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Home My WebLink About2012-00059 - plumbing � � ' CITY OF ORONO PERMIT NO.: 20�2-000s9 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU27/2012 952 249-4600 FAX: 952 249-4616 ADD ESS : 3190 SUSSEX RD PIN : 04-117-23-32-0007 LEG L DESC : FOX BEND : LOT 001 BLOCK 001 PER IT TYPE : PLUMBING(>$500) PRO ERTY TYPE : RESIDENTIAL CON TRUCTION TYPE : FIXTURES-MULTIPLE NOTE PLUMBING FIXTURES: (1)E H-WATER CLOSET,LAVATORY,KITCHEN SINK,DISPOSAL,DISHWASHER AND LAUNDRY TRAY VAL ATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 NY O-PETERSON CO.INC. STATE SURCHARGE PLBG(VALUATION) 2.50 660 280TH. STREET TOTAL 65.00 MN 5088- (95 461-2749 PAID WITH CC# 2234 Mi esota State License#: 058650 OWNER KE EY,JOHN&MARY 319 SUSSEX RD LO G LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the pproved plans and specifications,app►icable City approvals,and the Sta Building Code. This permit is for only the work described and does not ant permission for additional or related work which requires separate pe its. All provisions of laws and ordinances goverting this type of work sh I be compied with whether or not specified herein.This permit will ex re and become null and void if construction authorized is not co menced within 1 SO days of the date of issuance,or if construction is sus ended for a period of 180 days at any time after work has commenced. Th applicant is responsible for assuring all required inspections aze req ested in confor►nance with the State Building Code.This permit may be rev ked at y time for due ause. � / / � � A an erm ee ture Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,r �"� R�3 .�C�fS��D�T��]' .'. O,�p�,O City of Orono � ` P.O.Box 66 �at��eaeau �erm�.t�## ��''""� ` �� 2750 Kelley Parkway , " � ,� � Crysta]Bay,MN 55323 Agpra��ed BY '' A�ount�`' � (952)249-4600—Main � �_ ��. �� .•� � � ;� �aus�'� ,. ��,. �.:. ; (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. ov/CCLD/PDF/ e lumb lanreva . df ��:R�/�,�'�, ""��,��'��. � �`F F Y 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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 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 pemut 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) '�'�E��P �� T � £ �� recck�:��t�.� 1�)' �Residential ❑ Commercial(Approval Required) ❑ New �Addirional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need orior auproval and may need CUP. (Per Orono City Code,Chapter 78,Article N) 3Q� �%t�/(�uvn.er Iii��ma�c�n: Site Address: J� ��[) S S-��' Owner: ,� /fj .�.(/ Mailing Address: City: (,J�Q �,/i ,� Zip: Home Phone: /;« �, ��7 Alternate Phone: �CsCfTt�C,,�.G�01'�F�OT�11��t01'.�.:.: Contractor:�� t�Jo_f��j� Contact Person: �/��,� Address: ��'y .,��r ��60'�State Bond#: City: � Zip� Expiration Date: Phone: �l'lj��a�� I`�� Alternate Phone: �� C./�/ � 7(` � ❑ Insurance—Current: 1 � 7 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory ` Sewer Ejector l� 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 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 next secrion,if this applies; Cost of Pernrit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 r If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � ��/�� "� x.O125$ (contract price) (minimum 550.00) 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 fiunished 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 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 Pernut, 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: I,e Date: �— � / ` � o� G 3 �� DA TIME � -� �/ � �� ITY OF ORONO CALLED IN I SPECTION NOTICE C� SCHEDULED �� ERMIT NO. ��a ��/ COMPLETED DDRESS ��la S�l�� WNER T LEPHONE NO.�a-��f�'Sl��l7 ONTRACTOR - >; ESCRIPTION �J D � �'l� � � ❑ FOOTING ❑ PLUMBING FIN EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL R ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 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 � O NERICONTRACTOR TO MEET YOU:_YES_NO � C MMENTS: � W a , o � �''��" tG a 0 � a� r �-�� -�-- - � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ ORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECOVERING PERMANENT ❑ ORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑ OP ORDER POSTED.CALL INSPECTOR ❑ I SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�0 O erlContractor on si�e: if Ins ector. �.� White Copyllnspector's File Canary CopylSite Notice