The URL can be used to link to this page

Home My WebLink About2012-00004 - plumbing ' CITY OF ORONO PERMIT NO.: 2012-00004 � 2750 KELLEY PARKWAY ORONO, MN 55356- DA7'E IssUE�: 01103/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 805 FOREST ARMS LA PIN : 07-117-23-12-0009 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV, 1 TUB, 1 FLOOR DRAIN. 1 LAUNDRY TRAY, 1 WATER I-fEATER, 1 WATER SOFTNER, I WET BAR iST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, l DISPOSAL, 1 DISHWASHER,2 SILLCOCKS, 1 WASHER 2ND FLOOR:2 WC,3 LAV,2 TUB, 1 SHOWG2 VALUAT[ON OF PLUMB[NG 7600 APPLICANT PLUMBING FIXTURE FEE 95.00 VODA PLUMBING STATE SURCHARGE PLBG(VALUATION) 3.80 6417 PENN AVE. S. TOTAL 98.80 RICHFIELD, MN 55423- (612)282-9036 Minnesota State License#: 7598 OWNER GURALNIK,ALBERT&VALERIE 805 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AIVD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing[his 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 the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in co��formance with the State Building Code.This permit may be revokef�at any p�r;e for due cause. j:,` C�C, �:'f`...�'�-_ C( i f�s' � %� l l '�pplic'ant�rmrtee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRtBED ABOVE. FOR CITY USE ONLY � � Cit,y of Orono �� P.O.Box 66 Date Received: Permit# �,� ;,,� 2750 Kelley Parkway � 3?'��r � Cr stal Ba MN 55323 A roved B Ainount�: � �1�,�r l- �, Y Y, PP Y� ��,��y.�,o, (9s2�za9-a600-Ma;,, � sesa� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved bv the State Prior to City Approval) htt :l/w�w��.dli.mn.Rov/CCI,D/PDF/ e lumb lanreva �.�df GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two warking 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 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 work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Cail(952)249-4600. (24-48 hour notice required) � TYPE OF PERMIT � (Check All That Ap ly) � �Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Repiace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article N) Job Site/ Owner Information: Site Address: � � �U � �c�� ( �'� �,�� ' , Owner: Mailing Address: city: S�/'�� zip: Home Phone: Alternate Phone: Contractor Information: Contractor. �� (� �� Contact Person: /'"/� �. Address: �� /� ' •S State Bond #: �I�SS��'� �5�� Cit '' y: �,�' `�� Zip:�3 Expiration Date: �j� O�S Phone: (��,�b�,�='�j��j Alternate Phone: � Insurance—Current: �'�� 1 � PLUMBING FIXTURES BEING INSTALLED I FIXTURE BSMT 1 2' OTHER FIXTURE BSivIT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet 1 � Floor Drains � Lavatory I � Sewer Ejector Bathtub I � Laundry Tray ( Shower � Washer , � Kitchen Sink ( Water Heater � Disposal i Water Softener d � Dishwasher i Wet Bar � Sillcocks � Miscellaneous I � PERMIT FEE CALCULATION(S) � � j BASED OFF - 2002 STATE STATUE I ❑ Yes,this section applies The replacement of only one 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 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 $ (Permit Fees Continued On Next Page) 2 PERIVIIT FE� CALCUL�TIOI�t�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$50.00) ��(J(JV • V Ox.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE ar 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. `�;�� 4,� �_�a :��F�,�� ,��IBZN��RMIT APPLICATiU�T AGREEIVLE '' " ''� ;,,'� �:� .,.�;�� 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. ,9%� / Applicant's Signature: � Date: �r �� ( � 3 `�G� DATE TIME � CITY OF ORONO CALLED IN °�� INSPECTION I�OTICE SCHEDULED �- � '� �-�-�� PERMIT NO.a��/�"UD�O COMPLETED ADDRESS ��S ��?'Q'�� L�iL'`y`.e L"�V OWNER TELEPHONE N0.6�Z �z—�D�-�j CONTRACTOR V�� : DESCRIPTION C�'��C� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FtLLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSUTATION ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C J � � O a � ° b 'j'� S �-- C� � W � Q � Z W � W � � GW �lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. \ White Copyllnspector's File Canary CopylSite Notice DATE TIME ` / CITY OF ORONO CALLED IN -�—�� v INSPECTION NOTICE , / SCHEDULED —1�—!Z- % PERMIT NO.�o�a-��7" COMPLETED ADDRESS SOS �7�� %� �/ OWNER TELEPHONE NO. ��a a�a �o�� CONTRACTOR v�G`'� �: DESCRIPTION � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � � . O " '' _�s�1 v �G' `�,�� (� � 0 � W � Q � 11/�-t��O � ��-cJr �C 'f' C7 �C W � W � � d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT 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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on s� Inspector. White Copyllnspector's File Canary Copy/Site Notice � <�— AT TI M E V CITY OF ORONO �ED W � INSPECTION OTI E SCHEDULED �.� PERMIT N . � �� COMPLETED ADDRESS OWNER LEPHONE NO. ` — �� D� CONTRACTOR � � � ' �; DESCRIPTION � � ❑ FOOTING ❑ PLUM G INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME A AL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MEC ANICAL FINAL O ❑ 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 � � � � �� r � � 0 � r w � � � � Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on s te: � � l . ! > Inspector. �f J � b^ � White Copyllnspector's File Canary CopylSite Notice �,' J, 1 r�� DATE TIME V `�CITY OF ORONO CALLED IN � `f INSPECTION NOTI E � SCHEDULED � �=� / �- � •�- �' PERMIT N0. �-�� ' ^ / � ," � COMPLETED ADDRESS y� r, f`-:C�;I�F' ` �-� �{--f 1�1Y��t_..1�� OWNER TELEPHONE NO. � �IU�IF CONTRACTOR f'� '� �^'�� . � DESCRIPTION f�� -��-% � ��}'�'1�'��. � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING '�y�, y ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT}C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENT�— � W � � �_ "�� 0 a � o �� W � Q � z W � W � � d W��dJdW�K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR -'CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: inspector. White Copyllnspector's File Canary CopylSite Notice