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HomeMy WebLinkAbout2011-00441 - plumbing � . . CITY OF ORONO PERMIT NO.: 2011-00441 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/09/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2927 FARVIEW LA PIN : 04-117-23-34-0010 LEGAL DESC : FARVIEW : LOT O10 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTG: REPLACE PLUMB[NG FIXTURES: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB AND(1)SHOWER VALUATION OF PLUMB[NG 15000 APPLICANT PLUMBING F[XTURE FEE 187.50 PLUMB[NG & HEATING BY CRAIG STATE SURCHARGE PLBG(VALUATION) 7.50 680 H[GHWAY 7 EAST TOTAL 195.00 HUTCHINSON, MN 55350 (320)587-7437 OWNER SACHSE, RICHARD& MARYLYNNE 2927 FARVIEW LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT "I'he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc Statc Building Code. This permit is for only the work describcd and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time af[er work has commenced. The applicant is respons e for assuring all required inspections aze requested in co r ce with the State Building Code.This permit may be revoked a t e or due cause. � ' '��l � � i� � Applic t Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ♦ � FO CI USE ONLY �` City of Orono (p ��/� y, I� �¢O•r�� P.O.Box 66 Date Received` � / Pernut# u'-"��/� �/ f`�.�, �" 2750 I�elley Pazkway - � j4�r. �,,1 � �, �_ � r Crystal Bay,MN 55323 Approved By: Amount$� ��? ti%�;- }�o�r.�� (952)249-4600-Main ��+n��� (952)249-4616-Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�://www°.ali.mn.«u��/('CLU/PI)FI�c ilumb lanrc��a � .�df GENERAL INFORMATION 1. You mati apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued�vithin two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNT[L YOU RECENE A PERMIT. WORK MUST NOT BEGIN 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�vork 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 ) �■ Residenrial ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ■� Replace ❑ In Accessory Structure? *You will need prior auproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: s�te aaaress: 2927 Fairview Lane Richard Sachse 2927 Fairview Lane Owner: Mailing Address: clr�: Orono Z,p: 55336 Home Phone: Alternate Phone: Contractor Information: Plumbing and Heating by Craig Nate Johnson Contractor: Contact Person: s$o�Wy�East Po BoX 459 RL 1601636 Address: State Bond#: ���: Hutchinson Z�p: 55350 Expiration Date: Phone: (320) 587-7437 Alternate 1�hone: (320) 583-1595 ❑ Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT ls 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL 7'YPE FL FL Water Closet 3 Floor Drains Lavatory 4 Sewer Ejector Bathtub ,� Laundry Tray Shower ,� Washer Kitchen Sink Water FIeater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fiature or appliance that meets all three of the following requirements: 1. Does not require moditication to electrical or gas service. 2. Has a total cost of$�00.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip neat secrion, 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 Nest Page) 2 PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply; follo�-v guidelines below: l. CONTR4CT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) 15,000.00 ,.ol2s $ 187.50 (contract price) (minimum$50.00) 2. STATE SURCH;�►RCE 15,���.�� 7 'rJ.�� a.0005 $ (contract price) 3. POSTAGE&NANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $264.50 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted�vork including materials,labor, profit, and other fixed costs. It is the amount to be charged to the customer for tl�e 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 Che job cost, the Ciry may request the s�ibmission of a signed copy of the act�ial 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: Reset Form 3 DATE TIME v CITY OF ORONO CALLED IN INSPECTION OTI E SCHEDULED f � ' , f PERMIT NO. �COMPLETED � ^ �� ADDRESS � C'I d�� I�/� � ��+6.J OWNER T LEPHONE NO. CONTRACTOR l�L U �� t3 � l•��T�' � �-( C�A. � �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J�PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 1 ��9 f'�-loo.�., � (•�A,�S� �CJ�e� � � 0 � W � Q � z W � W � j O � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑COR ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � . ���� !� White Copyllnspector's File Canary CopylSite Notice