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Home My WebLink About2012-01195 (plumbing) CITY OF ORONO * z 0 1 z - 0 1 1 9 5 * �� 2750 KELLEY PARKWAY �AT�ISSUEn: 1 U2U2012 . ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRES`' : 4495 BAYSIDE RD PIN �� : 06-117-23-21-0004 LEGAL DESC : UNPLATTED 06 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITC[-IEN SWK,(1)DISHWASHER (2)SILLCOCKS,(2)FLOOR DRAINS,(1)LAUNDRY TRAY,(I)WASHER,(1)WATER HEATER AND(1)WATER SOFTENGR VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 CHEYENNE PLBG& HEATING INC STATE SURCHARGE PLBG (VALUATION) 4.00 25903 RABBIT ST NW ZIMMERMAN, MN 55398- TOTAL 104.00 (763)856-6727 Minnesota State License#: PC644126 OWNER Katherine Taylor Homes, Inc. AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and beco �e null and void if construction authorized is not commenced w in 180 days of the date of issuance,or if consVuction is suspended o period of 18 days any time after work has commenced. The appl is respo i for urin II required inspections are reques � confor i e St e[3uilding Code.This pennit may be revo� d any ti r ./�%' �l �.�1 � /�- �� 2�� Z pp icant Permitee Signature Date Is I3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. . FOR CITY USE ONLY L City of Orono _7��a _ �y� � � 040�0 P.O.Box 66 Date Received: Permit�� 2750 Kelley Parkway n A roved B Amount$: ' ��'��r�:_ Crystal Bay,MN 55323 PP Y� Y,�i �d� �� o� 952 249-4600—Main ,�� a�s�� (952)249-4616—Fax �� CITY OF ORONO — PLUMBING PERMIT " . � � � (All Commercial Permits Must be Approved by the State Prior to City Approval) � htt�:/1w�4�w.dli.mn.�fov/CCLD/PL?F/ e � lumb lanreva �. df GENERAL INFORMATION 1. You may apply for plumbing pernuts 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 pernuts 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) J��J Residential ❑ Commercial(Approval Required) i • �New ❑ Addirional ❑ 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: / � �� -�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �+''� ��1� �1�� % `� ��Contact Person: '�/�V� Address: �5`�a3 ��`� s ' �u'� State Bond#: r�� City: �'''''"�'��'''`t� Zip: �3I�ExpirationDate: `� = Phone: ��-��'�O�r°��7 Alternate Phone: ��'7 " ❑ Insurance—Current: _ 1 � ' �`�� v ��"`��,� �' ' PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains � Lavatory � 3 / Sewer Ejector Bathtub / Laundry Tray / Shower / / Washer I Kitchen Sink / Water Heater � Disposal Water Softener � Dishwasher � Wet Bar Sillcocks � Miscellaneous �- PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE �s secrion applies one Residential fixture or appliance that meets all three of the following ��cation to electrical or gas service. �or less; excludin�the cost of the fixture or appliance: and � ,ed by the homeowner or licensed plumbing contractor. Cost of Permit $ 15.00 �'ate Surcharge $ 5.00 � Tn Fee(If Applicable) $ 2.00 �mit Fee $ �� ,�U 7 � 1u a�° 2 � PERIVIIT 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$50.00) �� U x.0125$ (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 ar JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 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. � � �' �E�� T" � � PLj..TMB��n�P��T � ��A.GREEMENT '� � � .: ,. � . ; ' R�k �.,. , �� ,. �� .::, -. . � . �, The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with tl�e ordinances of the City and the regulations of the State of Minnesota, and certifies that aJ-3� statements ade on this application are complete, true and correct. � ,% � , �� - / '' // !� 07/ � Applicant's Signature: � �I�i Date: � 3 � '� Q�, DATE TIME CITY OF ORONO CALLED IN �-9/� INSPECTION N�7O�,TICE SCHEDULED �/D-�3 /O•�C� PERMIT NO.�v�2-�� '�1�'� COMPLETED ADDRESS / �-5 «�"-�-- OWNER TELE E NO. � �� CONTRACTOR �: DESCRIPTION P �-�" ll� ❑ FOOTING ❑ PLUM INAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING O MECHANICAL FINAL ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W ' tr' �� I� CCPS S U ��' 4 � � 0 � � � At — C,Jdc� � .� � �I�SfT�: � � � ,q � . � W � Zt.� �"f � 7- l� : �, .�,�-1 W � W � j GW ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � �` White Copyllnspector's File Canary CopylSite Notice � (�� Z�� I /f� TIME � CI OF ORONO CALLED w � INSPECTION NOTIC�( , —f� SCHEDULED PERMIT NO. �` D "`� v l I��OMPLETED ADDRESS �� /"7C�-1 C�/ �� OWNER TELEPHONE O. �I a r �/ q� " �OZ CONTRACTOR � b� � K:�t�; >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G DING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPT INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACT�R TO ME� YES_NO � COMMENTS: ` � �.-�}��N ��f S�-E� �i4 Cc� �c�' o e G� s � � � o �- o W ! l i �� Q • � -r� �v ti � ��G� � . • t �'e�e. � N�GdS � � —• , � RK SATISFACTORY:PROCEED �C�� LfPROJeCT�� ♦ W RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE'ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contra or o e:� Inspector. � f White Copyllnspector's File Canary CopylSite Notice