The URL can be used to link to this page

Home My WebLink About2011-01448 - plumbing CITY OF ORONO PERMIT NO.: 2011-01448 � " 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 1U17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 650 BROWN RD N PIN : 34-118-23-12-0004 LEGAL DESC : UNPLATTED 34 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE VALUATION OF PLUMBING 2100 APPLICANT PLUMBING FIXTURE FEE 50.00 SALZER PLUMBING 6549 147TH STREET W. STATE SURCHARGE PLBG(VALUATION) 1.05 SAVAGE, MN 55378 TOTAL 51.05 (952)447-8025 OWNER GARRETT, WARREN &TANA 650 BROWN RD N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separate permits. AII provisions of laws and ordinances governing[his type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a any time for due cause. � '/�1 ��` � � ` � / . . , 7 ,/� � �� '�'L'��.�"''i � Applicant Per i ee Si at e Date [ssued By Sig�ature � Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r . - FOR CITY USE ONLY � ' ,�� City of Orono P.O.Box 66 Date Received: Permit# i ��`„t; � � 2750 Kelley Parkway i a ��`�y�,r'" � Crystal Bay,MN 55323 Approved By: Amount$: �i� �� '��f��i�.�o'` (952)249-4600—Main � �caeso$ (952)249-4616—Fax ��1�� . CITY OF ORONO - PLUMBING PERMIT " \1�,r (All Commercial Permits Must be Approved by the Sta�e Prior to City Approval) � ht��://�tiv��.dli.inn.«o�-JCCI�D/PDF/ e lumb lanreva �.�df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applicarions will be reviewed and a pernut 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 iY is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A ly) [�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 Information: Site Address: l�s(� Q,/�c�vv�n/ �0 /�/ Owner: �p�t,ttQ,� G,�R R,@.�� Mailing Address: Co SU �rvwr✓ f�� /� City: ��d�v zip: Home Phone: Alternate Phone: Contractor Information: L� � Contractor: �5,� Z�,� ,p�u,v�� Contact Person: ' Pi .�1� Address: ��LI� I�7 �S� �/ State Bond #: 37� City: �f Zip:�✓' Expiration Date: 3� �a.0 �Q f � Phone: (�i Alternate Phone: � � a 3G � �7`�� ❑ Insurance—Current: 1 1 . . ` '.:; PLUMBING FSXTURES BEING INSTALLED ,� . � FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 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 � �j. �.G �� C's� � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE j ❑ Yes,this section applies The replacement of only one Residential fixture or ap�liance 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; excludinQ 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 � i ;.,, ., ��_��.MT��E��ULATION S -JOBS OVE �. �0� �?t� �,v;° � ,: If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price wi�.�a(Minimum Fee of$50.00) C_^ cT�� '�� x.0125 $ (co C rice) (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 or JOB COST means the actual ar 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 ar 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. .` �`� ��'�`' ��'" �,� UMBING PERMIT AP�?�LI��1.�"��3:t��'.1�GREENI�NT ��. 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 � � ,/�� '1/ "' DATE �� TIME CITY OF ORONO CALLED IN � � �� INSPECTION NOTICE SCHEDULED % /�"/�� --�'�� PERMIT NO. — COMPLETED �� ADDRESS �C�� L�Lti�/'1 OWNER TELEPHONE NO. �� 7�OZS CONTRACTOR `�� Z�lf /��J. �: DESCRIPTION rf��t-t-�`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT INA ❑ FOUNDATION/RENJOVAL � OWNERICONTRACTOR TO MEET YOU: ,YES�10 C�(��. (�1+�(,et-� �Q �'4Z'1� � COMMENTS: � W a J �� Q�v O _ � v � o 0 � W � Q � Z W � W � � � �VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �� , White Copyllnspector's File Canary Copy/Site Notice