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Home My WebLink About2012-00615 - plumbing CITY OF ORONO * 2012 - 0061S * 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2012 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 315 TONKAWA RD PIN 06-117-23-14-0021 LEGAL DESC REG.LAND SURVEY NO.0540 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)EACH: WATER CLOSET,LAVATORY,BATHTUB,SHOWER,FLOOR DRAIN,WASHER,WET BAR VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 STEWART PLUMBING,INC. STATE SURCHARGE PLBG(VALUATION) 3.00 13025 GEORGE WEBER DR SUITE#1 MAIL-IN FEE 2.00 ROGERS,MN 55374 TOTAL 80.00 (763)428-1833 OWNER Waycrosse,Inc. MACMILLAN,MARTHA E 15407 MCGINTRY RD W WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due c se. Applicant Permitee Sigrditure Date ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. RECEIVED FORCITI USE ONLY 40 Cih-of Orono 0 0 P.O.Box 66 JUN 2 8 2012 Date Received: Permit 2750 Kelley Parkway t" >~ Crystal Bay,MN 5 approved By: Amount$: } 1(OF ORONO �s21 zap-a600- 1952 r 2494616—Fax CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Most be Approved by the State Prior to Cit-Approval) 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 UMIL 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)2494600. (24118 hoar notice required) TYPE OF PERMIT Check All That Apply) (Residential ❑Commercial(Approval Required) t4Neiv ❑Additional ❑Repairs El Replace ❑ In Accea>Y)n.Structure? *You rill need prior approval and mai-need i_1'. (Per Orono City Code,Chapter 7&Article IV) Job Site/Owner Information: Site Address: 3 s rKQWGL. Owner: MQk4a 1'�C1YlA&n Mailing Address: 315 TC nr) City: M oro Zip: 55351p Home Phone: Alternate Phone: Contractor Infor,.mation: Contractor: S-�iQr� PILk %'0q 1Q Contact Person: Jerre t� `('S`�'( J Address: i' 4Q5 C::)�Z_ w2bFf State Bond#: O W4A pts City: ZW5 Zip:`631� Expiration Date: Phone: 1(P3-42AA33 Alternate Phone: Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT Or f4D OTHER FIXTURE BSMT IST 2 OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ 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 S (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S)-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$50.00) LPID00 x.0125$ 16--a6 (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ 3.6�, (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ v� ■ * 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 fumished 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. Applicant's Signature: Date: Reset Form 3 < `D T / TIME V CITY OF ORONO CALLED IN -7L r� INSPECTION NOTIF5 ` SCHEDULED 7// Lim PERMIT NO. D V"r COMPLETED ADDRESS 3 l S Tn ,e/fir OWNER TELEP E N3 —1 CONTRACTOR DESCRIPTION u rrmbi,o ❑ FOOTING ❑ PLUMBING FINAL ElEXCAV/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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a cc 0 a 0 U_ w CC f2 z W Z W CC d WW WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 1:1 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/Inspector's File Canary Copy/Site Notice D �DDr� v q ' DATE TIME CITY OF O6NP Ob�' .�.�� CALLED IN 3- Q__.1 INSPECTION yOT CE SCHEDULED d PERMIT NO..22O Q D Z-Ii COMPLETED ADDRESS OWNER TELEPHONE NO.61 Z 619 7ZZ.7 CONTRACTOR /--f- a DESCRIPTION q/ ' er_� ❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � E3 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 11 AW 40 a o ✓ (Y �. 0 0 W cc Q 2 � W W cc j d W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑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. (95 249-U-00 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice