The URL can be used to link to this page

Home My WebLink About2013-00042 - plumbing CITY OF ORONO * z a 1 3 - 0 Pl 0 4 2 * z � 2750 KELLEY PARKWAY DATE ISSUED: OU16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2735 COUNTRYSIDE DR W PIN : 04-] 17-23-12-OO18 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 003 BLOCK 003 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE N01�E: KITCHF.N SINK.DISPOSAL AND DISHWASHGR VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 H�LLCOR PLUMB[NG STATE SURCHARGE PLBG (VALUATION) 0.25 53 TERRACE RD NE ST MICHAEL, MN 55376- • TOTAL 50.25 (763)688-0342 PAID WITH CC# 2293 Minnesota State License#: PC645327 OWNER ALEXANDER, TIM 2735 COUNTRYSIDE DR W LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall bc pertixmcd accordin�to the approved plans and specifications,applicablc City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing diis type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is r sible for assuring all required inspections are requested in c �ancc with the State[3uilding Code.This permi[may be revoked a n ime for d use. / i lG i zo r �✓� ( i �co i �3 Applicant Pe itee Signature Datz Issu� Si nalurc Datc Y� € SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. r � FO CIT USE ONLY � p City of Orono 1 � �� ¢ � P.O.Box 66 Date Received: � �'PErmit#do� 3 ` �"' � 2750 Kelle Parkwa �:,��,�,. Y Y � S a �"�,'�� Crystal Bay,MN 55323 Approved By: Amount�: � �� o`� 952 249-4600—Main `�t„�4��"$s� ( ) �eso (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�:/lww��.dli.inn.�sov/CCI�DIPllF/ e � lumb lanreva �. d1' GENERAL INFORMATION 1. You may apply for plumbing pernuts 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 RECENE 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 pemut 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) �� 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: Site Address: o2�3s �t�vr�K�/S�'e( �( �� Owner: r'w� �({�litn/c(��{ Mailing Address: c�ty: �� L.�4 � r�� z�p: sS35�r Home Phone: Alternate Phone: �(?� 'f�l�- �S�y Contractor Information: Contractor: �1��o�C �LW��`hL Contact Person: �-V� r J Address: S3 ��PR2 rAe� �h �(1� State Bond #: City: S'�q� VH�<<+.ts� Zip:�'3'7�e Expiration Date: Phone: ��j� �pp-0 3 yn� Alternate Phone: ❑ Insurance- Current: 1 ti PLUMBING FIXTURES BEING 1NSTALLED i 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 Washer Kitchen Sink � Water Heater Disposal � Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous �- PERMIT FEE CALCULATION(S) I 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 $ 15.00 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 PWCE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��a'� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE 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 PERNSTT'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. Applicant's Signature: Date: l �G �O 3 � <'_� `r/ � /DAT� / �/j TIME CITY OF ORONO LED IN � �� T� INSPECTION OTICE �Sf�HEDULED / - - -�1y��- PERMIT NO.�� -�d �"coMPLETED ADDRESS /� -�� "v OWNER T�P NE NO. �-l7! CONTRACTOR ` � �; DESCRIPTION ' � ly ❑ FOOTING ❑ PL MB G FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � p 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a = � �.:.;-''--� `�,, o `, � i 0 � W � ` s Q � `._'-'' Z W � W � � j W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. U pH0T0 TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. (J5?�� 49-4600 OwnerlContractor on site: r `�� ;� � , Inspector. i ,� ` White Copyfinspector's File � Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN ��b' �.3 INSPECTION NOTICE SCHEDULED PERMIT NO.0��3 �G1c�S'� COMPLETED //'/.T-/� ADDRESS �73� C��"�S�✓P D� . �� OWNER TELEPHONE NO. CONTRACTOR �/ � �� . ' ab/ - o ��c.,.e ,14�. � �lG - �tri-o��dg �; DESCRIPTION �"'� � � ❑ FOOTING �LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP Q COMPLAINT v ❑ DEMO-SITE � SEPTIC MAINT. (�'4=9LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a� � �/��.- �'.�� / �' .�/ 9r v+�� G�! a� .0 j . , O �i�l�li !/7.f� �!a n, �. � ° yI��Q hoMc� - W � Q / �q . ,.1 - 2 � c ! (� �t0 C �i �/ w, w /5�T � sc�P _.��/.� _ ��l /r1.SD dr � ` c �i j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE C0IIERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �fINSPECTION REQUIRED.CALL TO ARRANGE ACCESS. r - Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspecto �� hite Copyllnspector's File Canary CopylSite Notice