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Home My WebLink About2012-00836 (plumbing-fixtures) � CITY OF ORONO * 2 0 1 2 - 0 0 8 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 08/23/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3131 CASCO CIR PIN : 20-117-23-34-0007 LEGAL DESC : SPRING PARK : LOT 044 BLOCK 000 PERMIT TYPE : PLUMB[NG(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURES: (1)KITCHEN SINK,(1)DISPOSAL,(1)DISF[WASHER AND(1)WAS}[ER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 FREEDOM MECHANICAL STATE SURCHARGE PLBG (VALUATION) OJS 1 1135 HWY. 7 WATERTOWN, MN 55388 TOTAL 50.75 (612)363-6198 PAID WITH CC# 7346 Minnesota State License#: 004042PM OWNER HELMER, TAMI 3131 CASCO CIR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work Yor which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. 'Che applicant is responsible for assuring all required inspections are requested in conformance with the St Building Code.This permit may be revoked at an fo ue ca s % :��`� ��3� i 2 ��. � �ZJ Applicant Permitee Signature Date Issu d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , ' FOR CITY USE ONLY ' ,�� City of Orono O O P.O.Box 66 Date Received: Permit# �,, 2750 Kelley Parkway ��a ,`��A �. Crystal Bay,MN 55323 Approved By: Amount$: �';�c.G`' (952)249-4600—Main \��80$�' (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://��w��.dli.inn.at►v/CCLD/I'DFl e lumb lanreva . df GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernlit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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 piumbing 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) � � ❑ Residential ❑ Commercial(Approval Required) Q 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: SiteAddress: �� J ( �C�SL.,<� �`� ��, Owner: �7�1� v�tec� MailingAddress: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �t��L�� '��L-�" Contact Person: `�L-� `v�-`'�` Address: �3�� ^°� '�CState Bond#: City: G'--'�,�-�,Q� Zip: �'�"� Expiration Date: Phone: ��- �� G Alternate Phone: ❑ Insurance-Current: 1 , �' ,-» ', PLUMBING FIXTURES BElNG Il�TSTALLED . �`�` < �,: FI�TLJRE 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 W asher i c Kitchen Sink � Water Heater Disposal � 1 Water Softener t Dishwasher ` Wet Bar Sillcocks Miscellaneous � � � � � PERMIT FEE CALCL�LATION(S) � � BASED �JFF - 2002 STATE STATUE I ❑ Yes,this 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , � �'�MIT FEE=CA��ULATION(S -70BS ()�E��$��0 ,r�� ,<¢ �� , , _ , � r.a.��,� 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.o12s $ 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 ar 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. � � � ,�'�r�, ��;M '" The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in stnct accardance 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� < � 3 - C� T TIME ✓ CITY OF ORONO ALLED IN � � ��' INSPECTION NOTICE�r� ^� SCHEDULED � PERMIT NO.�+'��oZ"t�J� .7 I� MPLETED + ADDRESS �I �I .�� OWNER TE PHON NO. �� 3""� �� CONTRACTOR � �; DESCRIPTION �` � � � ❑ FOOTING ❑ PLUMBING I AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANI RI ❑ LAKESHORE/WETLANDS � ❑ 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 ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTHACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � jL•� �f'�.� �,J � �a�� 0 � �� j � ° � (` �T� �fi�2� � Q � z w � W � � a � �46IQ�KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�� OwnerlContractor on site: Inspector. .C�',�.�!I�� White Copyllnspector's File Canary CopylSite Notice �� —I� DATE TIME � CITYOFVFiVNO CALLEDIN �I-/(p �Z INSPECTION NOTICE SCHEDULED //- ZD /Z � PERMIT NO. �I� -d��r.�iL O PLETED ADDRESS � � �l� OWNER T�� l/(-�ONE NO. � � ,D7p� C�NTRACTO «�� ; DESCRIPTION 4 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAI 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 � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O a � O � W � Q � 2 W � W � � a W ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. C %�.�i = �� White Copyllnspector's File Canary CopylSite Notice