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Home My WebLink About2012-01087 - plumbing CITY OF ORONO * 2 0 1 z — 0 1 ra s 7 * . 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2829 CASCO POINT RD PIN : 20-117-23-32-0007 LEGAL DESC : SPRING PARK : LOT 116 BLOCK 000 PERMIT TYPE : PLUMB[NG (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULT[PLE NOTE: PLUMC3ING FIXTURES (I)SHOWER,(1)WATER BOX,(2)LAVA"I�ORIES VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 KRAHL'S PLUMB 3508 LYRIC AVE STATE SURCHARGE PLBG(VALUATION) 0.50 WAYZATA, MN 55391- TOTAL 50.50 PAID WITH CC# 2401 OWNER PETERSON, BRUCE& MARY 2829 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and becomc null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended Tor a period of 18 days at any time after work has commenced. The applicant is responsible suring all required inspections are requested in c ance ith tate Building Code.This permit may be revoked at any due se. l l ��-�'L �Q� Z 6� / � Applicant Permitee ' n e Date Issue y Signature Date SEPARATE ERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �� Zti� : FO CI Y USE ONLY � City of Orono �/ _ � 7 , � O4 �O P.O.Box 66 Date Receiv(� �� l/Permit#�U/ °2`b� � 2750 Kelle Paricwa (�,/"� ; �r� Y Y .J V � �a 'Rr�� Crystal Bay,MN 55323 Approved By: Amount$: � �..�,,. �� p��;v��o (952)249-4600—Main aeao$ (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://w��r�.dli.mn.«ov/CCLD/PDFI e lumh Ianreva �.�df' GENERAL INFORMATION 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 warking days. 2. Pernut cards wil]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 pernut 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) �'�'�-x- � � � - 3�0 - g�� 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: _ f� Site Address: a�� 1 �``S�� " Owner: ��y C� �� 1 � �L'1 Mailing Address: City: � rtr�.v Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: I��q�l S �1 uv�.�� Contact Person: �� Address: �S�� State Bond#: City: �` 7<� Zip: S��' Expiration Date: � 0 �� q�� Phone: � Alternate Phone: ❑ Insurance— Current: 1 � t � �, �`��' :: PLUMBING FIXTtTf�S BEING INSTALL�.°�� ry �:;�� , . _` FI�TURE 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 Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Siilcocks Miscellaneous � � PERMIT FEE CALC�'I.ATION(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 totai 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 �� ' �. � � � . � P,�.�TFEE�G� ��' `'C�a�,�.� 4�� `'-JOBS>t�J�ER $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) l v� x.0125 $ (c ntractprice) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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 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. ��' �e % ��. ��u.5�c S.. 1� y��°.�� 4J� � � .,S' �� .� ��R }� � :�d4,�� '�'•-"��`z�. The undersigned hereby applies o the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with ordinances of the City and the regulations of the State of Minnesota, and certifies that 1 tements made on this application are complete, true and correct. A licant's Si ature: Date: �� PP � 3 `✓�J DAT��j� TIME ✓ CITY OF ORONO CALLED IN /D�'�`� INSPECTION�IQTJ�E�lbB�] SCHEDULED � � PERMIT NO.60� ` COMPLET ADDRESS �Z7 C�.S�C.� � OWNER TELEP ONE NO.�D�Z D 9Q�'� CONTRACTOR �'�S � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS 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 ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-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 � J O � � O � W � Q � Z W � W � � d � W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � 1 i Inspector. �o/ �—"i . � White Copylinspector's File Canary Copy/Site Notice