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Home My WebLink About2016-01139 - plumbing � r .n CITY OF ORONO � 0 1 6 — 0 1 1 3 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2725 PHEASANT RD PIN : 21-117-23-23-0024 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.00 CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 3670 DODD ROAD-SUITE 100 TOTAL 53.00 EAGAN,MN 55123- Payment(s) Minnesota State License#:plbg-PC000308,mech-MB005365 CHECK 33374 53.00 OWNER SEIFERT,THOMAS&DARYL 2725 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 perrr►it 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 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 I80 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ,� // / /v Applican Permitee Signature Date Issued B gnature Date � • , ' , '�p� � City ot.Orono. RECEIVED FOR.CITY.USE QNL�Y O `�. P.O. Box 66 Date Received: C1 ��Gl'�� 'i 2750 Kelley Parkway SEP 1 9 Z016 Permit# �� ' �� ,' a � � Crystal Bay, MN 55323 ,�,1�, �=,' (952)249-4600—Main ''�:��f�'tE;;' (g52)249-4616—Fax Approved By: -_ _ �1TY OF ORONO — Amount$: 3 j CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Priorto City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Appiications 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 issuec� ONl_Y#o licensed pl�mbing Gontractors and to property owners residing in the dwelling. 4. When any new construction or r2modeling is involved, a separate building permit must be obtained. 5. Ail 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) � [�"Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: z?Z S �� ?.ti,�en f' Ra'. QI'b'lO l� 553 3l - Owner: �ary� s�i�e�-� Mailing Address: G(�'y�5ei��L y►''�^�'-�l.1�' City: �/"pv�.a , /�lU Zip: 5 5�� Home Phone:�'.�2.— 83� '' S �`'I� alternate Phone: Contractor Information: Contractor; �h�61'1��i�EBP�f�� _ P�QOQ3�8 Address: �1��-��I1 : _ �70�dd��a�f , � , .. �: city; �� 0�� . ❑ Insurance - Current: Page 1 . , � PLUMBWG FIXTURES BEING WSTALLED ` FIXTURE BSMT 1s-r 2ND OTHEP, FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laandry Tray Shower Washer Kitchen Sink Water Heater ' Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PEP.MI i FEE CALCULATION 1. CO�I i�,��G i �'PIC� * is 1.25% of cont;act price with a (iblen3mum re� o��D.00) x .0125 $ �� • �l� (contract price) (minimum $50.00) 2. S i�.T� S��A�GE x .0005 $ � • � � (contract price) 3. r�S�,�G� g HA�3�LlN� (Only on i�l�il-In Applicaiions) $ 2.00 4. TO�AL Q�R��II� F�� (Add Lines 1-3 Abov2) � �3 . O O � GONTRACT PRICE. or.JOB COST means ihe actual or estimated dollar amount charged for t"e permitted work inciuding 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 reasonabie market value oi 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 ofi a� signed copy c,f the��a�tua{�eontract: PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ail work in strict accordance with the ordinances of the City and the regulat��s of the State of Minnesota, and certifies that all statements made o 's applicatio are complete, true and correct. ��'.-� 9 2 r Applicant's Signature: Date: t l J �v ti .. Building Or"ficial/ Inspector: Date: Page 2 �� =�` q DA E TIME � CITY OF ORONO cnLLED IN / — ' INSPECTION N TIC HEDULED =� � PERMIT NO. ycoMPL ADDRESS � OVYNER L ONE —S CONTRAC R � OESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICO�fTMCTOR TO MEET Y�OU: YES_NO y COMMENTS: � � � 0 �G� Q � � � �� ' 1 n. S ��r.t 'a � o _ �� ,� R� � W � Q � � W 0� j � ❑VMORK SATISFACTORY`.PROCEED G�ROJECT COMPLETE W ❑CORRECT VMORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERINf3 PERMANENT ❑CORRECT UNSAFE COPIDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR VYILL RETURN ❑5TOP OROER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for N�e next inspection 24 hours in advanoe. (952) 249-4600 OwrierlCoMractor s : e o Inspector:/3� � YVhits CopyAnspector's Fih Canary Copyl8lb Noda