASHER VALUATION OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.50 RIDGE,MARK TOTAL 51.50 2720 PHEASANT RD Payment(s) EXCELSIOR,MN 55331- CHECK 7455 51.50 OWNER RIDGE, MARK 2720 PHEASANT RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer work has commenced. The appiicant is responsible for assuring all required inspections are requested in formanc ith the State Building Code.This permit may be revo at y time fo e cause. - � 3('i '� '7 / ,�1� �` Appli ant Pe itee Signat Date Iss d By Signature Date • F R CITY CJSE ONLY ; O City of Orono � �(� �/ � n/ P.O.Box 66 Date Receive : Permit 16C�K� /- 1' � 2750 Keliey Parkway Crystai Bay,MN 55323 Approved By: Amount$: �l• (952)249-4600-Main � � (952)249-4616-Fax yF �c�` CITY OF ORONO—PLUMBING PERMIT l�kf 5 H O� (All Commercial Permits Must be Approved by the State Prior to City Approval) t�tt�://��w�w°.dli.mn. o��ICCLD/PDF/ e �tumb�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 wark must be done in accardance 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 A 1 �Residential ❑ Commercial(Approval Required) �New �Additional q ,. ❑Repairs, ❑Replace C�� G. �� - �,�x*►� �'L�.,-��,�`'`'�Y'� ❑ In Accesso Structure? *You will need arior aaproval and may need Cl!P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � Z �-v ��Y`'C�-�C�,�� (,i� , T I�... (L� � Owner:__ �G�,J 1 �J2. Mailing Address: 5��- City: ()/'G✓�C� Zip: �5�.�� Home Phone: �� L ^ �G,, ' 3� Alternate Phone: Contractor Information: Contractor: �v"`�V��'�C/ Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 �I" d ' , � If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 3-C�C�C� x.0125$ (ont�act price) (minimum SS0.00) 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 Sxed costs. It is the amount to be chazged 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. 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 statemen made on this application are complete, true and correct. , Applicant's Signature: � Date: �� 3 +� 1 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink 1� Water Heater �� Disposal � Water Softener Dishwasher � Wet Baz Sillcocks Miscellaneous ❑ Yes,tlus section applies T'he replacement of onty one Residential fixture or a,upliance that meets a(1 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 Fee.c Continued On Next Page) 2 �-� � 2� DATE TIME CITY OF ORONO CALLED IN �_�� INSPECTIUN N T CE SCHEDULED � �•�� PERMIT NO. �� COMPLETED ADDRESS a 7 v OWNER ELEPHONE NO.��-g�3$'2� CONTRACTOR � �; DESCRIPTION �'�� v � " `� �� t~li ❑ FOOTING ❑ P 81 FINAL Q EXCAV/GRADING/FILLING � ❑ POURED WALL CHA CAL RI ❑ IAKESHORFJWETLANDS h 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 � ❑ DEM -SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP W ❑ D O-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J LUMB�NG RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL 2 W ERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O �r � � � � � � Q � 2 W � W � � J W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �. ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF O CUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in (952) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice �l �J Cc\7VY �O uA� TI .,. CITY OF ORONO CAILED IN /� INSPECTION NOTICE SCHEDULED ( PERMIT NO. ?�1 U �'b��OMPLETED ADDRESS 2- �--�- Cc�/T� OWNER � �'�- �TELEPHONE NO. � � �� CONTRACTOR , � DESCRIPTION q-� 1 V� c-�` � I l�f/V�� ' ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF �eLUMBING 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 J ❑ DEMO-SITE ❑ IC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO�YOU• YES_NO c�� y COMMENTS: � � � � a ��s� � o �S� �C C`o�,�le�e � G-,0��'S �J`� �. � 0 � W - � � �o✓v►�-Zi 't//zfi�B� Q � 2 W � W � J � ❑WORK SATISFACTORY:PROCEED 1�6C}EET COMPLEfE � ❑CARRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra or on site: Inspector. �-- White Copyllnspector's Flle Canary CopylSite Notiee