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Home My WebLink About2011-00886 - plumbing CITY OF ORONO PERMIT NO.: 2011-00886 t ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3424 EASTLAKE ST PIN : OS-117-23-13-0044 LEGAL DESC : BAYSIDE BEACH : LOT 003 BLOCK 001 NERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NO"I'E: 2ND FLOOR: 1 WC,2 LAV., 1 TUB, 1 SHOWER VALUATION OF PLUMBING 5200 APPLICANT PLUMBING FIXTURE FEE 65.00 LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.60 12469 ZINRAN AVE. SAVAGE, MN 55378 MAIL-1N FEE 2.00 (952)894-7600 MISC FEE 0.00 TOTAL 69.60 OWNER RADKE, THOMAS& MARGARET 3424 EASTLAKE ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I'he N�ork for which this permil is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assurinc all required inspections are requested in conformance with the State E3uildi��g Code.This permit may be revoked at any time for due cause. - ��-�C � / / / / Applicant Permitee Signature Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. t. � ' ` FOR CI'I'Y USE ONLY � ,�� City of Orono � �.' P'Q Box 66 Date Received: Permit# 2750 Kellcy Park�vay "� Ei'''� �; Crystal I3ay,MN 5�323 Approved By: Amount$: �' +� `��`� .,o`-�' (952)249-4600—Main :t��sexo�`��', (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) ht( �:/i��F�«�.<I)i.r��n.��m�/CC'�I.l)/E'DF/�c ilram}> >I:�nrc��a � i. ��fi� GENERAL INFORMATION 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. 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 BEG1N UNTIL THE PERMIT 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 1 ) �Residential ❑Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You wili need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site /Owner Information: � Site Address: 3`� �� s��..l� S� Owner:_�}r,.� �.;��KC MailingAddress: .��y � �L'� �� City: (��;.� Zip: Home Phone: Aiternate Phone: Contractor Information: Contractor: (z �-- ° I ,�la,� Contact Person: ��C Address: I��l 10� �Z:�t-c�,. State Bond #: Q(oQ� (n�- 9r►1 City: �r • Zip: 1�_ Expiration Date: �� pi3 Phone: �5�3-��( `�(c�� Alternate Phone: ❑ Insurance—Current: ��c 5 1 l i PERMIT FEE CALCULATION S)-JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��00 x .0125 $ �+� (contract price) (minimum$50.00) 2. STATE SURCHARGE ��i�� x .0005 $ �-��} (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �q�- � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work incluu�Eng materials, labor, profit, and other fixed costs. It is the amount to be char�ed to the customer for the work done. If any �naterial, 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 acCual contract. PLUMBING PERMIT 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: �- �(,�-�i �' Reset Form 3 � � . � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1�� 2�D OTHER FIXTURE BSMT 1'' 2" OTHGR TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bathtub ` Laundry Tray 1 Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) 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. ls 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 � D E TIME v CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � 2- ' �O: �� PERMIT NO.�DI I—D��o COMPLETED ADDRESS ��a� ��'� �� OWNER TELEPHONE NO. ��Z �T 7�� CONTRACTOR �LG�'�_ �,�'.�-6 ,�- '� .� , � DESCRIPTION � �' r �� n� � ❑ FOOTING ❑ PLUMBING FINAL i ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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: � W C j �'..�+ f�� . 1 �� > '��/�-,��,�`� � ��`�-�� - f� � Q C� �t��;� 0 � Q �r �- f'�.�A � v � t �� C�� 1� � �;��-� �� .; � .4�� z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �'f�CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: � a /, '� � � Inspector. :oA 1' White Copyllnspector's File Canary CopylSite Notice � TE TIME �/ �� N � �� I I ,� CITY OF ORONO CALLED INSPECTION NOTI E c - �, SCHEDULED � � PERMIT NO.• � �� COMPLETED O � �� ADDRESS �� -�� ( C�(L� ;� � • OWNER TELEPHONE NO. ��.?� �y�' �� CONTRACTOR � C�. �CE' S I�C {�Itr�vll�_ '�( �.� �1n� i 1'��' f 1�I�-�� ( � DESCRIPTION d i � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT �FINAL ❑ FOUNDATION/REMOVAL � O�Cd�RICONTRACTOR TO MEET YOU�YES_NO < � � 1 � COMMENTS: � W � � J O � � O � ti � Q � Z W � W � � ° �'�� /�V RK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED C INSPECTION REOUIRED.CALlTO ARRANGE ACCESS. Call for the next inspectio 4 hours in advance. (J52� 249-4600 OwnerlContractor o i Inspector. White Copyllnspector's File Canary Copy/Site Notice