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Home My WebLink About2011-00065 - plumbing • CITY OF ORONO PERMIT NO.: 2011-00065 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE tssuEn: 02/02/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1350 REST POINT LA PiN : 07-117-23-32-0039 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 021 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO'I�E: 3 WAT�R CLOSE"fS,3 LAVATORII�S, I BATHTUI3.2 S}IOWER, l KITCI II:N S[NK, 1 DISHWASI IGR, 1 LAUNURY TRnY, 1 WASHER VALUATION OF PLUMBING 3500 APPLICANT PLUMBING FIXTURE FEE 50.00 SANTEMA PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 5.00 4407 LOCKE AVE SW COKATO, MN 55321 TOTAL 55.00 O PAID WITH CC# 0813 Minnesota State License#: 004065PM OWNER HOXIE, MIKE 1350 REST POINT LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Buildinc Code. This permit is for only the��ork described and does not grant permission for additional or related��ork which requires separate permits. All provisions of la��s and ordinanccs govcrning this typc of work s-hall be compied��ith whether or not speciticd hercin.This permit will expire and become null and void if construction authorized is not commei�ced within 180 days of the date oC issuance,or if construction is suspended for a period of I AO days at any time alier work has commenced. I�he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.'lliis pennit may be � cd al ai for duc causc. �' , Z � ' � � G��% 2 �_ a i � i �;t��.,� �Y�L-�'� � i i A_plicant Permitee Signature Datc lssued By Signature Date , SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � .' FOR CITY USE ONLY ' O,¢��O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � ?, ,-�`"Y Crystal Bay,MN 55323 Approved By1 Amount$: ��o yo� (952)249-4600 s CITY OF ORONO-PLUMBING PERMIT (Ali Commercial permits must be approved by the Building Official or Inspector) GENERAL 1NFORMATION '. 1. You may apply for plumbing pernuts 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 conixactors and to property owners residing in the dwelling. 4. When any new construction ar remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accdrdance with State Code requirements. 6. All work must be inspected a�d 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 anaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: ; , Site Address: /�sD �P C� ��,�,�" �v� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: , Contractor: Sq�Tc•�-`� p��b Contact Person: ,�Tc i� C_ �' Address: S�YG7 �mC,C��L .S'L� State Bond#: d��/ �/ 3 5� City: ��7-o Zip:5S3�-� Expiration Date: %.2 ' S � - �O/� Phone: �/.2-9'/�-/�/�j Alternate Phone: ❑ Insurance-Current: �iJ� �!S L� � � 1 � � . ��. . ... , a'u,.�.�- .....' ... . ...� ...�w. ..��w,. , . . �.;. .. ..�os,e, .� � ,i . �. 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 ,� W asher s� Kitchen Sink / Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �'Y .. ,� ., .. ❑ 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;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 , � � , ., .��. . : ,�,� � , , ' �, � ,� rr , ,. .r�� ..��_ � ", � _ If above does not apply; follow guidelines below: 1. CONTRACT PRICE '*is 1.25%of contract price with a(Minimum Fee of$50.00) �s sdb x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) x.0005 $ (contractprice) (minimum$ 5.00) 3. POSTAGE&HANDLINiG(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE QAdd Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB GOST means the actual or estimated dollar amount charged for the permitted work including materia�ls, 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 �or pernut 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 STATE SURCHARGE isl.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. � � � ��, " '� � �� 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: �� ,._� Date: �� —`� 3 3DATE TIME V CITY OF ORONO CALL�D IN � 'y �� INSPECTION NOTICE SCHEDULED .�� PERMIT NO. �o/I- D6o �S' COMPLETED �� Q' r ADDRESS ��-Sd � � /��- - OWNER �bXY'P tELEPHONE NO. ��' ��0^ �� g CONTRACTOR s�h"+� '��G-+ � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAC FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J �PLUMBING RI ❑ SEPTIC FWAL ❑ FOUNDATIOWREMOVAL � dWNERICONTRACTOR TO MEET YOU:_YE8_NO y COMMENTS: � � �, � �''�.�t� '�C� o -E(�' -'t-�° `� � � � 0 � W � Q � Z W � W � � � � �JOfpRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSRECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site Inspector. J White Copyllnspector's File Canary CopylSite Notice