The URL can be used to link to this page

Home My WebLink About2011-00405 - plumbing CITY OF ORONO PERMIT NO.: 2011-00405 2750 KELLEY PARKWAY ORONO, MN 55356- HATE ISSUED: 05/31/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 1065 TONKAWA RD PIN 08-117-23-13-0001 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 006 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)EACH: WATER CLOSET,LAVATORY,SHOWER,KITCHEN SINK,DISHWASHER,SILLCOCK,WATER HEATER VALUATION OF PLUMBING 2100 APPLICANT PLUMBING FIXTURE FEE 50.00 GREAT WEST MECHANICAL STATE SURCHARGE PLBG(VALUATION) 1.05 19740 200 AVE.NW TOTAL 51.05 BIG LAKE,MN 55309 O PAID WITH CC# 5709 Minnesota State License#: 003987PM OWNER BEBO,JAMES 1065 TONKAWA RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 da s at any time after work has commenced. The applicant is responsible fo assuring all required inspections are requested in conformance w' the State ding Code.This permit may be revoked at any ti or d cause. Applicantfe4rnit&Signature Date Issued By Si a ure to SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F FqR CI USE ONLY "0\ City of Orono / \\ P.O.Box 66 Date Recei W Permit# � 4 �0`i'I 2750 Kelley Parkway �+ Crystal Bay,MN 55323 Approved By: Amount$: i\ ter i•�� (952)2494600—Main � ~ (952)2494616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) ht.1 ://wwtii.dii.inti.lov/C:CI,D�/PI)F/ a lumb lanreva f. xlf GENERAL INFORMATION 7771 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 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)249-4600. (2448 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 IV) Job Site/Owner Information: Site Address: Ton/ea wa Owner: r� g.e b�,_ Mailing Address: / b Te n k.we. 4 v.Q City: O r o"_o Zip: S 5 32 Home Phone: Alternate Phone: Contractor Information: Contractor: Greoboay� 1W4eA&ftica Contact Person: Address: l9--)yr) 2 06 �� State Bond#: �79 -Z5 Z Pry City: Zip:�t)q Expiration Date: -C/1 Phone: -763 7-63 6 ZN5' Alternate Phone: G►z - G 9 - y SSI 0 ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1ST 2 No OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory I Sewer Ejector Bathtub Laundry Tray Shower I Washer Kitchen Sink I Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks / Miscellaneous PERMIT FEE CALCULATIONS) 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;excludin¢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) 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) obi 2/aO x.0125 $ SU (contract price) (minimum$50.00) 2. STATE SURCHARGE z 10 x.0005 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 it 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 ■ * 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. Applicant's Signature: Date: $ ' 2 C . ) f Reset Form 3 d� tt j f I i t f o � �! 1 i �J I . ; a: 0. 1-4 is 2 466 sq ft \, 3 j S l �J J J/ \ J r S�0_ D�I TIME CITY OF ORONQ, IW_ CALLED IN INSPECTION NOTICE DOyDS_ SCHEDULED PERMIT NO.OP 00Y041 COMPLETED ADDRESS 404:5 ZZ-1 I OWNER TELEPHONE NO. Zq t:q5q CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q -1 POURED WALL ❑ MECHANILSAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W S 1'b a C S +- O 0 r S ► b S g ,r +es—r - 0 U. W Cc Q 2 W Z W Cc W ,WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 13 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. L�j ' "A 2_C White Copy/Inspector's File Canary Copy/Site Notice `— (L10 `� D TIME / CITY OF ORONO` C6( � CALLED IN VVV INSPECTION NOTICE SCHEDULED l �ZL PERMIT NO. ✓ //"�- COMPLETED ADDRESS ADDRESS 10!05 1iYl,K�a- OWNER TEL-EPHONE NO. ala CONTRACTOR "04 OWd ,cP eCk, 3Z DESCRIPTION � �y'`- r I K ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z El 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a cc ° PLA A�(c�,ate 'ot' "-C Ste` w cc Q z W Z W Ljj ❑WORK SATISFACTORY:PROCEED _ROJECTCOMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C1 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. 1 '6 Lv White Copy/Inspector's File Canary Copy/Site Notice