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Home My WebLink About2011 - 00079 - plumbing CITY OF ORONO PERMIT NO.: 2011-00079 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/04/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1930 WEST FARM RD PIN : 27-118-23-43-0021 LEGAL DESC : THE FARM AT LONG LAKE : LOT 022 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 2 WC,3 LAV,2 SHOWER VALUATION OF PLUMBING 11300 APPLICANT PLUMBING FIXTURE FEE 141.25 GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 5.65 2200 HIGHWAY 13 BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 (952)767-1000 MISC FEE 0.00 TOTAL 148.90 OWNER LYONS, MICHAEL& DEBRA 1930 WEST FARM RD LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with\he State Building Code.This permit may be revoked at any time,for due cause. (\fia 65731-.4-'1C / • • Applicant Permitee Signature Date Issued By nature e� date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB(A . 1� 9 FOR CITY USE ONLY AA-- City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) 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 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) / Residential 1:1Commercial(Approval Required) ❑New r Additional ❑Repairs ❑ Replace ❑ 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: I CY- 0, Owner: 1 01--e., Nb Was Mailing Address: 1d& Uv - (f1(1 1 c--G. City: JY ) Ott_ Zip: J�J �l o Home Phone: Alternate Phone: Contractor Information: 1 Contractor: Dein?<- .1O..n Contact Person: Qfif\JA EeI F� IW� Address: 9aH t\Ak \N! State Bond#: gal gaa City: _ Zip:�331 Expiration Date: I13\t ) Phone: 9-67-1 1 \D ' V Alternate Phone: 01 5D., c'U0 \41 ] Insurance—Current: l i) ) '\(QWf M4.0054 1 \CcY�y� baw„,,:DCT)lv3 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1s' 2ND OTHER FIXTURE BSMT 1" 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 Miscellaneous 7;`; ` `pt,� PERMIT FEE CALCULAT • I( ) 1tiMAS * " OFF 2002 STATE STATU A N� ` � i ❑ 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 � . —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$50.00) V 11301) x.0125$ 11-11.a5 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) R 270b x.0005 $ 5 Le (contract price) (minimum$ 5.00) 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 STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. jczApplicant's Signature: Date: « • Ial I 3 #------/ 5-rj--- DAT TIME 11 CITY OF ORONO CALLED IN / , INSPECTION TICS SCHEDULEDf7$ C( 3 30 PERMIT NO. n-6160 79 COMPLETED� � � ADDRESS 930 �4i,d— D s/.�-/-�,1 OWNER Ada >4 ELEPHONE NO. ` 7� 7 CONTRACTOR „42 ' I��: DESCRIPTION / /Col,0 - �1 I, ❑ FOOTING ❑ PLUMBI e FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 0 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 v CIPLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q.. CC O A r_ - r tr C ro jcsi a .�1 i t cc0 W cc W z W k a CORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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 oll : • Inspector. J White Copy/Inspector's File Canary Copy/Site Notice IITY �- J�ATITIME OF ORONO CALLED IN / I INSPECTION NOTICE SCHEDULED 2-0.0 I i I PERMIT NO.. r1 I I -OCO_COMPLETED ADDRESS A 3C' Lk-) ti ryy OWNER _ TELEPHONE NO39 ---- - E-7 L CONTRACTOR DESCRIPTION I 'L ir1177 CqeW LU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ 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 o COMMENTS: ec W cc 0 7- CC CC W W CC O LuL /ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑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 OwnerlContractor on site: �-' � Inspector. 711ELS White Copy/Inspector's File Canary Copy/Site Notice wTIME \/ CITY OF ORONO Z-2°----CALLED IN INSPECTION NOTICE n SCHEDULED -11rIST 9 .co PERMIT NO.r26//- 607`7 COMPLETED ADDRESS /930 we4 Fa 4-n , OWNER /� TELEPHONE NO.9 Z 767 (2-7z2 7 ' V CONTRACTOR `49 IZ �a-n....d DESCRIPTION p4,,,,,,,..6_,,,,,, .�2' -44 I. lU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING cc ❑ POURED WALL DI MECHANICAL RI ❑ LAKESHORE/WETLANDS y O CI FRAMING ICI MECHANICAL FINAL El TREE REMOVAL ❑ 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 ma ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI CISEPTIC FINAL CI FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W Q. cc A. TO 1e - W cc sT z 1/4) S -k- (fie A ,e. ci t.ot.iI,yrS G A--,A) W Dv c�.r t r A d 4 S l= ( c s L-( 5 �.. 0 LULU El yi/ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY 0 11 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit:: / AA dr Inspector. White Copy/Inspector's File Canary Copy/Site Notice