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Home My WebLink About2011-00267 - plumbing � CITY OF ORONO PERMIT NO.: 2011-00267 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEn: 04/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1305 SIXTH AVE N PIN : 26-118-23-34-0004 LEGAL DESC : AUDITOR'S SUBD.NO.291 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) .PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: TOTAL FIXTURES NEW AND REPLACEMENT: (6)WATER CLOSETS,(6)LAVATORIES,(1)BATHTUB,(4)SHOWERS,(1)KITCHEN SINK,(1)DISHWASHER,(2)FLOOR DRAINS (2)LAUNDRY TRAYS AND(1)WATER HEATER VALUATION OF PLUMBING 46000 APPLICANT PLUMBING FIXTURE FEE 575.00 FRANK MOTZKO PLUMBING 4201 ZARTHAN STATE SURCHARGE PLBG(VALUATION) 23.00 MN 55416- TOTAL 598.00 (952)929-6048 OWNER DAYTON,JAMES&MEGAN 1305 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �/l 2g l aFD! 'j,c�l l l� A licant Permitee Si nature Date Iss d By Signa ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i r ,/ FQR•CIT= . SE(�NLY , 0 City of Orono �� P•O.Box 66 Datc Received�� .;+�� Eermit�# ��'�� 2750 Kelley Parkway ' � � _ �� _.-� Crystal Bay,MN 55323 AFproveil By: � � Amount$:''�' �", r� , �" � (952)249-4600—Main �seso$y (952)249-4616—Fax CITY OF ORONO —PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn.6ov/CCLD/PDF/ e lumb tanreva . df GENERAL INFORIVIATI()N 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 cor�pleted. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERN�IT. 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 buiiding 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(9S2)249-4600. (24-48 hour notice required) T�'PE OF'PE�RI�IIT (Check All'�hat A pl ) ' ,�esidential ❑ Commercial(Approval Requued) ❑ New �Additional ❑ Repairs �'Replace � ❑ In Accessory Structure? *You will need arior auAroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job'aite%�er Information: Site Address: 13� � �� J� N Owner:�a-�fs ,�.1'Y1�Gs� L�q��ro.� Mailing Address: /3oS � �� City: ,,�bauG �R�`L- Zip: .5��-� Home Phone: jSd' �o`r"�-S-S-� Alternate Phone: Contractor Infarmation: Contractor: ��/,��cd Pc� <<L Contact Person: �o�. /{YL� Address: 'S�2o/Z�Ts�-.�i �.S State Bond#: S'��5�p� City: ��:5 P,q�o � Zip:��f�� Expiration Date: �`��o�/ Phone: ��Z'��'2Q��oy8 Alternate Phone: �,/2 oI YJ-2Z�!4'/ ❑ Insurance—Current: 1 1 � 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 Dishwasher / Wet Bar Sillcocks Miscellaneous ❑ 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 modificarion 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 secrion,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 a � If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �_ y� �� X.oi2s$ � (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CON'I'RACT 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 installarions 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 pernut fee putposes. 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 statements made on this application are complete, true and conect. Applicant's Signature: Date: ��¢` "l 3 ��I � � ATE / TIME V CITY OF ORONO CALIED IN ` INSPECTION N TI�'�02��SCHEDULED //�:� PERMIT NO. COMPLETED ADDRESS � � OWNER TE PHO E N 7��3 -�SZ3 CONTRACTOR � ' � � DESCRIPTION �� a " ' � � ❑ FOOTING ❑ PLUMBI G F AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA L RI ❑ LAKESHORE/WETLANDS � ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � T � �. � 0 � W � Q � _ W � W � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORREC7 UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite NoHce p�� DATE TIME � CITY OF ORONO CALLED IN �'2� INSPECTION NOTICE SCHEDULED 7- '� � � PERMIT NO.�DII— OD q7�v7 COMPLETED ADDRESS I3DS �'�.f�C� G.[./_� �• ___ OWNER TELEPHONE NO. 7(03 23`F �92�3 CONTRACTOR �'I`��aL' �-d�S��L.�6 . � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a � � O � � � � O '-_ � W � Q � 2 W � W � � ��`N�QRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notfce �/� /rDAT�ED TIME � CITY OF ORONO CALLED IN / INSPECTION NOT CE �/� SCHEDULED � —/( � PERMIT NO.�D�� QO'^�P� COMPLETED ADDRESS I�JOS d'v�`� �� OWNER TELEPHONE N0.7�3 �`� �g�� CONTRACTOR ��"�'"�— ��Z �D >; DESCRIPTION ��-� L �q ��y�E'�'C � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �-e,,� p er�� s S �,� � er- 3 A �}-r.�.s ? ° c t � c � ��.� A-� W � Q ti Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ iNSPECTiON REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice