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Home My WebLink About2012-00039 - plumbing CITY OF ORONO PERMIT NO.: 2012-00039 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 01/17/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 724 TONKAWA RD PIN : 05-117-23-34-0003 LEGAL DESC : PARTENS POINT I ST DIV : LOT 010 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAIN, 1 WATER HEATER 1 ST FLOOR: 1 WC, 1 LAV, I KITCHEN SINK, 1 DISPOSAL, 1 LAUNDRY TRAY 2ND FLOOR:2 WC,2 LAV, I TUB,2 SHOWER, VALUATION OF PLUMBING 14000 APPLICANT PLUMBING FIXTURE FEE 175.00 GLACIER PLUMBING INC 680 VALHALLA DR NE STATE SURCHARGE PLBG(VALUATION) 7.00 CEDAR,MN 55011- MAIL-IN FEE 2.00 (763)413-1883 TOTAL 184.00 PAID WITH CC# 9344 OWNER ZAWOYSKI, STEPHEN&SARA 724 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 Permitee Signature Date Issued q Pignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � a1,;2 �O80 1 � _ ry.i'7 y nYi. 1 ZP i City Of Orono rrY,.1! ;� A�r •' i!il� rt°.. °" F••g, 4'��,•�H,��<��'(1�'i P.O.Box 66 j 2750 Kelley Parkway -j.xN'!,u411;p•.1, I. •�,I '',x,.• .Y� y,fgT�lSti" �•' cr75w Bay,Ami 55M a:,r,.iti_41F� (952)249j}600—Main 'J" w>';:;*:. .nrs•.n:i;:r,:x lit:►:t 'L"M., z,40 (952)249.4616—Fax CITY OF ORONO--PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :hvww.dli. n. ov/CC D/I+DF/ a plumbRingreva f .,1,... ,� � :, � n:,f: i'°K':�„i•'i.,��,, tr7'er`�=�:j.'a:k!? ;�hd'n�A{:�XT.. tt Ill:�'1�' y'.Y7''� ('I,�II,'1'}I,I�Im� - *'L-{� ' F-. Yp; +. �• 5(.:. 91:;. ao7aY"St ,..'�.,,{CYn{n.:..r:;cl��wll i w Iw.,,•{;Y...M�:ti .eL..L. 1 i 1. You may apply for plumbing permits by trail 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 seat by return mail after a review is completed. P'ERMIT'S ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SHL 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. (24-45 hour notice required) i ; ...... .,,.rr.a.re'i:::f,, .�:=•.:•..:a.":."•'r'I:i•,•:� n:�'•a-....' "1i' r�,.n,':nr.:-.e: J..,LIQ.ri:..'1,��'•J..ay.,Jaaa�•llx�lr7r11•l •�,'�•_i4� , o .{ :.,=�F�i n+�:SeTr;+.'L�:.}.E �•1 f r S' n•„'• rte r�y� L.,y ps Y r' :1.. a ya t ,iipi ;: I g .:n::�l 6.w.:- 'C(i�� rl•;5^l."n rvr^- :�: :.v.i:dhl.• YSa�^l:Y I Y:It.4 ('.:.. •I �.�L'N�' .rzL) �; o ,1L.WIN a r,� Ali .71,�r'1” t'.'h.l.. :1.'1`:.l•Y�� i�. A i il• �p�I..i.,,1.�j{.;. N 4a•�a?r.:::..• f �y.��y�"' �=— r ! .R��. 1. . 1:..?'•.t:" bi`. ,� f.�.l�•,'Y `'}il.:. •Y• ..yM.�•,In •`. i.. !iClr� `'1't M fc +"fa"^i^•::C�!::•:.cfh%rGw-rTFIw i I'='•re:`vf�i:r: 1"raR"r 11 ��Resential ❑Commercial(Approval Required) md L�JNew ❑Additions! :❑Repairs ❑ I You writ need orioreaooroval`dn4 may need Cl 1 .(Per Orom7o City Code,C1map0et 78 Aktldl 'IV) %Y ' �yu�n ,.r li.• � �r 'hi"r.�nhj i'i�lli i•�.r J.... I �2 '• .Ls•..�4.:r:.7.J;�lfrr.r• •1',aaKs� . Site Addross v� ToAkaw r �tti Owner i14- ? WCx{.S' Ma:iliirg Address: of 4, ! ,T kC7 f ISL I City" 1:aonrn kA _ Zap:) I . „ Home Phone.' ' Altbrnate Phone: 1 1 . �rrs.•r,.l •.'k, ',I i1.:rinii,ly� �.:...:_r.•,r,_ i':.�t y...,.. N yt• ', 1^ .� . •'•li.�:.1', �1'�,.��.�C. r .y�'i1TF„'fin YL�,.'r.Y! .. -ry rtrul(::J 1Qj.x.1.171 +'-•-•�`Y? " '{' �F Contractor; ,�7I QCc�ty 61 mb/h,- otact Person: �V ' i Address:'' � 7 1hl ha l(� D2 il/�— ;'Stat$Bond#: X111 15 i a 3 City:" eec6k, "ZipExpiration Date: / i --3 Phone �o3—�t13-1 S�£�3 „Alternate Phone: (ori-3Zo;. 71�1 i ¢ a-----insurance-Current: UGS i I i FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER i TYPE FL FL TYPE FL FL Water Closet Floor Drains i Lavatory I I Sewer Ejector i 1 Bathtub ' Laundry Tray I I Shower Washer Kitchen Sink Water Heater I Disposal Water Softener I i Dishwasher Wet Bar i Sillcocks Miscellaneous i i i i I i Yes,tbls Section applies The replaccment of only one RrAidential fixture or appliance that meets all three of the following requirements: 1. DDQcs require modification to electrical or gas service. 2. Has a total st of$500.00 or less;ZWu_d ng 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 S 15.0Q State Surchargc $, �4 Mail-In Fee(If Applicable) S 2.00 Total Permit Pee $ - i (Permit Fees Cwtkaued On Next Page) i i i ♦ I ' - i i If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of coatrad price with a(Ninimam Fee of$50.00) 1t�OF70 x.0125$ 1 -76 (contract plica) (tniSiMM 8WAO) 2. STATE SURCHARGE 1'1040 X.0005 S 07.00 (contract price) I 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 I i 4. TOTAL FERMIT FEE(Add Lines 1-3 Above) S / O 7 ■ * CONTRACT PRICE or JOE COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed oosts. It is the amount to be charged to the customer for the work done. If any material,equipment, labor or instalwonus are fimmisbed by the owner,tenant or any other parry,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 i amount of the job cost,the City may request the submission of a signed copy of the actual contract. i i The undersigned hereby applies to the City for issuance of it 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. I Date: Applicant's Signature: ( � i I i I i 3 G5V` DATE TIME V CITY OF ORONO CALLED IN /�rT=� C INSPECTION NOTI _ �DD3�j SCHEDULED PERMIT NO. � / COMPLETED ADDRESS 70 led OWNER ELEPHONE NO. l0 3g,� E711 CONTRACTOR C 11&4q46 DESCRIPTION ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL E3 SEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W Q_ cc O cc O U_ W ac Q f2 Z W Z W CC GW F94VORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W W El WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site�&V Inspector. �,c� White Copy/Inspector's File Canary Copy/Site Notice j DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /� SCHEDULED PERMIT NO.nMld,10l9 �G��// COMPLETED ADDRESS a--, OWNER TELEPHONE NO. &62 3'6 S' / CONTRACTOR >; DESCRIPTION / L[ii'►KJ �-� 4 ❑ FOOTING ElPLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZElINSULATION ElWOOD BURNER/FIREPLACE SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL El SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP LUt_ El DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ElPLUMBING RI ElSEPTIC FINAL ElFOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W cc a cc LL W cc Q 2 W Z W cc d W/�CVOR W KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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 El 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 Se- D TIME V CITY OF ORONO CALLED IN Ir INSPECTION NOTICE SCHEDULED /.�7-12— :o o PERMIT NO.aO/d-OD0.3q COMPLETED ADDRESS 72-"l* 0X,6 ' AQ 4d_ OWNER TELEPHONE NO. 61Q 396 S7f g CONTRACTOR DESCRIPTION /n El FOOTING El PLUMBING FINAL El EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: W a o /"kAA '0M0-4er cc 0 2 W QC Q f2 2 W Z W CC Lu ❑WORK SATISFACTORY:PROCEED /PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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. �4 White CopylInspector's File Canary Copy/Site Notice