HomeMy WebLinkAbout2012-00482 - plumbing CITY OF ORONO
2750 KELLEY PARKWAY * 2012 - 00482 *
DATE ISSUED: 05/31/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
REPRINTED ON 5/31/2012
ADDRESS 4740 TONKAVIEW LA
PIN 07-117-23-23-0035
LEGAL DESC VALEKS SAGA HILL ADDITION
LOT 001 BLOCK 001
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: 1 WC, 1 LAV, 1 SHOWER
VALUATION OF PLUMBING 2250
APPLICANT PLUMBING FIXTURE FEE 50.00
SHADY OAK PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.13
5001 DIANE DR
MINNETONKA,MN 55343- MISC FEE 0.00
(952)452-1903 TOTAL 51.13
Minnesota State License#: 059242PM
OWNER
SCHMITT,NICHOLAS
4740 TONKAVIEW LN
MOUND,MN 55364-
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 required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at 7an���d ause.
App, ermitee a Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0 City of Orono FOR CITY USE ONLY
Q. O P.O.Box 66 =tceceived: Permit#
hii 2750 Kelley Parkway Crystal Bay,MN 55323
(952)249-4600—Main ved By: Amount E:
(952)249-4616—Fax
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
htti)://www.dli.mn.20V/CCI,D/PDF/t)e plumbWanreva df
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 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 CARATS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and toro
residing in the dwelling. P perry owners
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 Apply)
Q Residential ❑Commercial(Approval Required)
❑New ®Additional
El Repairs El Replace
❑ In Accessory Structure?
*You will need Prior a��rovala��roval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 4740 Tonka View Ln
Owner: Nick Schmitz Mailing Address: 4740 Tonka View Ln
City: Orono Zip: 55364-9632
Home Phone: Alternate Phone:
Contractor Information:
Contractor:
Shady Oak Plumbing LLC Contact Person: John S e a b e rg
Address: 5001 Diane Dr. PC644544
State Bond#:
City: Mtka Zip.55343 Expiration Date: 12/31/13
Phone: (952) 452-1903 (952) 935-4062
Alternate Phone:
Midwest Family Mutual
El Insurance—Current:
FIXTURE B SMT i s 2 OTHER FIXTURE B SMT1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet g1tlOf Dim
Lavatory ,� fewer' jecfor"
Bathtub Later,Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
Ak
.a
❑ 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;exclu ' 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)
PERMIT FEE CALCULATIONS)-JOBS 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)
2,250.00 x.0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE 2,250.00
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 AGREEMENT
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.
05/31/12
Applicant's Signature: Date:
Reset Form
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5e1- / DFE TIME
CITY OF ORONO 0,0yP2 verALLED IN O a
INSPECTION NOTICE S HEDULED
PERMIT NO o10/d-oG�SoB COMPLETED
ADDRESS V7E0
OWNER TELEPHONE NO. l�d - X475- (867
CONTRACTOR ew-
DESCRIPTION '
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL -01ftECHANICAL RI ❑ LAKESHORE/WETLANDS
RAMING ❑ MECHANICAL FINAL ❑ 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
,p21-V MBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v0, COMMENTS:
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WW ANVORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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 Copy/Inspectoes File Canary Copy/Site Notice