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Home My WebLink About2009-00104 - plumbing . CITY OF ORONO PERMIT NO.: 2009-00104 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 03/11/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2811 FARVIEW LA PIN : 04-117-23-34-0003 LEGAL DESC : FARVIEW : LOT 012 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 f3ATHTUB APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 SOUTHTOWN PLUMBING INC. STATE SURCHARGE PLBG (<$500) 0.50 6636 PENN RICHFIELD,MN 55423 MAIL-IN FEE 2.00 (612) 866-3057 TOTAL 17.50 Minnesota State License#: 60956PM OWNER TABNER& MICHEAL BOARDMAN, KATHRYN 281 1 FARVIEW LA LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The��ork for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This pennit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended tor a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in confom�ance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. ,w .�- �,�,p� City oTOrono Foa crn�[��sE o��,� r�o E3�� 2750 kelle��Park��i� Date Received_ pe��y� `" ��`� � Crystal Bac_MN ;:;�; -- ��c�.� �� (`��2)��9-�3600 APPro�ed Br Amount$: ��£9KaA6 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must hr a�pro�-ed h� the Building Ofticial or Inspeetor) GENERAL WFORMATION I. Y'ou may apply for pluilibing permits by mail or in person at the City oftices. Applications will be reviewed and a permit wili be issued within two working days. '_. Permit cards will be sent by return mail after a revie�� is completed. PER.41lTS ARE V�O"I� �'ALID l'NTIL Y'Ol RECEI�'E A PER�11T. ��'ORK :�11 ST 1'OT BEG1� I�NTIL THE PERMIT CARD IS POSTED 01 THE JOB SITE. 3. Plumbing permits may be issued O\"Ll" to licensed plumbine contractors and to propert� owners residing in the dwelling. 4• Wnen 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) � �'��' ❑ Additional ❑ Repairs �Replace � In Accessory Structure? *You will necd �rior anproval and ma�� need t�i 1'. (Per Orono City Code, Chapter 78. ,qrticle I�'� Job Site/Owner Information: Site Address: � � ( �� , � Owner:G�l ct, � Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:�� ,��,m� � < < ��n� Contact Person: �j��r1 � � —i Address: �� , ��,� � State Bond #: 7�/DD � ��`�'� sS' City: �e�C'i Z�P��Expiration Date: , � —� 1_�c� Phone: ��,�`��- ��i.`� � Alternate Phone: � Insurance — Current: �_ 1( -�'� ��_��.,c� � ;` 1 � � PLUMBING FIXTURES BEING INSTALLED f=1XTURE BSMT I� 2� OTHER FIXTURE BSMT 1 2� OTHER TYPE FL FL TY'PE FL FL Water Closet � Floor Drains Lavatory Sewer Ejector [3athtub Laundry Tray � Shower w'asher I�itchen Sink W�ater Heater Disposal Water Softener Dishwasher Vdet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes.this section applies The replacement of a Residential tixture 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 excludinc�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Ship nest section, if this applies; Cost of Permit $ I5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $�� (Permit Fees Continued On tiext Page) � .� PERMIT FEE CALCULATION S -JOBS OVER$SOO.QO If above does not apply; follow�uidelines belo��: I. C0ITRACT PRICF * is 1.25%of contract price with a(Minimum Fee of$50.00) z .0125 � lcon(ract pnccl (ininimum$?ll Ufl� -- 2. >TATE SURCHARGE ** ,1dd the State f31dg Code Div. Surcharge(.�linimum Fce ofS.SU) __x .0005 � (contract price) (ininim�nn$ 5O) 3. POSTAGE & HA'�IDLING (Only on Mail-In Applications) $ 2.00 4. TOTAI,PER:ti11T FEE(Add Lines 1-3 Above) � • * CONTRACT PRICE or JOE3 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 fumished by the owner, tenant or anv 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 SI:RCHARGE is .0005 of the contract price under$I,000,000 or$.5p _ w�hichever is greater. For valuations over�I,000,000 call the Building Department at(952)249-4G00 for the price. 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. / ��'� 3� #II, f / `r�� Applicant's Signature: Date: Reset Form ' ;'�� 3 E � �/� TE TIME I / V CITY OF ORONO CALLED IN �� INSPECTION NOTI J� CHEDULED � /� PERMIT N0. ' �// COMPLETED ADDRESS 8�� iL/ OWNER CONT�Li�Tf'( 7�T✓U� . �� TELEPHONE N0. "- l - � � �✓�'dS `� � DESCRIPTION �l� -��-/L� � ❑ FOOTING ❑ MECHANICA ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J LUMBING FINAL ❑ FOUNDATION/REMOVAL � O ER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � ti � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � , UE CERTIFICATE OF OCCUPANCY p ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '7 CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on ite: Inspector. l White Copyllnspector's File Canary CopylSite Notice