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Home My WebLink About2012-01156 - plumbing �� , CITY OF ORONO * z 0 1 2 - 0 1 1 5 6 * 2750 KELLEY PARKWAY pATE �SSUEn: ll/13/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 480 DEBORAH DR PIN : 31-118-23-23-0007 LEGAL DESC : MCCULLEY FARM : LOT 004 BLOCK 002 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURES-MULTIPLE NOTG: PLUMI3ING PIXTURGS: (2)WATER CLOSE"1'S,(2)LAVATORIGS.(2)SI IOWERS,(1)LAUNDRY TRAY VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 PR10R[TY PLUMBING STATE SURCHARGE PLBG (VALUATION) 2.00 17325 EUCLID AVE TOTAL 52.00 FARMINGTON, MN 55024- (763)292-1615 OWNER TRAPANESE, ALBERT&CHERYL 480 DEBORAH DR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMEIVT 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pennit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion 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 requeste n onformance with the State Building Code.This permit may be revo� d e for due cause. _ , J�, �� Pr� // i ��3 i /�-- licant rmitee Signature Date Iss d L3 Si ature Date Y� � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • F R ITY USE ONLY A. City of Orono �� . ¢O`r P.O.Box 6ti Date Receiv�dF' �Z'' Permit# ��a— /�5�j ��; � � 2750 Kelley Parkway � ��'�z,� � Crystal Bay,MN 55323 Approved By: Amount S:�� '�L�, �`ri�.o` (952)249-4600—Main i�t�r;�� 4� asso� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits iVIust be Approved by the State Prior to City Approval) htt�://w�rTw.dli.mn.Qov/CCI�D/PDF/ e lumb lanreva �.�df 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 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 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 ply) �_ential ❑ 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: % �� `JP �� /� Owner: Mailing Address: � � City: � ��(d+"-'� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ' ' ; �+ � � � �' �� ' �� r �� 1'►'�' ; ontact Person: i 1��5 �� ,� �� 'g�`1 Address: � i• _ "P State Bond#: �' � p� el '73 � .�� , �/ City: /��',rn,f"� Zip:� xpiration Date: ./ -� Phone: �-�'`L ��,��/� Alternate Phone: ❑ Insurance—Current: 1 . ,' , � PLUMBING FIXTURES 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 � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous '� PERMIT FEE CALCULATION(S) � i � � BASED OFF - 2002 STATE STATUE � j ❑ 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; excluding 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 � �'�� PERMTT FEE CALCULATION(S)-70B�S OVER$SOQ�.00 � �_�� If above does not apply; follow guidelines below: 1. CO1��TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��-. ��'� R x.0125 $ (contractprice) (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. ' _ ' .� � �LUNIBING�ERMIT APPLICATION A.GI�EI�!IEI�T:��..�` .�.. ;- :� ` �� , 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: �� I� ��l� 3 DATE TIME. � CITY OF ORONO�U�� 'C��EJ"� CALLED IN � INSPECTION OTICE SCHEDULED PERMIT NO. connP��E� - g� ADDRESS IY:�G� � r-��, ,-c� �i ��' � � � �.y� ,�{o�S OWNER TELEPHONE NO.�� f7� � �3�` CONTRACTOR Pi'��t ��.. ��- �; DESCRIPTION C�D P.x�s�i�z< �w� L� �� u,!P _ � : � ❑ FOOTING �P.LIJMBING FINAL ❑ EX AV/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 ❑ COMPLAINT � ❑ DEMO-SITE � SEPTIC MAINT. �''�FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COM NTS: `" �-'�wt< ,� ,� /cf� �t �'C c�— a � C-<c�C✓r �. �/� '� j / ` ' O .�! �/�I�l� /✓! Sl.�E�c C fca.-� � �� '✓ �t"i�/�✓1c� �� v�'i��l �Lc <i.b %'� � . --�— O �/,� (�' _ / _�� r s� ,ll� ✓un, � W ` Q �(,��c`�a-� �� ]r �/`F' u'1�G��v_ � — � Z W � W � J d W� ❑WORKSATISFACTORY:PROCEED �,lEGT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. / � White Copyllnspector's File Canary CopylSite Notice \� qA E TIME J CITY OF ORONO CALLED IN ��`/�� INSPECTION NOTICE SCHEDULED //-� -/Y o d PERMITNOa��5�' COMPLETED ADDRESS T� �J��'� �� - OWNER TELEP ONE Nasa-a� a��S CONTRACTO � �� C— �: DESCRIPTION � � � � � ❑ FOOTING ❑ L MBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ECHANICALRI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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 ❑ PLUMBIN ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWN I NTRACTO EET YOU�YES_NO � COMMENTS: � W a � � O >. � O ti W � Q � Z W � W � � d �K SATISFACTORY:PROCEED C PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ r � OwnerlContractor on si : ' Inspector. White Copyllnspector's File Canary CopylSite Notice