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HomeMy WebLinkAbout2012-00063 - plumbing CITY OF ORONO PERMIT NO.: 2012-00063 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 01/31/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 220 WAKEFIELD RD PIN : 36-118-23-31-0010 LEGAL DESC : WAKEFIELD FARMS 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WATER CLOSET,LAVATORY AND SHOWER VALUATION OF PLUMBING 2100 APPLICANT PLUMBING FIXTURE FEE 50.00 SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 1.05 11473 KENYON COURT BLAINE,MN 55449- MAIL-IN FEE 2.00 (763)614-7963 TOTAL 53.05 Minnesota State License#:066807 PM PAID WITH CC# 4012 OWNER DAVIS,RICHARD&BETH 220 WAKEFIELD RD WAYZATA,MN 55391- 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 du cause. / Applicant PermiteeTignature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. L/31/12 10: 15AM CST Spring Plumbing LLC —> Building Dept 9522494616 Pg r C uus ONLY City of Orono 1 ?.� �0 P.O.Dox 66 Dere PAadva M ff 2730 Kelley PA&wey25 Gyotml&W.W 55323 APYMV4d HY: ADlotutt S: �/ •�!��+� � (952)1�4s-4600—2�n tea.. (952)24M616—Fax CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) h :N i n. v/C F ubolanrevann. d GENERAL WORMAnON 1. You rosy 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 anter a review is complcw& P MtWCT6 ARE NOT vALID UNTIL YOU RECEIVE A PERMIT. WORKMU8 'NOT BEGINJII��ILM 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 ranodeling is involved,a separate building permit must be 5. All work must be done in accordance with State Code requirements. 6. All work must be impacted 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 Roquired) New ❑Additional ❑Repairs Replace ❑ In Accessory Structure? *You mill eed,�.AVIlroval and may need Q.(per Orono City Code,Chapter 78.Article M Job Site/Owner Information: Site Address; a'� (j(A.((.(c Owner: Mailing Address; City: zip: Home Phone; Alternate Phone: Contractor Information: p /� Contractor; i/ /1contact Person, -71 Address: (!f State Bond#: ej!w�e q 39 City; rLl LLIV zip: 15� pimation Date: Phone; Alternate Phone: ❑ lasurance—Current; � 1 /31/12 10: 15AM CST Spring Plumbing LLC —> Building Dept 9522494616 Pg PLUNBING FIXIMS BEINQ BiSTALLBD FDtT[JRE BSMT 1 2 OTHER FIXTURE BSMT 161 2w OTHER TYPE FL FL TYPE FL FL Water closet 1 Floor Drains ]Lavatory Sewer Pjector Bathtub laundry Tray Shower washer Kitcben Sink waterklaater Disposal Water Softener , Dishwasher wet Bar Sillcoaks "scellaneoas PERWT FEE CALCULAMON(S). BASED OFF-2002 STA -STATUE ❑ Yes,this section applies The replaosment of only one RAidential fg=or appliance that meets all three of the following requirements: 1. Does not require modifivation to eloctrical or gas service. 2. Has a total cod of$500.00 or less;ZXglyding the cost of the fixture or applia=:aM 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip non section,if this applies; Cost of Permit $ 15.00 State surcharge s 5.00 Mail-In Fee(If applicable) 3 2.00 Total Permit Fee S (Permit Fees Continued On Next Page) 2 /31/1,2 10 : 15AM CST Spring Plumbing LLC —> Building Dept 9522494616 Pg PFJU UT FSB CALCULATION(S).—JOBS OVER$300.00' If above does not apply;follow guidelines below 1. CONTRACT PRICE •is 10%of contract price with a(Minimum Fee or$50.00) (ooeaot vein+) (mlalmom SMe01 X.0005 $ . t� 3. POSTAGE&HANDLING(Only on Mail--In Applications) S 2.00 4. TOTAL.PFRDW FEE(Add Lines 1-3 Above) $ ! •��� !_ * CONTRACT PRICE or JOB COST moms the actual_or estimated dollar amount charged for the permitted viork'includiag materials,labor,profit,and other fixed costs. It is the aatount to be charged to the custormes 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 he 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 oontract. PLUMBING PERMfr AMICABON AORNF' ' The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in striot accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this applications are complete, true and caarcct. 11 AD Applicant's Signartue: Date: ' R.aset Forst 3 5c_ DTE TIME CITY OF ORONO CALLED IN INSPECTION L40TICE SCHEDULED PERMIT NO. ©1 2 —D COMPLETED ADDRESS 20W I,t)-qke-Fie td 142( OWNER TELEPHONE NO. ��3 7 7 �J CONTRACTOR __SPrI nq p[a mb1 nC) DESCRIPTION ZLIAIAZ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W C J O cc O UL W CC Q f2 2 W z W CC O Wcc ORK SATISFACTORY-PROCEED 11PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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. U White Copy/Inspector's File Canary Copy/Site Notice