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Home My WebLink About2011-00602 - plumbing � � CITY OF ORONO PERMIT NO.: 2011-00602 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/08/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 325 BROWN RD S PIN : 03-117-23-24-0011 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: NEW FIXTURES: (1)WATER CLOSET (1)LAVATORY (1)SHOWER VALUATION OF PLUMBING 4815 APPLICANT PLUMBING FIXTURE FEE 60.19 WEST SIDE PLUMBING, INC. STATE SURCHARGE PLBG(VALUAT[ON) 2.41 9735 SHADY OAK DRIVE CHASKA, MN 55318 TOTAL 62.60 (952)443-2104 Minnesota State License#: 002983 OWNER WILSON, STEVEN& SUSAN 325 BROWN RD S CRYSTAL BAY, MN 55323- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specihcations,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has wmmenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � �� 1 Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRiBED ABOVE. ! ,► ' - FO CI Y USE ONLY �,�� City of Orono �� P.O.Box 66 Date Receive� Permit# � �,,s �, 2750 Kelley Parkway .� �t��;��` ti� Crystal Bay,MN 55323 Approved By: Amount$: ��^�t:��g�t` � (952)249-4G00—Main �$exo (952)249-4616—Pax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Priar to City Approval) htt�://�+�w�i.dli.inn.�ov/C(:L.D/PDF/ e � lumb�lanreva �.�df GENERAL INFORMATION 1. You inay apply for plumbing perniits by mail or in person at the City offices. Applicarions 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 PERMTT 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 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 Information: Site Address: 3�� 1�/��,,�.,,. ,�=.-��' -�� Owner: L�� i'��'�!',./ Mailing Address: �'�'l''�7 � City: �">��/,'_l(� Zip: Hoine Phone: Alternate Phone: Contractor Inforniation: Contractor: C��f_'�rSl�� .13' , �� n�� ,/� Eontact Person: -�j7.�_"" �6/� �a r� QQ //�� Address: � ��5��/n_!�'�� j�. State Bond #: ��, nll! �/ lL�� '-T- City: �fl�'=,Y}} Zip�'��3�Expiration Date: `v�"��/� � Phone: ��.�•�'/��' ��Z,)C>`�� Alternate Phone: `�G�-1 ��7 ��0 ❑ Insurance- Current: �� 1 ti ` � 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 / Sewer Ejector � Bathtub Laundry Tray Shower J Washer � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ;�� PERMIT FEE CALCULATION(S) � � � BASED OFF - 2002 STATE STATUE �i ❑ Yes, tlus 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee (If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ! � ` PERMIT FEE CALCULATTON S)=JOBS OVER$54Q:OQ ; If above does not apply; follow guidelines below: l. CONTRACT PRTCE *is 1.25%of contract price with a(Minimum Fee of$50.00) �// �� `''� x .0125$ ��(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 or JOB COST means the actual or estimated dollar amount charged for the permitted work includin� 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 puiposes. 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. ;� �.�_. PLUMBTI��PER�%IIT APPLICA�ION AGREEMENT.� � ;. ,a�� . �,;' 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: � �'1 3 �� (�� TIME V CITY OF ORONO CALLED IN 7�� V� INSPECTION OTICE�}� �}——S—CHEDULED 7 � PERMIT NO. O� —V� " COMPLETED ADDRESS 3�� w - �/ OWNER T LEPHO O.v "��"9�� CONTRACTOR � '�lJ�� -T�`3-�Z�D� >; DESCRIPTION � — � v � ly ❑ FOOTING ❑ PL ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON S�AB ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEE7 YOU:_YES_NO � COMMENTS: �� W a � J � � �,�-F— ° v,� cl,��o <..n c� W � Q � Z W � W � � GW �bRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WiLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. ��'' ��-S White Copyllnspector's File Canary CopylSite Notice �� AT TIME � CITY OF ORONO CALLED IN � / INSPECTION�NO�)TICE DG�j�D scHEou�E� �-�� PERMIT NO. �� ^ �-E" �COMPLETED ADDRESS �� S OWNER TEL �NE NO. CONTRACTOR >; DESCRIPTION �� o� - � � ❑ FOOTING ❑ PLUMBIN INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � % � � �-� 1 0 � W Q ��,c�:� '� ,¢� .� - � z w � W � � ��I'�jORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ 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. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � � �7,�� White Copyllnspector's File Canary CopylSite Notice � � ,.�� ; �`� �J TIME �ITY OF ORONO `� CALLED IN —� INSPECTION NOTICE /-� SCHEDULED � � �L,�i,.L PERMIT NO. u'�� — C��-`�'�Z COMPLETED ADDRESS �2� ��' �"r V� S � OWNER TELEPHONE �10:""' (c 10141�� -�� CONTRACTOR w��S��d�_ f�lt,�nb �; DESCRIPTION � � � ��-�-� � � ��'�"� t �'� — � � lV ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATtON ❑ 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 J ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDAT�ON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENT � W � � J O �. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ;�L3 PROJECT COMPLETE � � W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� ► ; 1 OwnerlContractor on site: ' Inspector. �i � �� White Copyllnspector's File Canary CopylSite Notice