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Home My WebLink About2012-00789 - plumbing . CITY OF ORONO * z 0 1 z - 0 0 7 8 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2012 x ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 245 FERNDALE RD N PIN : 36-118-23-41-0004 LEGAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 1313 DANITA CR. MAIL-IN FEE 2.00 SHAKOPEE, MN 55379 (952)445-4803 M[SC FEE 0.00 Minnesota State License#: 057209PM TOTAL 22.00 OWIVER BECKSTROM, DARRELL& KENWYN 245 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AIVD SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only thc work describcd and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period ot�180 days at any time atter work has commenced. 'l�he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due caus�e. `� (/I�- / / / / Applicanl Perrnitee Signature Date [ssucd By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . I I I FOR CITY USE ONLY ,::"� - City of Orono _ ,!/O'�'� � DateReceived: Permit# , P.O.Box 66 .�,, `; 2750 Kelley Parkway � .�;+ x Crystal Bay,MN 55323 Approved By: Amount$: � '#r r (952)249-4600—Main �asicq,. . (952)249-4615—Fax CITY OF ORONO - PLUMBING PERMIT (A, Commercial Permits Must be Approved by the State Prior to City Approval) I i htt :/;��H�.dli.mii.�s��/CC�i_T),`Pf�l�/�e 3iusnl��t�nre��a>>.�df GENE INFORMATION I I 1. Y�' may apply for plumbing permits by mail or in person at the City offices. Applications wil]be re, ewed and a permit will be issued within two working days. 2. Pe it cards will be sent by return mail after a review is completed. PERMITS ARE NOT V LiD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTiL THE P� iT CARD IS POSTED ON THE JOB SiTE. 3. Pl bing permits may be issued ONLY to licensed plumbing contractors and to property owners re ding in the dwelling. 4. W en any new construction or remodeling is involved,a separate building permit must be o ined. 5. A work must be done in accordance with State Code requirements. 6. � work must be inspected and air tested before it is covered. Call(952)249-4600. (2� 48 hour noNce required) TYPE OF PERMIT Check All That A 1 "�`Resid tial ❑Commercial (Approval Required) ❑ New ❑Additional ❑Repairs �Replace ❑ Tn Ac essory Structure? *You� ili need rior a roval and may need Ct_I'.(Per Orono City Code,Chapter 78,Article IV) � Job Site wner Information: Site Ad ' ss: CX t t� ��'�( �U�,�'� �� Owner: ' �� n.3�tL Mailing Address: ��`� t�cC C1C��.�L �"�` � ��: y�c�� Z�p: 55�� 1 Home P ' ne: `'�5� "�� 4�� Alternate Phone: ;� Contract` Information: '� ( � X1� �'�' � Contract'� : 1� � � `��'(,��Contact Person: ��J�.n�1� �1�� Address: �3�� C��- State Bond#: City: � � ` � Zip�� Expiration Date: � ' Il ' 1 �� Phone: �� `1�t� `��5�� Alternate Phone: ❑ Insurance—Current: ii 1 I I � � PLUMBING FIXTURES BEING INSTALLED FIXTURE I'i BSMT IS 2 OTHER FIXTURE BSMT ls 2 OTHER TYPE FL FL TYPE FL FL i Water Clos' Floor Drains , Lavatory I' Sewer Ejector ; Bathtub I� Laundry Tray ,, I I Shower i� Washer �i i Kitchen Si ' Water Heater / Disposal i� Water Softener I Dishwasher{I Wet Bar li Sillcocks I i Miscellaneous �i i; I! �� li II �� j'' PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Y this section applies The replac II' ent of only one Residential fixture or appliance that meets all three of the following requiremen : 1. 'Does not require modification to electrical or gas service. 2. �',Has a totai cost of$SOOAO ar Iess;excludin the cost of the fixture oc appliance: and 3. I';Is improved,installed or replaced by the homeowner or licensed plumbing 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 $��iC� i. I��' (Permit Fe Continued On Next Page) 2 � PERMIT FEE CALCULATION(S -JOBS OVER$500:40 If above do'' not apply;follow guidelines below: 1. I' CONTRACT PRICE *is 1.25%of contract pnce with a(Minimum Fee of$50.00) I x.0125$ I (contract price) (minimum$50.00) li 2. I STATE SURCHARGE �' x .0005 $ �' (contract price) 3. I OSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. OTAL PERMIT FEE(Add Lines 1-3 Above) $ • * CO �, RACT PRTCE or JOB COST means the actual or estimated dollar amount charged for the permitt',' work including materials,labor,profit, and other fixed costs. It is the amount to be charged to the ' stomer for the work done. If any material, equipment, labor or installations are furnished by the ow�� r, tenant or any other party, the reasonable market value of such items must be added to the estimat'" cost or contract price for permit fee purposes. in the event that there is a dispute on the amount� f the job cost, the City may request the submission of a signed copy of the actual contract. � PLUMBING PERMIT APPLICATION AGR:EEiVIENT The under' ned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in st��ct 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 I r � ��—!� Applicant'! Signature: Date: � R e# Form �', ;' � �'' ;' . I I� i' i�l I i! ; 3 � � i 1J� D E TIME � CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED - �;Oa PERMIT NO. D -DO 78 COMPLEfED ADDRESS ��J /-p�� OWNER /�-�7 TELEPHONE NO. gsz S�7`� Z�77 CONTRACTOR �Z��-e ��xO � DESCRIPTION l�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT J �❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � , . a _ �2p�St�K f 4as /f,�,e, — j - � ' —TT ' 0 c��-� /NG 1/G rt"L� e '2 r � /7� 4�4� �✓� .. �. � O , W _ _ I�orK ts C'a�.reele�� Q � ��r►N..t -��.�,�Ia�9 a W � W � j � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all forthe next inspection 24 hours in advance. (952� 249-4600 wner tractor on site: � � Inspector. ��t w►� � White Copyllnspector's File Canary CopyfSite Notice