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Home My WebLink About2012-00393 - plumbing , CITYOFORONO * 20 1 Z - PJ0393 * 2750 KELLEY PARKWAY DATE ISSUEU: OS/10/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 510 DEBORAH DR PIN : 31-118-23-23-0006 LEGAL DESC : MCCULLEY FARM : LOT 003 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NOTG: 2ND FLOOR: 1 WC,2 LAV, 1 TU�3. 1 SHOWER VALUAT[ON OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 SUNDERLAND PLBG INC STATE SURCHARGE PLBG (VALUATION) 1.25 24380 RIVER BANK LANE TOTAL 51.25 ISANTI, MN 55040- (763)753-2845 OWNER WELTY, CHRISTOPHER& PATRIC[A 510 DEBORAH DR MAPLE PLA[N, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfom�ed according to [he approved plans and specitications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate perrnits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The appl an s responsible for uring all required inspections are requeste in c formance i he 'tate Building Code.This permit may be reve�Jced aZ y ime or e use � � �/ ��(� � ��'� / / Ap�licant Permitee Signature Date Issued By Sig re D e SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . .� . , FOR CITY USE ONLY 0 City of Orono �� P.O.Box 66 Date Received: Permit# - �,, 2750 Kelley Parkway a �J��?'�P. F Crystal Bay,MN 55323 Approved By: Amount$: �t�^k��-'��i��.�o` (952)249-4600—Main �seso$ (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.mn.�ov/CCI.�D/PI)F/ e lttmb lanreva . df GENERAL INFORMATION 1. You may apply for plumbing perniits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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 PERMTT 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 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 ly) � � ' ] 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: .5 �U /JC.' � G /Z�� /��'G Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractar Information: <� �/ ,` � Contractor: ..7J�C'�� r� �� Contact Person: '�� `�_ ,, Address: Z`f��'U �U/�� ''� State Bond#: City: f �'� Zip:�S��d Expiration Date: Phone: 7(.�� S 3- Z��l �— Alternate Phone: "7C�Z-z2l.�-_5 �Z J ❑ Insurance—Current: 1 PLUMBING FIXTURES BEING 1NSTALLED � FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains Lavatory .Z Sewer Ejector Bathtub 1 Laundry Tray ! Shower i 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: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;exciudin�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 Applicabie) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 / � 9 `� ' PERMIT FEE CALCULATTON 5��=JOBS OUER $500.0�� '�:_t'� -��'� If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � .S O�' `� � x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract pnce) 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 far 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 putposes. 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. a. �,,��.�� '` �,I:VMBING PERN�IT APPLICATIUN 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 ents made on thi pplication are complete, true and correct. Applicant's Signature: � Date: � �� 1 3 Sv� ATE TIME ; � CITY OF ORONO CALLED IN � INSPECTION NOTICE 2 SCHEDULED � a- � PERMIT NO. �ola-OD3 J COMPLETED — ADDRESS S�� '� �� OWNER TELEPHONE N0.7�3 Z��zO CONTRACTOR �� C� U"� >; DESCRIPTION � lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETl1RN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � � -� ✓ � DA TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE ' SCHEDULED � PERMIT NQ� ! -�.�1� C MPL TED ADDRESS �� `��`�-�'��a� �rJY l �� OWNER LEPHO E 7�.3 a�S�� CONTRACTOR >; DESCRIPTION � �� ❑ FOOTING ❑ PLUMBING FI A EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL I ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINA� ❑ 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 � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � J O � � � � >_�� Qc� W �--- 'i , � � � � �� .c� Q z � � �� " � ��' f� � � --�-C G'�C1 �S .� c-� � . G . � ��'�` � C?� cj � c'� �.h- �-i.c.� r' a �'��% I W� ❑WORKSATISFACTORY:PROCEED � ❑ PROJECTCOMPLETE W �ORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ^�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � ~& � White Copyllnspector's File Canary Copy/Site Notice