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Home My WebLink About2013-00586 - plumbing CITY OF ORONO * z 0 1 3 — 0 0 5 8 6 * , 2750 KELLEY PARKWAY DATE ISSUED: 07/OU2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2794 CASCO POINT RD PIN : 20-117-23-32-0018 LEGAL DESC : CASCO HEIGHTS : LOT 022 BLOCK 004 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 4 WATER CLOS�TS, 5 LAVATORY,2 BATH'CUB, 1 SHOWER, l KITCHFN SINK, 1 DISPOSAL, 1 DISHWASHF_R,2 SILLCOCKS, 1 FLOOR DRA1N, 1 LAUNDRY"rRAY, l WASHER, 1 WATER HEATF.R VALUATION OF PLUMBING 7800 APPLICANT PLUMBING FIXTURE FEE 97.50 MIKE LARSON PLUMBING STATE SURCHARGE PLBG (VALUATION) 3.90 5120 HOOPER LAKE ROAD DEEPHAVEN,MN 55331- TOTAL 101.40 �) Minnesota State License#: 059193 OWNER Norge Development LLC 30 BIRCH BLVD TONKA BAY, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspectio a requested in co ance with the State Building Code.T � mit may be �i� revoked a[ tim or due ause. �� / � / ��`C. (_ e cyYl.C( ,�'I � J'_ � _ / A ant�P e Si t re Date �� [ssued I3y Sign ure Date SEPARATE PERMITS REQUIRED FOR WORK OTI-IER THAN DESCRIBED ABOVE. � FOR CITY USE ONLY ,-�O^TO City of Orono P.O.Box 66 Date Received: Permit# � 'V � 2750 Kelley Parkway � ,/'1 '� Crystal Bay,MN 55323 Approved By: Amount$: f � J (952)249-4600—Main �Y �-�`� ` (952)249-4616—Fax 1 -� >./ � �` CITY OF ORONO-PLUMBING PERMIT !q'��.S F{�`�`4 (All Commercial Permits Must be Approved by the State Prior to City Approval) � htt ://��ww.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 1. You may apply for plumbing perrnits 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 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 All That A 1 ❑ Residential ❑Commercial(Approval Required) �New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaproval and may need('l_P.(Per Orono City Code,Chapter 78,Artide IV) Job Site/Owner Information: Site Address: ��%��7�� `' SC� � � ''��'� Owner: Mailing Address: City: C�� °� � Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��y k r ��,�s C�� i�.��.�,�ontact Person: //�)e� �,�r s'� `"` / J Address: s�2� ��'i',��' �5 � v�tate Bond#: / Clty: ��C[��'��:r Zip: 5 �3j Expiration Date: �� ' 3 / ' Z�'I� Phone: �� Z "' �� " ls'�`�� Alternate Phone: �� / �, - ,3�� y� ❑ Insurance-Current: l PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2"D OTNER TYPE FL FL TYPE FL FL Water Closet % ` � Floor Drains � I Lavatory j i � Sewer Ejector Bathtub � � Laundry Tray / '-^ I Shower / Washer � Kitchen Sink � Water I-�eater r Disposal � Water Softener Dishwasher r Wet Bar Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excludin�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 $ I 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT 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) :>�. �� x.O l 25 $ (contract price) (minimum$50.00) 2. STATE SURCNARGE 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 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. PLUMBING PERMIT APPLICATION AGREEMENT 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. '� A licant's Si nature: v��G Date: -�'�l�l rr � _ 3 �-1 � �� / TIME ✓ CITY OF ORONO CALLED IN � �� f" �D INSPECTION N TIC� �C.��6SCHEDULED ''_�� PERMIT N UO PLETED ADDRESS OWNER ELEPHONE NO. ��5-�� CONTRACTOR �: DESCRIPTION �� G� � ��dl/L� � � ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 ❑ COMPL4INT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � 2 W � W � � d W� W ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CAII INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. „ � White Copyllnspector's File Canary Copy/Site Notice C�f G ✓ �2� pATE TIME � CITY OF ORON �c=—cn�Eo iN -/ - INSPECTION NOTICE SCHEDULED 7 - `�� PERMiT NO.��`' �5� COMPLEfED ADDRESS a7'�l � �.O� f �'i OWNER ' TELEPHON - -� � CONTRACTOR � DESCRIPTION � �v � � ❑ FOOTING ❑ PLUMBI FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHOREJWETLANDS � ❑ 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 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a fi� 0� � � O �. � O � W � �f�� Q z �l� =N G C✓�.lb� � �C1� 1 `-� �e..� �-� w � � a W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � —" � � n � DATE TIME V CITYOFORONO �'�C�ZCEDIN �d "�!� INSPECTION NOTICE Q SCHEDULED /0 -3 -/� �� PERMIT NO.�D I?J`80�V�D COMPLETED ADDRESS O� � CI `1�" ��.�1 LD � i / 1a OWNER LEPHONE N . � a�S—�I/C� CONTRACTOR � � � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA L RI ❑ LAKESHORE/WETIANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � r�-1A /\e! /��- �C'�j �� L a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED '_l I E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice