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Home My WebLink About2013 - 00866 - plumbing CITY OF ORONO * z0 13 - 1110866 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 80 WEAR LA PIN : 04-117-23-21-0018 LEGAL DESC : ROLLING MEADOWS 4TH ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: FLOOR DRAIN,SHOWER AND VANITY APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 VIETH, PAUL&JILL STATE SURCHARGE PLBG(<$500) 5.00 80 WEAR LA LONG LAKE,MN 55356- TOTAL 20.00 OWNER VIETH, PAUL&JILL 80 WEAR LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. F`' 7 / / 5 ?' !' /3 App leant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • • CIT USE ONLY �T City of Orono ��l 7 W Date Receiermit# � 3-2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Q Amount$: (952)249-4600—Main ,c (952)249-4616-Fax CITY OF ORONO -PLUMBING PERMIT kSHOS (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/PDF/pe plum bplanrevapp.pdf GENERAL INFORMATION I. 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) TYPE OF PERMIT (Check All That Apply) esidential ❑ Commercial (Approval Required) E New Additional ❑ Repairs XReplace ❑ 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: ZV (/1/Pa✓ Lc tie_.... Owner: A, 1 I/i, Mailing Address: iAfe&r Lhi S. City: (/ r c5Y1 v Zip: 5�^3 54. Home Phone: 73')..--(id ti-a30 Alternate Phone: C/? 6-4 (\f- r Contractor Information: Contractor: KA. OW w Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: (l Insurance-Current: 1 • 4 '44 4444 „,; PLUMB NG FIXTURE-8ttiNG FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT lsf 2ND 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 Miscellan ous s Et a' r A4' P 74 'k g4 sa a $ + c- T,, &t1°��x a r;�'��' `s`ks x#X' ” - R b< ')"" t�,+a�, -1t1tvi yq ' $ 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 } CALCULATION(S) —JOBS OVER'$500.00 `=a.. v4, If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract/price with a(Minimum Fee of$50.00) 1 as-a. co x.0125$ /5- (contract price) (minimum$50.00) 2. STATE SURCHARGE �^ x .0005 $ 6- (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. TLUMBING,PER I PPL N GREEMEI 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. /I Applicant's Signature: #' ' Date: 27-, 3 CITY OF ORONO AO CALLED IN CA4TT 3 t6-1-11, E i INSPECTION •TICE SCHEDULED PERMIT NO. '' G K Coco COMPLETED ADDRESS yj 0 Lo-f-\-e S-d OWNER VG• Ci TELEPHONE NO. -7(n3- 6( 2-9 CONTRACTOR i��-► >: DESCRIPTION 7 r � -"r E ❑ FOOTING ❑ PLUMBING FI AL ❑ 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 0 PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ EMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL vPLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO oy COMMENTS: cc a cc 0 0 cc z cc SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRE T WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 111 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site Inspector. White Copyllnspector's File Canary Copy/Site Notice