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Home My WebLink About2010-01029 - plumbing CITY OF ORONO PERMIT NO.: 2010-01029 " 2750 KELLEY PARKWAY • ORONO, MN 55356- �ATE ISSUEn: 10/19/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2100 SIXTH AVE N PIN : 27-118-23-31-0024 LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NOTE: 1 WA'I'ER CLOSET, 1 LAVATORY, 1 BATHTUB, 1 SHOWER VALUATION OF PLUMBING 3795 APPLICANT PLUMBING FIXTURE FEE 50.00 WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 5.00 6501 COUNTY RD 15 MOUND, MN 55364 TOTAL 55.00 (952)472-4966 OWNER Orono Woodlands 2100 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall bc performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � , �'� �� ' ' r/ �J'r?a,�,�,,,. r�, /� �f� �%='� c t i c 72't t r�, /C% ,�, �yApplicant Pe itee Signature Date � Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY USE ONLY � � �� City of Orono • O� O P•0.Box 66 DateReceived: Permit� �,-, 2750 Kelley Parkway � '' Crystal Bay,MN 55323 A roved B Amount$: y� � �'�.f,,�`� �' PP Y� , ��f�o�a (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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. Piumbing 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 pernlit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. Ali 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 ly) ' --�Residential ❑ Commercial(Approval Requued) ❑ New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: `� �CJO Cr I� h-�-v �� lO Owner:Gnoti�, Lt�c�c��c��,� MailingAddress: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��s*oY,k�y��c h Cr-r�".��, Contact Person: �, � l ti l c� I� �c, u r ctw r>is�� Address: L-Sr- / �,--f-v d��,( �S State Bond#: Clty: ��ID Ci,hC� Zip: S S3by Expiration Date: Phone: ��7- y`�Z� ��jS�1 AlternatePhone: �;��1�`Zc2-�..��'1_ ❑ Insurance-Current: 1 1 w �� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory 1 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 a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to elechical 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 contractor. Skip next section,if this applies; Cost of Pemut $ 15.00 , State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 r . . H4 . � �� .,�: ry �.�_x PERMTT.FE , �.ATION(S)'—JOBS OVER �SQO 00_ � ,:��,t, , If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) `��i � /-S�� x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Sttrcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$ 5.00) 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 pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the wark done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other pariy, the reasonable market value of such items must be added to the estimated cost or contract price for 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 is .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. ' r.� 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:�`� �,��1'iL��.� Date: I��1 q ��Q 3 � � �� DATE TIME CITY OF ORONO CALLED IN I�;/�/�� INSPECTION NOTICE /� SCHEDULED �'�`�e�l� � PERMIT NO. ✓��D'!L/�C�ZL� COMPLETED ��AD�)��cJ%�Grr�(S�//7/7 ��SC.��1 y4�`�' 1�� . OWNER TELEPHONE NO. �/�� CONTRACTOR ��-�P�1 '-��Y1,��!!'ti >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � W 4 � - � � ,��S O � a � O � W � Q � Z W � W k � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. �, /—� � � White Copyllnspector's File Canary CopylSite Notice DP TIME v CITY OF ORONO CALLED IN � / INSPECTION NOTICE6 �G�� SCHEDULED �'� -�1 � • � PERMIT NO. ��b - coMP�ETE� ADDRESS �`� �� - OWNER a�� 'S�'rs TELEPHONE NO IS2" �d 7 ""� L�) CONTRACTOR G�%�+��'�-Q � � DESCRIPTION 7 � �"�'�'� � ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � 0 a � 0 � W � Q � z W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952� 249-4600 , OwnerlContractor on site: Inspector. '.� i!�1� � � _ � White Copylinspector's File Canary Copy/Site Notice