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Home My WebLink About2010-01188 - plumbing \ 1 \ v CITY OF ORONO PERMIT NO.: 2010-01188 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEn: 12�14/2010 9�2 249-4600 FAX: 952 249-4616 ADDRESS : 2943 FARVIEW LA PIN : 04-1 17-23-34-0008 LEGAL DESC : FARVIEW : LOT 008 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : FIXTURES- MULTIPLE NO"CG: PLUMBING FIX"CURES: (3) WATER CLOSE"I�S,(5)LAVATORIGS,(3)SIIOWLRS,AND(I GACH)L3AT11'I�U[3, KI"I�CI►EN SINK, DISPOSAL, ll[SHWASI ICR. LAUNDRY TRAY AND WnSHGR VALUATION O1; PLUMB[NG 1 1945 APPLICANT PLUMBING FIXTURE FEE 149.31 DINIUS PLUMBING COMPANY STATE SURCHARGE PLBG (VALUATION) 5.97 1741 COMMERCE CT WHITE BEAR I,AKE, MN 551 10 TOTAL 155.28 (651)773-5740 Minnesota State License#: 059369 PM OWNER WILSON 8� TARA SULTON, GARY 2943 FARVIEW LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work fbr which this permit is issued shall be perfonned according to the approvcd plans and specilications,applicable City approvals,and the Statc Buildin�Code. 'I�his pcnnit is for only�thc work described and does not erant permission for additional or related work which requires separate permits. All pruvisions of la��s and ordinances governing this type of work shall be compied��ith whether or not specitied herein.This permit�vill expire and become null and void if construction authorized is not commenced�vithin 1 RO days of the date of issuance,or if construction is suspended for a period of I 80 da��s at any time after work has commenced. I�he applicant is onsible for assuring all required inspections are requeste � cunfornr ce��ith the State C3uilding Code.This permit may be rcvo� t ny time for duc causc. /Z l /� l /:� � /•Z[ /'`/i /D 1' nt Pcrmitcc Signaturc Datc Issucd Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � I - �FOR CITY�[1SE ONLY � . , p City of Orono , L �n p O¢ �O P•O.Box 66 Date Received`2�)`7 /�permit# o`-'�1� + `/o � "* � 2750 Kelley Parkway Q �� ' Crystal Bay,MN 55323 Approved By: Amount$: f�S U y� �� ;,. ;a(-_ �" �'�in,.�o` (952)249-4600 rNg�RpB CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION ` 1. You may apply for plumbing pemuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut 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 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 pemut 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 ply) [� Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78,Arricle IV) Job Site/Owner Inforrnation: � � "" ` � ` "/` t/i ��..J �/Li Si�e Address: �- � / a �° <�� Owner: S� 7f�� - c...i, /; .> � Mailing Address: -x�`(� -F—�.� �;�„�; L� City: �!�w�� G'�t �`:° _ Zip: Home Phone: Alternate Phone: 6 f�� k�� 7�y y Contractor Information: ��, Contractor: � i,-t; v� �-��,�-,�� Contact Person: ��(.,, Address: / �y/ L��rr�,.,2�-c;z �f- State Bond #: ,� )��_S'c��;� j � City: ��rt�/,��'�-,� Zip: "_�it�� Expiration Date: i Z�3, - 2.:.� � Phone: L) / 7�__� �"7 y;� Alternate Phone: 6 �/ �� U�� [� Insurance-Cunent: �k.3 1 7._�i.3 0 �j 1 � r � ��:`, S$��'�. .a;'� .�, �,��t�. FIX'TL7RE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains � Lavatory % U Sewer Ejector / Bathtub / Laundry Tray � Shower l Z Washer Kitchen Sink � � Water Heater Disposal 1 Water Softener Dishwasher ; Wet Bar Sillcocks Miscellaneous �. � PERMIT FEE CALCULATION(S) ��a a � , �� BASED OFF — 2002�STATE STATUE �� , ❑ Yes,this section applies The replacement of a 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. Is improved, installed or replaced by the homeowner or licensed 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 . � . , '� �. ,,,,,y,� � .'�.' PERMIT FEE CALCULATION(S)-JOBS OVER �500.00 � 1 �" ,w. If above does not apply; follow guidelines below: 1. CONTRACT PRTCE *is I.25%of contract price with a(Minimum Fee of$50.00) � � �. �i y.�_ -- X.o�z5 $ (contract price) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum� 5.00) 3. POSTAGE&HANDLING(Oniy 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 perniitted 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 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 pernut 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. {-x 1 �ATTON AGREEME�'T i The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in stnct 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. i� Applicant's Signature: --- '' Date: /�/y'-1� 3 �-5 �-� �/ D TE , TIME CITY OF ORONO CALLED IN � � �� INSPECTION N�OnTICE / Q'Q� SCHEDULED /-��U � PERMIT NO. �LJID —O!IO u MPLETED ADDRESS �� -� OWNER TELEPHONE NO. ' 7 s� CONTRACTOR �: DESCRIPTION � � lU ❑ FOOTING ❑ PLUMBING FIN L ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W W — � � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on te: Inspector. � White Copyllnspector's File Canary CopylSite Notice �— DATE TIME `� CITY OF ORONO CALLED IN /� � INSPECTION NOTICE f(ry SCHEDULED � � PERMIT N0. �tr10—O � �" b COMPLETED ADDRESS ' �9�3 � �jf� OWNER TELEPHONE NO. CD�Z ,1sr� �� CONTRACTOR ��U.S !'l�.l�-6 > ,/� r � DESCRIPTION ��(�C ��'�+�' � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q ti Z W � W � � GW �\(JORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � '� U � White Copyllnspector's File Canary CopylSite Notice �—S - Z, TIME � CITY OF ORONO CALLED IN J � INSPECTION N TICE pQ�CHEDULED � � PERMIT NO. /��J10 U c TED ADDRESS OWNER PHONE NO. ^�� CONTRACTOR ` a DESCRIPTION � � � ❑ FOOTING ❑ PL B G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALI ❑ ME ANICAL RI ❑ LAKESHORE/WETIANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ S TI FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W a o ''11 �� Z � . /l tCS %C7 1�/� c/-�[�� –.�-�- lc�c.�! G f� G'�1�l ,� S C� ° r- �-�-� �,� � f re'n(��_fS � � l��c��o-��T' �1��l�� a� Q � � � �(� �� /�� l �: i • �'-N/� ( W � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��RECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONW�THIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR !�CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on s�t : ' Inspector. ( ��1 White Copy/lnspector's File Canary CopylSite Notice