HomeMy WebLinkAbout2012-00313 - plumbing CITY OF ORONO * 2012 - 00313 *
OL 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1075 TONKAWA RD
PIN : 08-117-23-13-0002
LEGAL DESC : AUDITOR'S SUBD.NO.217
: LOT 006 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT:2 WC,2 LAV,2 SHOWER, 1 URINAL
VALUATION OF PLUMBING 14625
APPLICANT PLUMBING FIXTURE FEE 182.81
STEWART PLUMBING,INC. STATE SURCHARGE PLBG(VALUATION) 7.31
13025 GEORGE WEBER DR
SUITE#I MAIL-IN FEE 2.00
ROGERS,MN 55374 TOTAL 192.12
(763)428-1833
OWNER
SANFT& SARENA LIN,CHRISTIAN
1075 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.
`1�K� Lit-
Applicant Permitee Signature Date Issued B ignature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CITT LTSE ONLY
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AA'' Citi-of Orono
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Og' `Y ' P.Q.Box 66 Date Reived_ Permit
2750 Kelley Parkway
Crystal Bay,MN 55323 approved By: Amount S:
(952)249-4600-Main
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M21 -Fax
CITY OF ORONO PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
Pact t. �t,,o:.clPi.taa�a, °�i� d tl_�l)-I'1)Fl ie tlttaaila al�aaar�,.� � -_� a_If
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 PERNIIT_ WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SUE.
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.
(2448 hour notice required)
TYPE OF PERMIT
Check All That Apply)
Residential ❑Commercial(Approval Required)
❑Ne-tv f4 Additional ❑Repairs ❑Replace
❑ In Accessory Stricture''
*YOU Will need prior approval and max-need C '1'. (Per Orono Cite Code,Chapter 78.Article IV)
Job Site/Owner Information:
Site Address: )Qq5 10MQwa Rd
Owner:Mian Gnh-4 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information: ((�� \ '
Contractor: et.-)a(j PJu�6;rtp, -ane . Contact Person: )en(rT- t ay-rr'er
Address: &DS "-r 0�(• State Bond
City: r5 Zip:5531q Expiration Date: 1 -3 f 13
Phone: a%- I'S 33 Alternate Phone:
tA Insurance—Current:
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1 2 ND 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
Sillcocks Miscellaneous
UrJnaO 1
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 $
(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 125%of contract price with a(Minimum Fee of$50.00)
UR x.0125$
(c retract price) (minimum$50.00)
2. STATE_SURCHARGE
l x.0005 $ '1 3
( h-A ici-)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ q 2 1 2
■ * 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 Ci for issuance of a Plumbing Permit agrees to do all
City g ,
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: `4 J34Z
R99M rra1`fMi
3
5 DATE TIME V/
CITY OF ORONO CALLED IN a 7
INSPECTION NOTICE ov313 SCHEDULED !J-2-7- /2- 0: Op
PERMIT NO.s2eleZ-OD4�, COMPLETED �—
ADDRESS /0 75 7'U--'�-� &az04, Kc'
OWNER TEL PHONE NO.&/Z 3&'4' 6797
CONTRACTOR -St�a-&t
DESCRIPTION �-
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ElWOOD BURNER/FIREPLACE El 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 ❑ PLU i ElFOUNDATION/REMOVAL
Z OWNE ONTRACT U: Y _NO
� COMMENTS:
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W iBd"KSATISFACTORY-PROCEED ❑ PROJECTCOMPLETE
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w ElCORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR E)CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor ons' e:
r.
Inspecto `
White Copy/InspectoPs File Canary Copy/Site Notice