The URL can be used to link to this page

Home My WebLink About2011-00630 - plumbing CITY OF ORONO PERMIT NO.: 2011-00630 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE�SSUE�: 07/12/2011 r 952 249-4600 FAX: 952 249-4616 ADDRESS : 75 CRYSTAL CREEK RD PIN : 33-1 l 8-23-33-0003 LEGAL DESC : CRYSTAL CREEK : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTG: BEING INSTALLED BY HOMEOWNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 REYNOLDS, DOUGLAS&JOANN STATE SURCHARGE PLBG(<$500) 5.00 75 CRYSTAL CREEK RD TOTAL 20.00 LONG LAKE, MN 55356 PAID W[TH CASH 2O.00 OWNER REYNOLDS, DOUGLAS&JOANN 75 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant perniission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time at3er work has commenced. The app cant is responsible for assuring all required inspections are reques in conformance with the State Building Code."I'his permit may be revokG'd t any time f�ue ca se. � /'� 7/ l0� l ll l l Appl' ant Permitce Sig ture Date Issued B�� nature ate SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCR[BED ABO f FOR CITY L'SE ONLY ' 04��0� City of Orono P.O.Box 66 Date Received: Permit# �,s_; 2750 Kelley Parkway Ia �t��.�,r'' F Crystal Bay,MN 55323 Approved By: Amount$: ' \�� 'n�.o� (952)249-4600—Main t ��II"��. �'��sxo� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Coinmercial Permits Must be Approved by tbe State Prior to City Approval) htt :U��w�r.clli.�nn.��v/CCL.t}IPDF/ e lt�mh�lanrec�a �. �df' GENERAL INFORMATION i 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. Pernlit cards will be sent by return mail after a revie��is completed. PERMITS ARE NOT VALID UI�TTIL 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 permit must be obtained. 5. All wark 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 (Checic All That Apply) [�esidential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �eplace ❑ 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: �� I� 5T�j, l� i('�� - �. LDYI a L(,�� ✓l SS��S(Ca Owner: �l� ��Y�1� #�P�Y1G��f Mailing Address: 75 �\fY�`L C�Q�� City: �q �Gl K -Q Zip: SS�� Home Phone: `��- � 7� ' �� Z"J� � AlternatePhone: � ��(��SZ Contractor Infonnation: � y, Contractor: �� '"�4��1h �?�1'��Cdntact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance- Current: 1 � PLUMBING FIXTI.JRES BEING INSTALLED � �� FIXTURE 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 Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous --- ' PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATL'E ' Yes, this section applies The replacement of only one Residential fixture or appiiance 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 fliis 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 appiy; follow guidelines below: 1. CO�TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x .0125 $ (contract price) (minimu m$50.00) 2. STATE SLIRCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT 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 wark done. If any material, equipment, labor or installarions are furnished by the owner, tenant or any other party, fl7e reasonable market value of such items must be added to the estimated cost or contract price for pernut 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 PERMIT APPLICATTON�AGREEMENT � ,�:�� ,�` The undersigned hereby applies to the City for issuance of a Plumbing Permit, a�-ees 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: �� -�� 3 � / � DAT TIME V CITY ORONO CALLED IN 7 � INSPECTION NOTICE SCHEDULED � PERMIT NO. O�,('��—D��3�COMPLETED ADDRESS ��/ OWNE � � 6 LEPHONE NOl.�I��,��`�95� CONTRACTOR / >; DESCRIPTION � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P G RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL Q WNERIC RACTO TO MEET YOU: YES_NO c., COMMENTS: / ''C�� W 1/l,�'V \ � • � � � J O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ��`I PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. u PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site� � Inspector. �� f� White Copyllnspector's File Canary CopylSite Notice