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HomeMy WebLinkAbout2013-00499 - plumbing • CITY OF ORONO � � 2750 KELLEY PARKWAY * 2 0 1 3 - P1 0 4 9 9 * DATE ISSUED: 06/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4300 SIXTH AVE N PIN : 31-118-23-12-0022 LEGAL DESC : SHARON HILLS : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT:2 WC, 2 LAV, 1 TUB, 1 SHOWER, 1 WATER HEATER, 1 WET BAR 1 ST:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 LAUNDRY TRAY VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 6.00 22590 RUM RIVER BLVD.N.W. MN 55070- MAIL-IN FEE 2.00 (763)753-3373 TOTAL 158.00 OWNER GEHRMAN,ROBERT&MARILYN 4300 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 sepazate 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 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 d;e caus�' ��'�--C �� / / �t-r�►�� / / Applicant Permitee Signature Date Issue y i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � ,,,,�_ . FOR CITY LtSE O1VZY � Cin•of Orono 'r! �ON � P.O.Box 66 DateRecm�ed Pcmit= � t 1?50 ItidleF�Perkway �� 4ystal Bay,�3I`55323 ApprovedBy: AmounC 5: � t (95:)249-4600—Vlaia l ( 4 ; ' (952):�9-4616—Fax , � CITY OF ORO�O-PLL�IBIti G PERI4IIT \\'���ti�'�`i`�/ (All Commercial Permits Must be Appro�•ed b�•the StatePrior to City Approval) titt�: ►�-��-�v.dli.mn�o�-'CCLD.!PDF: �e �lumb�lanre�-a �. df GEl�'ERAL II�'FOR.��TIO1�T 1. 1'ou may apply for plumbing peruiits by rnail or in person at the City offices. Applications v�ill be revie�ti�ed and a perrnit�t�ill be issued within two working days. 2. Permit cards�ti�ill be sent by return mail after a re�•ieci•is completed. PER1�iII'S:�RE NOT �'ALID U�ITIL YOU RECEI�'E A PERI�4IT. V4'ORK'�1LTST NOT BEGIN L'tiTIL THE PER'�IIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing�ermits may be issued ONLY to licensed plumbing contractors and to property ov�ners residing in the dwelling. 4. When any new consrruction or remodeling is invol�•ed,a separate building permit must be obtained. 5. All work must be dane m accordance�ith State Code requirements. 6. All urork must be inspected and air tes2ed before it is covered. Call(952)249-4600. (24-�18 hour nodce required) TYPE OF PERMIT � ---___----- (Check All That APPIY) � �Residential ❑Commercial(Approval Required) �Ne�r ❑Additional ❑Repairs ❑Replace ❑ In Accessor�Structure? *You will need nrior aoaro�-a1 and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job S ite/Owner Information: --� Site Address: �" 3 b U �� d�--� i� Owner: Mailing tlddress: Ciry: Zip: Home Phone: Alternate Phone: Contractor Informarion: � Contractor: N o r-� �-►-..e lc�. � �'"'"'�orrt�ct Per os n: �Lo�re.�►.��A•..,s� 2 Z�l o IZL�w. R.�e.., Q (v-�N w Address: ate Bond#: � C L`-{2-� g � S-�� o City: S'� • ���c-,s Zip: Expiration Date: l�-/3 l / l 3 Phone: � (, 3 - �)J� - 3 3 � 3 Alternate Phone: (o I 2- � ! °1 -�7 0 3 � ❑ Insurance-Current: 1 i PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2' � OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL � TYPE FL FL ____.___---_ ------- ..______ _..___._ . ___--_ __. V�'ater Closet � � Floor Drains Lavatory � Sewer Ejector Bathtub I 1 Laundry•Tray l Shower I W'asher Kitcheu Sink ' �Vater Heater I3isposal �L%ater Softener Dishwasher VJet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ I'es,this section applies The replacement of on 1�•one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or sas service. .'.. Has a total cost of S500.00 or less; escludinst the cost of the fi�cture or appliance: and 3. Is impro�ed,installed or replaced by the homeo��ner o.licensed plumbing contractar. Skip next section,if this applies; Cost of Petmit � 15.00 State Surchar¢e S 5.00 Mail-In Fee(If Applicable) S 2.00 Total Permit F ee S (Permit Fees Continned On Nezt Page) 2 J PERMIT FEE CALCULATION S —JOBS �VER$500.00 If above does not apply;follow>guidelines belo�-: 1. CONTRACT PRICE * is 1.25%of contract price�*ith a(MinIm um Fee of S50.00) «—. � � � x .0125S � �C7 (co tract price) (mmimum SSU.00) 2. STATE SUItCHARGE / x.0005 S Lo (cont�act price) 3. POSTAGE&HANDLING(Only on I41ai1-In Applications) S_ 2.00 4. ?OTAL PERMIT FEE (Add Lines 1-3 Above) S � 5 � ■ * COtiTP.ACT PRICL or JOB COST means the actual or estimated dollar amount charaed for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the��ork done. If any material, equipment, labor or installations are furnished by the o�ner,tenant or any other party,the reasonable market�alue of such items must be added to the estimated cost or contract price for permit fee purposes. In the e�ent 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. PLL'��IBIl�G PER'�iIT APPLICATIOl�AGRF.E1-IEIvTT The undersigned hereby applies to the City for issuance of a Plumbin� Permit. agrees to do all �vork in strict accordance ���ith the ordinances of the Ciry and the re�ulations of the State of l��innesota, and certifies that all statements made on this application are complete, true and co�rect. .� licant's si nature: � Date: � ' � � —1 3 �! � /� 3 � DATE TIME ✓ CITY OF ORONO�— CALLED IN INSPECTION NOTICE SCHEDULED 7-2�� d'3v PERMIT NO. d CJ COMPLETED ADDRESS �� OWNER TELEPH � O. , � �� CONTRACTOR � DESCRIPTION —�y�Yv � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FIILING Q ❑ POURED WALL ❑ MECHANICAL R ❑ LAKESHORENVETLANDS y 0 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 � � t � + � �\ a � O � W � Q � 2 W � W � � � �'11fQ�K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECAVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. OPHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. �G White Copyllnspector's File Canary CopylSite Notice �� DAT TIME V CITY OF ORONO �iN �2" �� INSPECTION NQ�ICE_ _ / SCHEDULED �2-Z / /a'v0 PERMIT NO� 3� COMPLETED ADDRESS ��''��� � � OWNER TELEPHONE NO. ��3 7 S'3 33 73 CONTRACTOR N. �� �J���ti9 � DESCRIPTION � � �G � ❑ FOOTING PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHAN�CAL FINAL Q O TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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 0. � O � a � O � Q � � � Z W � W � � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � . EFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspecti 4 hours in advance. (g52 49-46�� OwnedContractor on site: � Inspector. White CopyMspector's File _ Canary CopylSite Notice J� � DATE TIME J ( CITY OF ORONO CALLED IN 6 �-3 INSPECTION N TI, SCHEDULED t��J.3—���`-J�'�} PERMIT NO. � COMPLETED " ADDRESS ��D(� `�TT!'l !-zs��'K�� , OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ���3 � �S � � ❑ FOOTING P�UMBING FINA� ❑ EXCAV/GRADING/FILLIN� Q ❑ POURED WALL • ❑ MECHANICAL R //,�� ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL �� ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SIAB � 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in advance. 249-46�� OwnerlContractor on site: Inspector. v White Copyllnspector's File Canary CopylSfte Notice