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Home My WebLink About2012-00464 - plumbing I CITY OF ORONO * 2012 - 00464 * 2750 KELLEY PARKWAY DATE ISSUED: 05/29/2012 ' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 500 TONKAWA RD PIN 05-117-23-32-0003 LEGAL DESC REG.LAND SURVEY NO. 1305 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURE NOTE: WATER HEATER VALUATION OF PLUMBING 5157 i I APPLICANT PLUMBING FIXTURE FEE 64.46 WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 2.58 6501 COUNTY RD 15 TOTAL 67.04 MOUND,MN 55364 (952)4724966 OWNER NELSON,MR.&MRS. 500 TONKAWA 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 required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permite ignature Date Issued By Si ftre Date SEPARATE PERMITS REQUIRED FOR WORK OTHER VfAN DESCRIBED ABOVE. MAY-21-2012 06:51A 1- :ONSITE MECHANICAL (962)446-9406 70:9524724961 P.2-4 i FOR CITY USE ONLY O�0 city O P Box 660 Date Received= Pefmil# 2750 Ke11ey Poinray Qy"Bay,MH 55323 Approved BY: Aawm S: (952)249-4600—Main (952)249.4616—Fax CITY OF ORONO-PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) /CCLW0F/pe zdumhplaugver f 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 UN71L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMtT CARD IS P(1►STED ON THE JQB 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. S. 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. (24-46 hour notice required) TYPE OF PERMIT Check All That A 1 ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ®Replace ❑ In Accessory Structure? You will need Prior aooroval and may need CUP_.(Per Orono City Code,Chapter 78 Article IV) Job Site/Owner Information: Site Address. 500 Tonkawa Road �t�:Glen Nelson l,Mailng Address: City: Orono Zip: 55356 j Home Phone. (612) 819-1000 Alternate Phone: Contractor Inforna6on: Contractor: I PS � �-'S tCi /Contact Person: Ula Address: C L S -� C State Bond#: C7 q �� .Sf 3 q1 / S City: M GtrrJ d Zip:,,�S369�xpiration Date: Phone: �s� �' Alternate Phone: 4'42--02'e) 2 ❑ Insurance'—Current: /71A ,(�l�l Ply - S�ly� 1 MAY-21-2012 06:51A FROM:ONSITE MECHANICAL (952)446-9408 TO:9524724%1 P.3/4 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT IsT 2ND OTHER FIXTURE BSMT 15T 2Nu OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar S it lcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The ty replacement of on one Residential fixtur or awliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. tudin the cost of the fixture or 2. Has a tote c t of$500.00 or less;exc a appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Sp next Skip 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) �I 2 I I i MAY-21-2012 06:51A FROM:ONSITE MECHANICAL (952)446-9408 TO:9524724%1 P.4/4 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$50.00) J� �� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE —� (�(/ S 5 X.0005 $ (96ntract price) 3. POSTAGE&HANDLING(Only on Mail-in Applications) 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 patty,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. t Applicant's Signature: Date: R"et Form 3 v"' ' DATE TIME . OF ORONO CALLEDIN INSPECTION NOTICE SCHEDULED PERMIT NOS COMPLETED ADDRESS SDD OWNER TELEPHONE NO. 752 if4v ,9,, �S! CONTRACTOR Lw "yJJE'l L?6& DESCRIPTION (aez&� lce4g r_ k4 ❑ 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 RI El SEP AL ❑ FOUNDATION/REMOVAL ��BING ONTRACTORTOMEETYO Y _NO vOi COMMENTS: (�' 19--1 Deo W U.,e& a J O O W W ccQ f2 Z W Z W QC Z) LU ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ElCORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 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 ad!ance. (952) 249-4600 Owner/Contractor on site: Inspector. - White Copy/Inspector's File Canary Copy/Site Notice