The URL can be used to link to this page

Home My WebLink About2012-00652 - plumbing �^ CITY OF ORONO * 2 0 1 2 - 0 0 6 5 2 * . 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2990 SUSSEX RD PIN : 04-117-23-31-0020 LEGAL DESC : FOX BEND : LOT 3 BLOCK 4 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 2ND FLOOR:2 WC,3 LAV, I TUB,2 SHOWER VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 HILLCOR PLUMBING STATE SURCHARGE PLBG(VALUATION) 3.00 53 TERRACE RD NE ST MICHAEL,MN 55376- TOTAL 78.00 (763)688-0342 Minnesota State License#:PC645327 OWNER KELLY,JUSTIN&SUSAN 2990 SUSSEX RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 suspe d for a period of 180 days at any time after work has commenced. The pl cant is responsible for assuring all required inspections aze req ste in confo ance with the State Building Code.This permit may be rev ked at any ti for due cause. � o � 2 , � A cant ermitee ignature Date Issued By S g ature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED O . � � ,� �4x��ts�� City of Orono � �¢�� P.O.Box 66 �Date�Receivett: � �csrmtt# 2750 Kelley Parkway ' � � � �� Crysta]Bay,MN 55323 �1Fpr�?�'��,y > ' �o�t� ��o� (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Pernuts Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df +i��;. �� _� � ��'�:�II�T ' � � . 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 completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MiJST 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 consiruction 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) T�'PE �F P.E�TIT ' C��ec`k,' �_1�hat�� 1 ) ' �Residenrial ❑Commercial(Approval Required) i � � New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior apnroval and may need CUP. (Per Orono City Code,Chapter 78,Article N) :Jc��i�,e/;(��a�.�r;�"�E'orm�.ti E�xi: �;' � k , ,�Y ; Site Address: ,�9��(7 SJSq e� �� Owner: .SuS��t/ l�i l�S� Mailing Address: City: ��'^-o Zip: Home Phone: ��^ ��i ' �0 7�r� Alternate Phone: :C��i:�r�€i��a.tic��: Contractor: l7��o�t f�✓M�incJ Contact Person: CO�` /(/a/�� Address: S,� 7e��r�e c �1/� State Bond#: Gtii �'�� City: 5'-f I�'1,��ine/ Zip: �'v Expiration Date: Phone: ,G 3��'b3 ya Alternate Phone: ❑ Insurance—Current: 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 n Washer Ot 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 modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixhue or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed pluxnbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Totai Permit Fee $ (Permit Fees Continued On Nezt Page) 2 r � J If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) i�IOC�� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE � G�� '^ 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. 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 sta.tements made on this application are complete, true and correct. Applicant's Signature: Date: � �0 � 3 '�� (� DA E TIME � CITY OF ORONO CALLED IN �_ INSPECTION NOTICE SCHEDULED �� PERMIT NO / - DD S C PLETED ADDRESS � �� OWNER TELEPHONE NO �� CONTRACTOR >; DESCRIPTION V ` '° � � � ❑ FOOTING ❑ PLUMBING F A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANIC L ❑ LAKESHOREM/ETLANDS � ❑ FRAMING � MECHANIC 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 � ❑ PLUMBING RI ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL � OWNERI ACTORT EETYOU:�YES_NO O \i0��: � W a � � O _ � � �` �� 1 � � � ��s,,,, � 0 � W C "' �� ' � � �-� C' -T--v _��,l�-� � Q � z -�.��.-, r � �;,s � � l��',�,, � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ` W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site: Inspector. � . .� � White Copyllnspector's File Canary Copy/Site Notice