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Home My WebLink About2012-00966 - plumbing • CITY OF ORONO * 2 PJ 1 2 - 0 0 9 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1480 BOHNS POINT RD PIN : 09-117-23-33-0004 LEGAL DESC : UNPLATTED 09 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURE NOTE: PLUMBING FIXTURES: (4) WATER CLOSETS,(7)LAVATORIES,(1)BATHTUB,(1)SHOWER AND(2)WA"I'ER HEATERS VALUATION OF PLUMBING 10000 APPLICANT PLUMBING FIXTURE FEE 125.00 B& D PLUMBING& HEATING INC. STATE SURCHARGE PLBG (VALUATION) 5.00 4145 MACKENZIE CT NE TOTAL 130.00 ST MICHAEL,MN 55376- (763)497-2290 OWNER MORAN,CHOLE 1480 BOHNS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I�he work for which this permit is issued shall bc performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. "I�his permi[is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a�any time for due cause. ��Cc!�,�� y i �—1 i � a— ,Q� l i Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . ' FOR C1TY USE ONLY � ,¢0� City of Orono l O Rt O P.O.Box 66 �"(/��'� �' Date Received: Permit# 2750 Kelley Parkway � t � !� Crystal Bay,MN 55323 Approved By: Amount$: � �`.;��40� (952)249-4600—Main �+�°*� (952)249-46]6—Fax CITY OF ORONO —PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htf ://��rv.dli.mn.�=ov/CCL,U/PDF/�e lumb lanreva . d'f' GENERAL INFORMATION 1. You may apply for plumbing permits 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 l �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 N) Job Site/Owner Information: �,+ --> Site Address: �V1 � ( C,'�i' �G S -{' �1 i'1�" ��G C�� Owner: i� UV`J�-rG� � ��v-� Mailing Address: City: liV G 1�� Zip: Home Phone: Alternate Phone: Contractor Information: Contrac� B&D Plumbing,Heating&A/C itact Person: 4145 MacKenzie Court NE Address S�Michael,MN 55376 e Bond #: Phone:763-497-2290 City: �.r. ___,�iration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ��°�" � PLUMBING��FIXTURES BEING INSTALLED . . �N=;� FIXTURE BSMT 1 � 2ND OTHER FIXTURE BSMT 1 T 2"D OTHER TYPE FL FL TYPE FL FL Water Closet I � Floor Drains Lavatory I � Sewer Ejector Bathtub l Laundry Tray Shower I Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher 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;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(lf 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$50.00) x .0125$ (contract price) (minimum$50.00) 2. STATESURCHARGE 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. , � �. 7.; .P . �..�. x , w, � �, , �' ' PLUMBING PERM� �;ICATION AGREE The undersigned hereby applies to the City far 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: �! �c�/l� Reset Form 3 � DATE TIME CITY OF ORONO CALLED IN � � �3 INSPECTION T CE SCHEDULED I —ia- r 3 � � PERMIT NO � � OMP ETED ADDRESS � OWNER TELEP NE NO.��O`� J g-77�OZ CONTRACTOR � n >; 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 ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED /�PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �Q52� 249-4600 OwnerlContractor on site: — Inspector. � � - White Copyllnspector's'=ile Canary CopylSite Notice �� .�`-"� ,�D E/- TIME � CITY OF ORONO CALLED IN � �( ��' INSPECTION NOTICE �^�.�//�/� SCHEDULED 1��a' � ��' PERMIT NO. c� G��—Ci{i"7�L`'(C' COMPLETED ADDRESS ��L� ��'��'7� / � OWNER TELEPHON NO.�� ^�� 7�� CONTRACTOR � >: DESCRIPTION �z ��C�C/1'��J - � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPT INAL � FOUNDATION/REMOVAL � OWNER/CONTRACTO ET OU: YES_NO � COMMENTS: � �l��s �D � 0. � J O � � O � W � Q � Z W � W � j GW��WORK SATISFACTORY:PROCEED ❑ PROJ ECT COM PLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ 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. Cal1 for the next ins c ion 24 hours in advance. (952� 249-4600 OwnerlContra to �t Inspecto r ��. White Copyllnspector's File Canary CopylSite Notice