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Home My WebLink About2012-00592 - plumbing " � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 5 9 2 * DATE ISSUED: 06/25/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1375 REST POINT RD PIN : 07-117-23-32-0037 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: REPLACE DISPOSAL APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 3670 DODD ROAD-SUITE 100 EAGAN,MN 55123- MAIL-IN FEE 2.00 () TOTAL 22.00 OWNER GERLICHER,MR.&MRS. 1375 REST POINTT RD MOUND,MN 55364- AGREEMENT AND SWORI�i STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consttuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring ali required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cau . _._l ` �� -- � 5 �� Applicant Permitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � RECEIVED - JUN 2� 2012 �.g,�,�p City of Orono F R C Y USE ONLY P.O.Bo�66 ��"�OF �R�N� Date Recei� ermit#�� 2750 Kelley Parkway : ' ' � Cn'stal Bay.MN 55323 �'t^l.. .�•c` (952)�49-4600—Main APProved By Amount$:� , >skixxoww; (9j�)249-3616—Fax C'��'� ��' ��1��—��.gTl@�8�� g��l�'��' (All Commercial Permits 1�1re�st be�4,pproved by the Sta�e Prior to City Approval) � .,,_,.i/�.��s�n.:�i€.�n.�c�F/�:��!�:��'/�s., nE€��:��€�a�s•eva��.�c�i GENERA,L INFORMATION 1. You ma}�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. PERMTTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. �'ORk{1�iJST i��T��iN UPdT�L T'�L PER1VgiT Cr�,RFJ bS�OS7'ED�N Ti&3L JOB Si�'E. 3. Plumbing pennits may be issued ONLY to licensed plumbing contracYors and te prnperty owners ?�esidin;in tl;e dwe;l;ng. 4. Wl�en 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 worh must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hou�•notice required) TYPE OF PERMIT (Check All That A ly '�Residential ❑Commercial(Approval Required) �New ❑Additional ❑ Repairs eplace ❑ In Accessory SVucture? *You will meed orior anoroval and may need CL P.(Per Orono City Code,Chapter 78,Article IV) Job Site/O��ner Information: Site Address: `�� `C�Lv� � � �� `�- Owner: � p,,�} �I(� 1 7(�Y l( �Y IC�I' Mailing Address: C��'� � Zip: � Ho�ne Phone: � � � Alternate Phone: Contractor Infoi-mation: C Contractor: Champion Plumbinc� Contact Person: # 61770-PM Address: _ 65�-365-134Q �tate Bond#: Eagan, MN 5 3 City: ��: Expiration Date: Phone: Alternate Phone: ❑ lnsurance—Current: 1 �� , . i ' . .. . .- . ... `' : '�LtJMBINC FIX�'LTRES BEII�G T�1ST�.LLED. . =: 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 Washer Kitchen Sink Water Heater Disposal � Water Softener er Wet Bar Silicocks Miscellaneous � � PEx��c�cut,aTror��s3 ' � ; � �- _ BASED O�'F�=�002:;ST.ATE ST.s4:T�E.... =.` ..._ �. ' , - ,_; , .._:. ...., ! �J Yes,this section applies ✓ � The replacement of oniy one Residential fiarture or appliance that meets all three of the following requirements: l. 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. Ship next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $�� (Permit Fees Continued On Nezt�age) 2 . - ', . PERMIT;:FEE CALCtJI;ATI01� S :-30BS;OVER$�00:00. If above does not apply;follow guidelines below: . 1. CONTi2A:CT PRICE '�is ].25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE ��Add the State Bldg Code Div.Surcharge(Minimum Fee of�5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAIL PEL�lO'�IT 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 cQntract. ° **The STATE SURCHARGE is.0005 of the contract price under$],000,000 or$5.00—whichever is geater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLt11V'IBINCi.PERNt[3`�PI;TCAT'ION.A+�:E��1��TT'N�".. The undersigned hereby applies to the City for issuance of a Plumbing Pernvt, 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 Si�nature: �'Date: � '�v r � � :: ...: . �teset �ror� 3 �"'"� )�� T� /�/� TIME ✓ CITY OF ORONO Y� CAlLE01N � � INSPECTION NOTICE c�} SCHEDULED �1 a- � PERMIT NO. �U �� '/�OMPLETED ADDRESS l � 1 � ��S f / f �� OWNER Y- ��.r�,I iCl� TELEPHONE �� 1�a �� CONTRACTOR � /��'Yl/J�C/7 �Cl4y1� �: DESCRIPTION �i ; ��C�S� l �l �7CYc / � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED 'P�$6JECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on s'te: Inspector. White Copyllnspector's File Canary CopylSite Notice V