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Home My WebLink About2012-00716 - plumbing CITY OF ORONO * 2 0 1 z - 0 0 7 1 6 * � w 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 FOX ST PIN : 02-]17-23-31-0009 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK 013 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RES[DENT[AL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTF.: PLUMBING FIX'I�URES: (2)WATER CLOSETS,(2)LAVA"I'ORIES,(2)BA"1'}1"]'UE3S,(2)SILLCOCKS (1 EACH) KITCHEN SINK, DISPOSAL, DISHWASHER,FLOOR DRAIN, LAUNDRY TRAY,WASHER AND WATER HEATER VALUATION OF PLUMBING 5000 APPLICANT PLUMBING F[XTURE FEE 62.50 LAKELAND PLUMBING STATE SURCHARGE PLBG (VALUAT[ON) 2.50 27185 BAYSHOIRE CIRCLE NW TOTAL 65.00 ISANTI, MN 55040- (763)753-0092 Minnesota State License#: PC644669 OWNER ABD Consulting Services, LLC P.O. BOX 1 F MTKA MINNETONKA, MN 55345- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and Ihe State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of la�vs 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 the date of issuance,or if construction is suspended for a period of I 80 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 revoked at any tim for d cause. � ��Z�' � �/ / � Applic erm , ' nature Date [s By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �' � FOR CI Y USE ONLY . ,�p� City of Orono 7f� /�., P.O.Box 66 Date Received. Permit#02�� ` � 7��"� ��' � 2750 Kelley Parkway ��:;,,. � I a ,��'�rr � Crystal Bay.MN 55323 Approved By: AmounC�:� ��'�'�(1��Ao��G~ (952)249-4600—Main ��e� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�://ww��i�.dli.►nn.�ov/CCLD/PDF/ e lumb lanreva �.�df GENERAL INFORMATION l. 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 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. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That�Apply) � �Residential ❑ Commercial(Approval Required) � New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: �3�G �"v;r ,S+ Owner:�(�i� �;�G•�r,t I Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ' Contractor. ��i ��i�j2�� i�,�� Contact Person: J t' �---� �f��,�� N, � Address: �7i�5��<�r��rc (�r� �State Bond#: r�C (a S/4/ �G�� City: -�-SG,�� 77 Zip: ��`/U Expiration Date: /L-.3/-/� Phone: ��3- 7S3�- UU�� z Alternate Phone: �v� Z -,j Z�-Ov�� [�] Insurance-Current: �l'3 13Svr� ��lo/S� 1 '� t PLUMBING FIXTURES BEING INSTALLED � FIXTURE BSMT 1' 2 OTHER FIXTURE BSMT 1' 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavatory � Sewer Ejector Bathtub Laundry Tray � � Shower Washer j Kitchen Sink ' Water Heater � 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 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 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 , � �°'` � .,'; PERMIT FEE �AL�C��, T��'�`��`"°;-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 $ contractprice) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract pnce) 3. POSTAGE R 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 instaliations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated 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. �• t x �', ��"e' a �P�� .x x.��f�� . „�"��.7J.�JF,: N' .��::. 4. .:. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ardinances 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: 7-Z�v-/Z 3 �� ATE / TIME � CITY OF ORONO C LLED IN �� 7r��' INSPECTION NOTICE SCHEDULED i � PERMIT NO�D/a��C'7l� COMPLETED ADDRESS ��i�f �� ' OWNER TELEPHONE NO. �' ��^��a��7 CONTRACTOR :1-_c�►c� ��r1 P(�� . �; DESCRIPTION � i'��K, � �� r�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � ❑ PLUMBING RI ❑ S T FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTR TO MEET YOU: •YES_NO � COMMENTS: � W C j /1/�� ,� � .1"r�1' � 5 fi` : C 0 a � 0 � W � Q � Z W � W � j d � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. �952� 249-46QQ OwnerlContractor on site: � Inspector. �� _,� White Copyllnspector's File Canary CopylSite Notice � � �� DAT TIME � CITY OF ORONO CALLED IN � � /�� INSPECTION NOTICE SCHEDULED � �•�� PERMIT NO.a��a`�0 7��0 COMPLETED ADDRESS � � � �� S�ef OWNER TELEP E NO. ��-� g-�� CONTRACTOR �� >; DESCRIPTION �/ � � ❑ FOOTING ❑ PLU I G FINA ❑ EXCAV/GRADING/F�LLING Q ❑ POURED WALL ❑ MEC ICAL RI ❑ LAKESHORE/WETLANDS y � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � J 0 a � 0 � W � Q � z W � W � � d ��'�NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r; pHOTOTAKEN INSPECTOR WILL RETURN i, CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: ' Inspector. White Copyllnspector's File Canary CopylSite Notice