HomeMy WebLinkAbout2012-00341 - plumbing 111111111111111111 ilium
CITY OF ORONO * 2012 - 00341 *
2750 KELLEY PARKWAY DATE ISSUED: 04/30/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 1560 TANGLEWOOD RD
PIN 26-118-23-32-0012
LEGAL DESC TANGLEWOOD
LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: 2ND FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER
VALUATION OF PLUMBING 3100
APPLICANT PLUMBING FIXTURE FEE 50.00
NRH PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 1.55
6460 153RD LN
RAMSEY,MN 55303- TOTAL 51.55
(612)245-7280 PAID WITH CC# 8476
Minnesota State License#: 067436 PM
OWNER
BUHMAN,DION&TANYA
1560 TANGLEWOOD RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all r uired inspections are
requested in confo ce with the S to i ing Code.This permit may be
revoked at any time r due caus
Applicant Periniee Signatu Date Issued By Y#ature D
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVIV
F1< ^^CTXIISE f;'NLY
City of Orono
�¢0`�'� P.O.Box 66 I)ate�Reae��redt 1'errrtt#
2750 Kelley Parkway ,d', 777
Crystal Bay,MN 55323 t1}apred By �niounl$
? (952)2494600—Main
(952)249-4616—Fax
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
httl2://www.dli.mn.2ov/CCLD/PDF/i)e lumb lanreva df
G]EE .`. Oi 'IO :. Y
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 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.
(2448 hour notice required)
OF PET
ChedlClTha`t.A I
7Residential ❑ Commercial(Approval Required)
❑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: 1S,g�o O /i9n 9/ate C-oD /-1-..,
Owner: Mailing Address:
City: c>Rd► a Zip:
Home Phone: Alternate Phone:
C4ntraot6r.Inf613IM 16ru
Contractor: el- b10 Contact Person:
Address: &Y40 153 W b/ l State Bond
City: rt-p-u Zip:yi�3y Expiration Date: Z 3 /I
Phone: 2t� 7Z 81) Alternate Phone:
Insurance-Current:
1
FIXTURE BSMT 1 2 NO OTHER FIXTURE BSMT 1 2 ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 2 Floor Drains
Lavatory .Z Sewer Ejector
Bathtub 1 Laundry Tray
Shower l 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;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
3k00 x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
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 statements made on this application are complete, true and
correct.
Applicant's Signature: Date: ? -3 c> • 1?-
3
t7ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE (/ SCHEDULED
O/a .3 ("
PERMIT NOo2 ',0'0 COMPLETED /
ADDRESS �5�0 GQ 12Q
OWNER TELEPHONE NO. /a 07 V57Z
CONTRACTOR R-
J-1 P1
DESCRIPTION �L G
❑ FOOTING ❑ PLUMBING FIN ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z [I 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
C
fro
CC0
W
ac
Q
f2
le-
Lai
z
W
ac
VO RK SATISFACTORY.PROCEED 1-1PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor o ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�� /DATE TIME
CITY OF ORONO CALLED IN Z'
INSPECTION NO.9 SCHEDULED `7112 hp : D<?
PERMIT NO. ��a"003W COMPLETED
ADDRESS S G 0 -TavesCjLJ on Q(E d
OWNER TELEPHONE NO.
CONTRACTOR a"�Yt�
ZZ DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL 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
v ❑ PLUMBING RI ❑ SEVIC FINAL E) FOUNDATION/REMOVAL
OWNERICONTRACTOR._ TO MEET YOU _YES_NO
COMMENTS:
cc
W
re Ar
a
o
LL
Q
Qj
W
CC
d
W ❑WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE
W
W 1:1CORRECT WORK&PROCEED EJISSUE CERTIFICATE OF OCCUPANCY
4<ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL 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.
White Copylinspector's File Canary Copy/Site Notice