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Home My WebLink About2012-00670 (plumbing) CITY OF ORONO * z 0 1 z - 0 0 6 7 0 * � 2750 KELLEY PARKWAY llATE ISSUED: 07/16/2012 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1501 BAY R1DGE RD PIN : ]0-117-23-34-0007 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 5.00 2905 GARFIELD AVENUE S. MINNEAPOLIS, MN 55408- MAIL-IN FEE 2.00 (612)827-4033 TOTAL 22.00 OWNER GERMANSON,DON&TWILA 1501 BAY RIDGE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of worh shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for{lue cause. \`j��i i.1/"`L��V\- / / / / / Applicant Permitee Signature Date Issued Bv i nature e SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO FOR CITY USE ONLY ,�p�, City of Orono ' P.O.Box 66 Date Received: Permit# �',, � 27�0 Kelley Parkway ` a �I! a�;rP �• Crystal Bay,MN 55323 Approved By: Amount$: �� "��°�4.o� (952)249-4600 . .r„��r,eif�'� a� saso$ 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 pemuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working da}�s. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK n7UST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new consiruction or remodeling is involved, a separate building pernut 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 Al1 That Apply) � Residential ❑ 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) Job Site/ Owner Inforniation: Site Address: _ Don Germanson 1501 Bay Ridge Road Owner: Orono, MN 55391 idress: 9529564058 City: Home Phone: Alternate Phone: Contractor Information: Contractor: i�i�C�Cb� a�u,�YYI+�� Contact Person: � Address: 2�� a�'�l�� '�IV SD, State Bond #: ��1�l�l �� City: � �� Zip�b� Expiration Date: ( � v�/� / Phone: f��2�$2�� fa�3�3 Alternate Phone: � ^ � Insurance—Current: 1 PLUNIBING FIXTURES BE1NG INSTALLED ' FIXTURE BSMT 1 2` OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ej ector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater I Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CAL,CUL�4TION(S) � � � BASED OFF - 2002 STATE STATUE � � ❑ Yes, this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to elechical 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 contractor. Skip next section, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $j00 Total Permit Fee $�� l (Permit Fees Continued On 1\Text Page) � . " 3 T .,�'��;�PE.�°RMIT FE�Y:CALCLII;A�F�Q.1�{S �`=JOBS O�ER:$SQ0.00 ` y�x_n;:. ' ;':' . If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contractprice) (minimum$ .50) 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 pernutted 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 funushed 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 pernut 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$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. :�� u�� , �.„��i,�T,.y ,]�TCi��'�R11��I.T;�1P�.'IyI,�"A��{�?;' ��GREEMEr�?iT` ;_� �. � _�..,� .�.��;�; �_..��'��.��..��'n.,....�. ..� k..,,�. {� , � � '��, � �... �, The undersigned hereby applies to the City fqr 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: �� l �� 3 �� ATE � TIME CITY OF ORO CALLED IN INSPECTION OTICE SCHEDULED �l�•�� PERMIT NO. ��70 C PLETED ADDRESS .SD� G� OWNER T P E NO. �5�-95�—�� CONTRACTOR B �`� >; DESCRIPTION � � 'r`-Qr� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S�FINAL ❑ FOUNDATION/REMOVAL � NERI NTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlConUactor on ite: Inspector.�., ,�j ' � --� White Copyllnspector's File Canary CopylSite Notice