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Home My WebLink About2009-00390 - plumbing CITY OF ORONO PERMIT NO.: 2009-00390 , 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 07/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3060 FARVIEW LA PIN : 04-117-23-34-0014 LEGAL DESC : FARVIEW : LOT 004 BLOCK 002 NERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: INSTALLING A BACKFLOW PREVENTOR APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 REGENCY PLUMBING INC. STATE SURCHARGE PLBG(<$500) 0.50 3414 LOUISIANA AVENUE N. CRYSTAL, MN 55427 TOTAL 15.50 (763)531-1855 OWNER HAFSTAD, B FLYGENRING &V 3060 FARVIEW LA LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT I�hc work for which this permit is issucd shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Buiiding Code. This permit is for only the work described and does no[gran[permission for additional or related work which requires separate pennits. AII 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[he date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rev for due cause. �.� `C� J / � / Q � ._� � _ � � cant Pe itee Signature Date �—'�_ ��1��t f 7 / / Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CTTY USE ONLY ¢p� City of Orono P.O.Box 66 Date Received: Permit# / � � 2750 Kelley Parkway � n:�'*• `',� Crystal Bay,MN 55323 Approved By: Amount S: �� (952)249-4600 �s:,,o�` CITY OF ORONO—PLUMBING PERNIIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed p(umbing 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 6our noHce required) TYPE OF PERMIT Check All That A 1 ❑✓ Residential ❑Commercial(Approval Required) ❑New 0 Additional ❑Repairs ❑Replace ❑ ln Accessory Structure? *You will need arior anaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 3060 Fairview Lane Owner: B�orn Flygenring Mailing Address: 3060 Fairview Lane Ci ; Orono, MN Zl 55356 h' P� Home Phone: Alternate Phone: Contractor Information: Contractor: Regency Plumbing Inc Contact Person: Steve Johnson Address: �14 Louisiana Avenue North State Bond#: RLI 545119 City: Crystal , MN Zip.55427 Expiration Date: 12/31/09 Phone: (763) 531-1855 Alternate Phone: (612)250-4351 Q✓ Insurance—Current; 12/31/09 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTtJRE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water SoRener Dishwasher Wet Bar Sillcocks Miscellaneous � PERNIIT FEE CALCULATION(S) 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;excluding 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 $ .50 Mail-In Fee(If Applicable) S 2.00 Total Permit Fee $ (Permit Fees Continued On Neat Page) 2 , 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$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x.0005 � (wntract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only 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 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 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 actual contract. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Deparhnent at(952)249-4600 for the price. PLUMBING PERNIIT 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 conect. � � �, r Applicant's Signature: � �� Date: � � Reset Form 3 �/ � �(� / "' DATE � TIME , / .� 7 ��'�,.' CITY OF ORONO CALLED IN / v INSPECTION�OTICE SCHEDULED � � � PERMIT NO. �`�'l�`��7L�COMPLETED ADDRESS �� ' C ��/' l�'I P�� --/V OWNER CONTR. _i'f C ` TELEPHONE NO. �f � " ��c � - �� DESCRIPTION_� C �Ct�u�� --��(�,, �� . � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 C ' M '' b r ' i��1' � 0 � W � Q � z W � W � � d � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � � �� White Copyllnspector's File Canary CopylSite Notice