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Home My WebLink About2011-00199 - plumbing ' � CITY OF ORONO PERMIT NO.: 2011-00199 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssuE�: 04/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2380 DEVIN LA PIN : 03-117-23-22-0013 LEGAL DESC : THE NURSERY : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURE NO I'L-': RL'PLACG WATI?R 1ILATER VALUATION OF PLUMBING 1800 APNLICANT PLUMBING FIXTURE FEE 50.00 TERRY NELSON PLBG INC STATE SURCHARGE PLBG (VALUATION) 5.00 17033 ARGON ST N W ANDOVER, MN 55304- TOTAL 55.00 (612)474-9997 OWNER BLAUER, DARRELL W 2380 DEVIN LA LONG LAKE, MN SS356- AGREEMENT AND SWORN STATEMENT Thc work for which this pennit is issucd shall bc perCormed according to thc approved plans and spccifica�ions,applicable City approvals,and the � State I3uilding Code. This pennit is for only thc work described and does not grant permission for additional or related work which requires separate pemiits. All provisions of laws and ordinances govcrning this type ot�work shall be compied�viUi�vhether or not specitied herein.This permit will expire and become null and void if construction authorized is not commcnccd within I80 days of thc datc of issuancc,or if construction is suspended for a period of I 80 days at any time after wark has commenced. The applicant is responsible fi�r assuring all required inspections are requested in conformance wi�i the Statc[3uilding Code."I�his permit may bc revoked at am time f'o d'u �ause. ,._;, �, ,� , // � �� , � , �� Appli Permitee Signature Date Issu 13y Signaturc Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • F IT USE ONLY O,¢��O City of Orono �� a!�// �C� P.O.Box 66 Date Received: Permit# ��/ � / 2750 Kelley Parkway � a s''r� + Crystal Bay,MN 55323 Approved By: Amount$:�✓ ` a `�� '"� `.., c`' (952)249-4600 � <�t�Xap,. CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) s�' ��,.��.�4��.rr�a4.��e��ii`�'�,1�/�'��'r*��• ��,:ia=�,�,��t�=-c� ��P.:;c:F GENERAL INFORMATION 1. 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 warking 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 LJNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to]icensed 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 A11 That A 1 ) �Residential ❑Commercial (Approval Required) ❑ New ❑Additional ❑Repairs ,�Replace ❑ In Accessory Structure? *You will need arior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: .� 3 �U Q��' ✓� �—�. ��'��c ��'�� 5 3.Z �j Owner: �L�x �7�«-� �' Mailing Address: !�- ��i� %��/�°'- ��• �"',, -,�- i v� 3 � City: U� � �`�' Zip: �� Home Phone: '7 >�� 7�� -�'Y Alternate Phone: Contractor Information: � � } �--. Contractor: f��':z �l/c�x..� f ��,. -� 4�� Contact Person: � �v`�� Address: l7v 3 3 ��-�e,.-� S t, �� State Bond#: `� �J Y� ��v � City: /t��a��✓ Zip:�5�°r Expiration Date: /;�- 3 �- ��'�/ Phone: � �2" �Y 7� �`y `( � Alternate Phone: ❑ Insurance-Current: `��' r�1 j I `>�� 1 PLUMBING FIXTURES BEING INSTALLED FIXTi.TRE BSMT 1 2ND OTHER FIXTLJRE BSMT 1 T 21D 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) BASED OFF - 2002 STATE STATUE ❑ Yes,tllis 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 electrica] or gas service. 2. Has a total cost of$500.00 or less;excludinQ 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;fo(low guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � ��}U, �� x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract pnce) (minimum$ 5.00) 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 matenal, 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. ■ **The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the Ciry 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. � -� .-''F°;'`' ---� Applicant's Signature: ;� �'' Date: -! '� � Z�I� Reset Form 3 �–/—� V — � DATE TIME � CITY OF ORONO CALLED IN � 1/ �. �-� INSPECTION NOTICE SCHEDULED a o� / 'y.-Z� PERMIT NO. cOMPLETED ADDRESS a3gb ��1 " � `""" �� OWNER�Qr�ef � ��q-�e'�TELEPHONE N0.9sa-��.�c��3� CONTRACTOR >; DESCRIPTION v '�`" �� GC•7L/ �U�+��-/ � �.�L,- "[ � � � ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING J�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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � WNERIC NTRACTOR TO MEET YOU�'ES_NO � COMMENTS: W - ao< < - �� s� - � �� a � � - �pll - DC� Ig � '��'� �S ( 0 � � 0 � � �. �� ` �� Q � �-' �^,`. � z W � W � � W❑WORK SATfSFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-460� OwnerfContractor on site: � Inspector. � �: White Copyllnspector's File Canary CopylSite Notice