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HomeMy WebLinkAbout2013-01136 - plumbing CITY OF ORONO * 2 0 1 3 - 0 1 1 3 6 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2011 ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS 760 TONKAWA RD PIN 05-117-23-34-0007 LEGAL DESC PARTENS POINT 1 ST DIV : LOT 013 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: BSMT: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNERS 1 WET BAR 1ST FLOOR: 1 WC, 1 LAV,2 KITCHEN SINK,2 DISPOSAL,2 DISHWASHER 2ND FLOOR:2 WC,3 LAV, 1 TUB,2 SHOWER, 1 WASHER, OTHER: 1 FLOOR DRAINS, 1 LAUNDRY VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 MASTER PRO PLUMBING STATE SURCHARGE PLBG(VALUATION) 6.00 3313 WILDWOOD PRIOR LAKE,MN 55372- TOTAL 156.00 (612)290-4654 PAID WITH CC# 9030 Minnesota State License#: 065584 PM OWNER BORDSON,BRENT&NANCY 760 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 By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CrrV USE ONLY City of Orono w 11,01 Rax 66 � Daze Received: Permit 4 2730 Kelley Park"ay Cn sw Bay.DA1v 35323Approved By, Amotmt S. j (452)24946W-Maiii s s ('9521244-4616-fax .rY ,ti ~ ' CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) 1t at .i!wvtw.lti,mn,+trrtC't`l.011'tl r' aplumbplanrevapp.pdf 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 CARD IS POSTER 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, (24-411 hour notice required) TYPE OF PERMIT Check All That Apply) Residential ❑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 N) Job Site/Owner Information: ` Site Address: Owner: lilt 1 "' ' Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor information: Contractor: ' �` i (�trr;#j Iry Contact Person: Address: State Bond 4: r�" (a E—) Cite: i1 L" Zip:1s t 6,Expiration Date: Phone: ' { ' ' Alternate Phone: Y © lf �� k Insurance—Current: � F� 1 FIXTURE BShTT 1 IND OTHER FIXTURE 13SMT 1`' 2` OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower i Washer Kitchen Sink / � Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ,r s., y:a; IR ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements. 1. Dome t require modification to electrical or gas service. 2. Has a total cast of$500.00 or less,excludine 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) If above does not apply,follow guidelines below: 1. CONTRACT PRICE * is 1.2.5%of contract price with a(Minimum Fee of 550.00) !rr x.0125S (-nu=t pnce) (minimum 550.00) 2. STATE SURCHARGE 1 . ^ ") ,, `' x.0005 $ Eamiract price') 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ■ * 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 Si Date: DAT TIME V CITY OF ORONO CALLED IN ���f- INSPECTION NOTICE SCHEDULED / PERMIT NO.o?043 0!/30 COMPLETED ADDRESS ?�5?44U�,C OWNER TELPHONE NO.6/2 Zgz2 V&�y CONTRACTOR DESCRIPTION ❑ FOOTING [IPLUMBING FI AL ElEXCAWGRADI /FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL EJSEWER HOOK-UP El 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 O cc W cc Q z W Z W Qc d U, ORK ATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ac W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. l� White Copy/Inspector's File Canary Copy/Site Notice 5nDATE TIME V CITY OF ORONO CALLED INT— INSPECTION NOTICE SCHEDULED — PERMIT N COMPLETED ADDRESS OWNERELEPH NO 'd - &_0K CONTRACTOR DESCRIPTION ❑ FOOTING )LPLU I G FINAL ❑ EXCAV/GRADING/FILUNG h ❑ POURED WALL ❑ MEC ANICAL RI ❑ LAKESHORE/WETLANDS ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: 01 a - /yJDlioMt�r i� holeP�.s� ` `y w, ti►'�rf,E.b�., s �►�. ,� figs hme - it Q f2 t 5!r rrtei.✓� B W cc j d Wj ❑WORK SATISFACTORY:PROCEED El PROJECT COMPLETE RRECT 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 ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. " section 24 hours in advance. (952) 249-4600 Owns ctor on site• Inspector. White Copy/Inspector's File Canary Copy/Site Notice