The URL can be used to link to this page

Home My WebLink About2011-01186 - plumbing 1 . CITY OF ORONO PERMIT NO.: 2011-01186 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 450 WILLOW DR S PIN 03-117-23-32-0012 LEGAL DESC UNPLATTED 03 117 23 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUB,(2)SILLCOCKS,AND (1)EACH-SHOWER,KITCHEN SINK,DISHWASHER,FLOOR DRAIN,LAUNDRY TRAY,WASHER, WATER HEATER AND WATER SOFTENER VALUATION OF PLUMBING 7000 APPLICANT PLUMBING FIXTURE FEE 87.50 BEN SCHERER PLUMBING&HVAC INC. STATE SURCHARGE PLBG(VALUATION) 3.50 4520 85TH STREET SE TOTAL 91.00 DELANO,MN 55328- (763)972-8137 OWNER BOWMAN, WILLIAM 450 WILLOW DR S LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. App icant Permitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 73(e; 9 g0 City of Orono 0 0 P.O.Box 66 73aEcte�e�xefl: Petriut# - 2750 Kelley Parkway Crystal Bay,MN 55323lpgrov By A Amount$ � (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.2ov/CCLD/PDF/pe plumbp1anrevang.ndf GEl'± RAWL;K 1I777777 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. (2448 hour notice required) TSE 4F PERMIT lResidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) rob`Site l:Owner Information Site Address: yJt �,,2 V e- Owner: l l ( 2)6 I-J Vy-,,1. Mailing Address: City: Kg- Zip: 3 Home Phone: Alternate Phone: Contractor Information: Contractor: J�en 5JV fax" Contact Person: Address: y5 ?.o 3?:- s tc j-S tate Bond#: L� b � 6 S"S3 City: Zip: Expiration Date: 1 3/-/Z Phone: '7(-a3 - 2'Z4- el 3 7 Alternate Phone: ❑ Insurance-Current: 1 FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains I Lavatory :3 Sewer Ejector Bathtub Laundry Tray Shower Washer I Kitchen Sink Water Heater Disposal Water Softener Dishwasher ) Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixture or whance 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 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.-00)0)I� -71odc� _ x.0125$ C�7, (contract price) (minimum$50.00) 2. STATE SURCHARGE _,7Z600 x.0005 $ 0. 90 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ i ( 6 i5O ■ * 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. Applicant's Signature: Date: 3 z;t `r DATE TIME CITY OF ORONO CALLED IN m— INSPECTION NOTICE SCHEDULED PERMIT NO.-20//—D//ff 4 COMPLETED n ADDRESS `Z�`5D GU//M W r .S OWNER TELEPHONE NO.&[,a —0 CONTRACTOR oS DESCRIPTION ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W C cc C' GST cc 0 W Q Z W W cc Wc RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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. l White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OFNO CALLED ! l INSPECCTIONION NOTICE SCHEDULED PERMIT NO.9t)/(— &//97 COMPLETED r ADDRESS OWNER TELEPHONE NO./9/Z 23Z CONTRACTOR > DESCRIPTIONrL� "�P7 Uj ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O [_1 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc J O CC O LL ti cc Q W Ae' r`l TP ��(A � /v a W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W W El WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY Q ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN 11 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 CopylInspector's File Canary Copy/Site Notice