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Home My WebLink About2010-00154 - plumbing CITY OF ORONO PERMIT NO.: 2010-00154 a 2750 KELLEY PARKWAY � " ORONO, MN 55356- �ATE Iss[1En: 03/17/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2695 COUNTRYS[DE DR W PIN : 04-117-23-13-0005 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 2ND FLOOR: I WC, 1 LAV, 1 TUB, 1 SHOWER VALUATION OF PLUMBING 5200 APPLICANT PLUMBING FIXTURE FEE 65.00 STEWART PLUMB[NG, [NC. STATE SURCHARGE PLBG(VALUATION) 2.60 13025 GEORGE WEBER DR SUITE#1 MAIL-IN FEE 2.00 ROGERS, MN 55374 MISC FEE 0.00 (763)428-1833 TOTAL 69.60 OWNER PETERSON, DON 2695 COUNTRYSIDE DR W LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit 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 sepazate permits. A11 provisions of Iaws and ordinances governing this type of work shaii 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 aYter 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 at any time for due cause. `��/��/l.�l.� "` � � l l Applicant Permitee Signature Date Issued By i nature ate SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABO _- FOR CiTY USF,ONLY ., 0 City of Omno � � � ' P.O.Box 6G Dnte Reoeived: _ ----- PertniL k __ __._ -_ �+�': : � ` 2750 Kclley Parkway I a �'�`�r ; Crystal Bay,MN 55323 hpproved By: Amount�: I � l�tt if> �o��" (952)249-4600 � ___—- _. .�J ��rtoe;;. CITY OF ORONO—PLUMBING PERMIT (All Commereial pennits must be approved hy the f3uilding OfTicial or lnspector) GENERAL INFORMATION 1. You may apply for plumbing pertnits by mail or in��7son at the City oYFces. Applications will be reviewed and a pennit will tx:issued within two wi�rl:ing days. 2. Permit cards will br:sent by retum mail after a review is c;ompletad. PERMI'CS ARI�:NOT VAI.,ID LTNTII. YOU RFiCEI VE A PERMI"1'. WORK MUST NOT BEGIN IJNTIL THE PERMIT CARD 1S POSTED ON THE JOB SITE. 3. }']mnbing permiGs inay tx;issued ONI,Y to licensed plumbing contractors and to property o��•ncrs residing in the dwclling. 4. When any new c;onstruction or rc,�rnoeieling is involv�,a s�,�arate buiiding pc;nnit rnust be obtained. 5. .All ��ork must bc;done in iicex>rt3a.r.c;;with�>iate C'od�re.�uirem��.is. 6_ All work must be inspected and air tested t�fore it is covered Call (952)249-460U. (24-48 hour notice mquired) TYPE OF PERMIT � Check All That Appl_y}� � �Re�i�jential ❑ Commc,sreiat(��ruvai Rec�uirfxl) ❑ New ❑Additional []RepAirs �Replace � In .Accessorv Struclurc7 '`�'uu�vilt need prior an�roval iu�d u�iay i�i�,--cd C`i�P. (Pcr Oz-��no C`ity Ccx�c,Chapt�r 78,E'lrtioiu i�'�i 3ot� Site!Owiier Inform��tion: ,, , - Site Address: � ;, `) c ��M��r� - ��L � �, - \;.,, ,� , � , ,� O��ner:_ � ' �7 � �, i�, �, � � i��tailing Address: City� 'Lip: Home Pllone: Aiternate Phone: �Contractor Inforniation: � Stewari Piumbing, inc. Parn 'r3aker Contractoc Contact P'erson: Address: 13025 George Weber Dr#1 �t��_ 6960702� Cit�;: Rogers L�� 55374 E�:��iration E3ate: '2`31/10 (763) 428-1833 P�io13e_ t�lterriate Phor7e: _._ _.. �✓ I��sur„nee—('t�rrer,t 1 ,�'L��'f��'��`�:�'��C��'�'��E� FIXTITIZE BSivfl' 1' 2 OTHER rIXTtJRT' BSM1' 1' 2 01'HF,R 'I'YI'E FL FL TYPE F1, Fi, Water Closet r Floor L?rains � Lavatory � Sewer I:jector Bathtuh , Laundry 'Tray i Shower Washer Kitchen Sink Water Heater Disposa] Water Softener Dishwasher Wet F3ar Sillcoc;ks Misc;ellaneous �'ERMIT FEE CALCULATEON(S) ' BASED QFF-20(32 STATE STATUE ❑ Yes,this section applie, "I'he replacement of a Residential fixture or appliance ihat meets ail three of the following requirements: 1. Does not require moeiificatic>n to eleetncal or g�s service. 2. I-ias a total cost of$5(�.IX)or less;excludin�the cast of the fiature or appliance: and 3. Is improved,installed or replaced by the homeown�,sr or licensed uwntractor. Skip neat section,if this applies; Cost of Permit $ I 5,(� State Surcharge $ 50 Mai]-In Fee(If Applicahle) $ 2.00 Total Permit Fce $ (Permit Fees Continued On Next Page) 2 • ., � ' ;' P��t�IIT FE��.C�:�'��3�T � '�-:J{}�3S'��Z$500.00 ' If aUove dces not apply,follow guidelines below: 1. CONTRACT PRICE *is 125°/u ol'contract pnce with a(Minimum Fee of$50.00) '� ��,." _ , x .O125$ � � i� (contract pricc} (minimum$5Q00) 2. STATE SURCHARGE **/1dd the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � ' � ` �:.0005 $ �} ��" � (conlract price) (minimum$ .50) 3. POS1'AGI;&I-IANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (; �j�(i- �' ■ * CONTRACT YRICF or JOB COST :nean: the uctual o� c��i�nateu �loi�ai aiuc�uui ci�ar�,�u ior tii� permitteci work including maTerials,labor,pro�t, and other fixed a�sts. It is the a�notu�t to be charge�j to the customer for the work done. If any material, equipment, labor or installations are furnish�by the owner, tenant or any other party, ihe reasonable market value of'such items mus�t bc: added to the estimated cost or contract pnce for petmit fce purposes. In the event that there is a dispute on the amount of the joi� c;os1, the City may request the submission of a signed copy of the actu�l contract. • ** The STATF_ SURCHARGE is.0005 of the contract pnce under$1,000,(�0 or$.50—whichever is greater. For valuations over$1,0(�3,(x�call the F3uilding I�e}�artment at(952)249-4b(X)foi•the pnce. PLUMSINC PERMI'I'APPI:ICA'1'IOhF:,+�GREENC�NT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do alf work in stnct accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifes that all statements made on this application arc complete, true a�id correct. , , � �L Applicant's Signature: � \ � �,� �- r � �' �.� Date: '� �S � ��Reset`Form , `� �� 3 DATE/ TIME CITY OF ORONO CALLED IN ZZ-1 I� INSPECTION NOTICE ,/SCHEDULED 3�23//n �' �.� ,,�►-� PERMIT NO. aD ! � -GY�1J�7"COMPLE o ADDRESS OWNER CONTR._��.�s �_f'r!� TELEPHONE N0. '� �� - lr� � g � DESCRIPTIOlV" ` um� P'7 G+�`f'�L/'?�lT/'Y1 /<�0�2 / �T � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO ' � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � d A W� �NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED �'-1 ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN INSPECTOR WILL RETURN rj CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. v,!� �-- � � �� White Copyllnspector's File Canary CopylSite Notice �DI� —dO�I� �— DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE /l� SCHEDULED S-/2 -/D .o� PERMIT NOaD�f�'UD` l � COMPLETED ADDRESS a�5 G� � �� C,CJ OWNER TELEPHONE NO. ��Z ��D �{U�2 CONTRACTOR L�� s%�� c��►�w�l �: DESCRIPTION F�na-L- — � � � ❑ FOOTING ❑ PLU �/��CAV/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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK R PROCEED 1-! IS CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on si : Inspector. � l � White Copyllnspector's File Canary CopylSite Notice