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)
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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:
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� 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. � . ���� !�
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