Loading...
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 d` 04p- AA'' Citi-of Orono ec Og' `Y ' P.Q.Box 66 Date Reived_ Permit 2750 Kelley Parkway Crystal Bay,MN 55323 approved By: Amount S: (952)249-4600-Main _ 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: W a a cc 0 U_ W cc Q z W W cc W iBd"KSATISFACTORY-PROCEED ❑ PROJECTCOMPLETE cc 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