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Home My WebLink About2012-00825 - plumbing CITY OF ORONO * Z 0 1 2 - PJ 0 8 2 5 * t, 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2012 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2011 SUGARWOOD DR PIN : 34-118-23-21-0014 LEGAL DESC : SUGAR WOODS : LOT 006 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 2 WATER CLOSETS,3 LAVATORIES, 1 BATI[TUB,2 SHOWERS, REPLACE FAUCE��& FIXTURES ON EXISTING ROUGH IN VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 GRABOW PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 2.50 8420 REDWOOD STREET COON RAP[DS, MN 55433 TOTAL 65.00 �) Minnesota State License#: 038623PM OWNER KING, ROGER&JEAN 201 I SUGARWOOD DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pemiit is issued shall be perlormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional o�related work which requires separate permits. All provisions of laws and ordinances governing this type of work shali be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after wark has commenced. The applicant is responsible Yor assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked at any time for due cause. G�., ��/�/ Gv �.. �— fj ��2 � �Z- � � `c� � <3 �. ��--(��-C �'�Y�C�G�' / / � Applicant Permitee Signature Date Issued By Si nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY USE ONLY � � - �� City of Orono / � � <O¢ �O P.O.Box 66 Date Received: Permit# li�.\�� 2750 Kelley Pazkway � �.�'�• ; Crystal Bay,MN 55323 Approved By: Amount$: • . o (952)249-4600—Main �asxo�� (952)249-4616—Fax CITY OF ORONO- PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/1��.cllt.nin.�fo��/t'('l.D/PI)F'/�e �lumb ilan►�c��a ; 3. �clf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit wiil 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 RECENE 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 contractors and to property owners residing in the dwelling. 4. When 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 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 1 Q�Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need C'L�P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: .zoi/ �v0 nrWo o�l �r ss,3S� Owner: �!,'�o �fcs. Mailing Address: � City: Zip: o''� Home Phone: Alternate Phone: Contractor Information: Contractor: ��a�ew /'/�.a6:�a .T�• Contact Person: /I�',�a �rP�o� Address: £�y,?o ��aao�,s� State Bond#: f'�3S City: �w� ��: %df Zip:,N� Expiration Date: /•t / a/ ,�oi3 Phone: 7�3� 7�6 �3 9S/ Alternate Phone: Ce/� s/.T •7 90�f�� Insurance—Current: h/ear�m-� �G.%n�� , ,� �y�>> PLUMBING FIXTLTRES BEING INSTALLED FIXTURE BSMT 1 2 OTI-�R FIXTURE BSMT 1 2 OTI-IER 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 Baz Sillcocks Miscelianeous �j�v�Rc2 �se+f�� ^✓ /�7�7u�r'S o^ GXiJ�ihp /'ouqh � h . / ,.( J PERMIT FEE CALCULATION(S) BASED OFF•2002 STATE STA�'UE ❑ Yes,this section applies T'he replacement of only one Residential fixture or annliance 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 ne�ct section,if this applies; Cost of Pernut $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � • PERMIT FEE CALCULATION S -30BS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� x.0125$ (contract price) (minimum$50.00) 2. STATESURCHARGE � x.0005 $ (contract price) 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 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 contract. PLUMBING PERMIT APPLICATION AGREEMEN'� 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 aze complete, true and correct. Applicant's Signature: , '•%'•%'� w ��--- Date: Giuq y �o�2 Reset Form 3 `� ( � AT TIME V CITY OF ORONO ALLED IN �- ��' INSPECTION NOTICE SCHEDULED �— PERMIT NO. ��COMPLETED ADDRESS ��/l S (-��%��1��-�� OWNER TELEPHO CONTRACTOR !�. � DESCRIPTION ��L /< < �� ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECH�INICAL RI ❑ LqKESHORE/WETLANDS y ❑ FRAMING ❑ MEC�ANICAL 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 J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � ��/CZ'.f� (.C� �� 7(cP ��J�O � W a � � O � �ta��..e �4 2 +c C..+r�C S `C��,c �c� �.lJ � I�.v �-� C3�!ex'��n Q �. t� ! �Q. �C-�2?�s S �C��t�,"(� � z t . � t -�L.: /J � � � C9� �V Pl�-I � Q��e /lil. w � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � � W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �� /�� White Copylinspector's File Canary CopylSite Notice