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Home My WebLink About2012-01251 - plumbing InElffmillillillillillillillilifu CITY OF ORONO * 2 0 1 2 - 0 1 2 5 1 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2012 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 2645 WATERTOWN RD PIN 04-117-23-12-0008 LEGAL DESC OLD CRYSTAL BAY ROAD ADDN LOT 001 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (6)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(4)SHOWERS,(2)KITCHEN SINKS,(2)DISPOSALS, (1)DISHWASHER,(2)SILLCOCKS,(2)FLOOR DRAINS,(2)WASHERS,(1)WATER HEATER,(1)SCREEN PORCH BAR SINK AND (1)GARAGE SINK VALUATION OF PLUMBING 28000 APPLICANT PLUMBING FIXTURE FEE 350.00 B&D PLUMBING&HEATING INC. STATE SURCHARGE PLBG(VALUATION) 14.00 4145 MACKENZIE CT NE TOTAL 364.00 ST MICHAEL,MN 55376- (763)497-2290 OWNER VANOVERBEKE,PETER&AMANDA 2645 WATERTOWN 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 y t' for du cause. 2ZAJIMiLcant Permitee Signature Date IsSu#d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ` Cl 0 City of Orono P.O.Box 66 2750 Kelley Parkway - Crystal Bay,MN 55323 (952)249-4600—Main ,` r (952)249-4616—Fax CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) httg://www.dli.mn.eov/CCLD/PDF/ a lumb lanreva df 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. (24-48 hour notice required) aImNO, Residential ❑Commercial(Approval Required) XNew ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) 1] t r , Site Address: a-y'a pd-vio ficlo- a %% Owner: N-/QA o�.4 4 4 h-e-ke- Mailing Address: City: DVO n D Zip: -) C5 (.o UA Dome Phone: (S12- _730- 9 57R Alternate Phone: ( B&D Plumbing,Heating&A/C Contact Person: 4145 MacKenzie Court NE E St.Michael,MN 55376 State Bond#: Phone:763497-2290 Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 L FIXTURE BSMT Pr 2ND OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains Lavatory ( 3 Sewer Ejector , Bathtub I ( Laundry Tray Shower I ' Washer Kitchen Sink Water Heater I Disposal Water Softener Dishwasher I • DrC.h Sillcocks oZ frau sink � ❑ 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;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 $ (Permit Fees Continued On Next Page) 2 i 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$50.00) v`0 0 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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. 17 Applicant's Signature: ` Date: Reset Form 3 _ AT TIME CITY OFORONO cAL �� /F a— ��-'��— INSPECTION NQQTI E SC HE L PERMIT NO.-;LO I - 0 11961 COMPLETED ADDRESS —5 l OWNER TELEPHONE N07�3 " r' 7 0 CONTRACTOR �' 'n Irlb > DESCRIPTION UW ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL R ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ 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 i El DEMO-FINAL S PTICIEES—NO TALL EI HARD COVER REMOVAL v ElPLUMBING RI ❑ SE AL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU--' o COMMENTS: W cc TSS cc o W k Q ti Z W z W CC W Im4h 4RK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE Uj W ElCORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 e: Inspector. IX White Copy/Inspector's File Canary Copy/Site Notice dcrD TE7 TIME CITY OF ORONO CALLED IN /Ml INSPECTION NOTICE / SCHEDULED -L — PERMIT NO.aQlG1� / COMPLETED ADDRESS 94 K57 OWNER TELEPHONE NOT-32-9 77� CONTRACTOR �` "'� >; DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QC W a 0 a CC 0 LL W Q ti Z W Z W crd W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LU W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WELL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El 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. V_d/o-) White CopylInspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED —1-17-45 PERMIT NOv�/o�� C,OMPLETED Q� ADDRESS OWNER TELEPHONE CONTRACTOR A / DESCRIPTION tl! ❑ FOOTING ❑ PLUMBING FINAL ❑ CA GRADING/FILLING W El POURED WALL El MECHANICAL RI ElHORE/WETLANDS y O El FRAMING ❑ MECHANICAL FINAL [:1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL El 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C cc r�n 0 W cc Q Z W z W cc UJ40 WOFIPC SATISFACTORY.PROCEED ❑ PROJECT COMPLETE LU W El WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP 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 on site: Inspector. White CopylInspector's File Canary Copy/Site Notice