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Home My WebLink About2008-00051 - plumbing ' ' CITY OF ORONO PERMIT NO.: 200&00051 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 07/16/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2615 COUNTRYS[DE DR PIN : 04-117-23-12-0004 LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN : LOT 002 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONST.RUCTION TYPE : FIXTURES-MULT[PLE NOTE: REPLACE KITCHEN SINK,DISPOSAL AND DISHWASHER VALUATION OF PLUMBING 950 APPLICANT PLUMBING FIXTURE FEE 35.00 MANATEE PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.50 11525 199TH CIRCLE SILVERLAKE, MN 55381 MISC FEE 0.00 (612)756-1172 TOTAL 35.50 Minnesota State License#: 005923PM OWNER TICHY, PAUL& MARY 2615 COUNTRYSIDE DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall bc performed according to the approved plans and specitications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speciYied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be ed at any time for due c �� / / App icant Perm t S�gnature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r FOR CTI'Y USE ONLY �� City of Orono P O.Box 66 Date Received: Permit# J/�h��,,,.. � 2750 I:elley Parkway l� ��'��s;`. � Crystal Bay,MN 55323 Approved By: Amount$: ,�L 0�.. \��o` (952)249-4600 �� CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved hv the Building Official or Inspector) GENERAL INFORMATION L 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 UI�'TIL 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 dweiling. 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 ] .�Residential ❑ Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior auproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��c. � � �'o�, ��-�r.�� e ��r�V�e Owner: � ��`� Mailing Address: City: �1f`� I� Q Zip: Home Phone: C(5,�-�7.�--Q(j� �, Alternate Phone: v Contractor Information: Contractor: �1,C��nc�kee {�I�:,I��,n� Contact Person: t7 U Address: � �� ' ��(��`C;rele� State Bond #: C�ty: �\ v - 1 Zip:'S�\ Expiration Date: � c� -� �� O� Phone: (D t'�-`7 5 b-- 11^?01 Alternate Phone: ❑ Insurance-Current: 1 ; � �, PLUMB�T�� a� .., . �"�:'��3EING INSTALLED '' FIXTURE BSMT 1'� 2�' OTHER FIXTURE BSMT 1'� 2ND OTHER TYPE FL FL TYPE FL FL Water Cioset Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink � Water Heater Disposal 1 Water Softener l Dishwasher � Wet Bar Sillcocks Miscellaneous PEI2MI"I'FEE CALCULATION(S) � �� BASED OFF — 2002 STATE STATUE ❑ Yes,this section applies The replacement of a 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 contractor. Skip next section,if this applies; Cost of Permit $ l 5.00 State Surcharge $ .50 Mail-ln Fee(If Applicable) $ l.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , . . PERIVIIT 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$35.00) 1v ISC� X.�125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PR[CE 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For va]uations over$1,000,000 call the Buildin� Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGRE�MENT �. 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: � 6L, Date: �� -�� -- Reset Form 3 /OD E � TIME ✓ CITY OF ORONO CALLED IN � / � INSPECTION NOTICE SCHEDULED 3 /.�� PERMITNO. d!?�U� �044J�� COMPLETED ADDRESS d��5 �-� OWNER CONTR. �I��-� �1Gl.�vK-6 TELEPHONE NO. ��Z 75� �j��- � DESCRIPTION I��Tu'�P�2 S�K�-� �`�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o �, �`!�t�AI 5,ti �L / /�, S�c.�,r9 S-�e,r' � � 0 � w � Q � z w � w � � a � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. � � �c �(,�\ White Copyllnspector's File Canary CopylSite Notice - �-� � `�-- 1 / DATE TIME . / CITY OF ORONO CALLED IN �/� O v INSPECTION NOTICE SCHEDULED �6: � PERMIT NO.Q3DC��-�a�S/ COMPLETED � r�.irU ADDRESS 02 5 .S/� v' OWNER CONT�� G��— TELEPHONENO. v - � a -7S� �� —� � DESCRIPTION / C - �• � ❑ FOOTING ❑ MECH CAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _�LUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � r l�IL �.L�'`Fl/�,S� a l.1� 0 a � 0 � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. ��l � White Copyllnspector's File Canary CopylSite Notice f ie� DATE G�TMt CI OF OR NO � ir, ,� -! � INSPECTION N C� D�Z HEDULED . '�-!Z�,5 l f�— PERMIT NO. �J MPLETED ADDRESS OWNER LEPHO E N -y� ' 7 CONTRACTO � � DESCRIPTION W ❑ FOOTING ❑ DEMO-F L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: o� W a � J O ). � � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED i� IS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cail for the next inspection 24 hou 'n advan 49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice