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Home My WebLink About2011-01332 - plumbing . � CITY OF ORONO PERMIT NO.: 2011-01332 ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE [SSUEn: 10/26/2011 952 249-4600 FAX: 952 249-4616 RGPRINTED ON ]0/26/2011 � ADDRESS : 1685 FOX ST ',� `x��_ , PIN : 03-117-23-44-0004 �, �k�.,;. LEGAL DESC : HANSER ADDN '\\ ��' : LOT 002 BLOCK 001 �`� PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMEN"I': 1 WC, 1 LAV, 1 TUB, 1 LAUNDRY TRAY, 1 MISC 1ST FLOOR: 1 KITCI{EN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 MISC VALUATION OF PLUMB[NG 8300 APPLICANT PLUMBING FIXTURE FEE 103.75 SOUTHTOWN PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 4.15 6636 PENN RICHFIELD, MN 55423 MAIL-IN FEE 2.00 (612)866-3057 TOTAL 109.90 OWNER HORNIG, STEVEN 1685 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performcd according[o the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with the Sta[e E3uilding Code.This permit may be revoked a[any time for due cause. �-�'`'e �`" � � / / Applicant Permitee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB � . ' ��'�� FOR CITY USE ONLY . _. O¢��O 'it� ofOrono I'�) Ro�t,F Date Received: Permit# '� ,-;n h��lle� P:uk�ca� .+ � � C n,t:il 13,��.\1\;i:]; ApProved Bv Amount$: �� •�� '� � ��>;��a9-ab��ii—�!�1ain �keaN�"� I`h��l)--1(�Ib—I��A CITY OF ORONO - PLUMBING PERMiT (All Commercial Permits Must be Approved by the State Prior to City Approval) ��i� �.-��3�i�ti,clii.n��.��cte;£��(�!_►�,i'E)��F�c� ��#R�«�l��I,�f�3•f�r<� ��.=scil` GENERAL INFORMATION 1. l ou ma} appl� for plumbing permits by mail or in person at the Ciry offices. Applications will be reviewed and a permit will be issued within two working days. ?. Permit cards will be sent by return mail after a revie�� is completed. PERM[TS ARE NOT \ ALID U'��TIL YOU RECEIVE A PERMI"T. �VORK 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 residim� in the dwelling. 4. \\'hen am ne�v construction or remodeling is involved,a separate building permit must be obtained. �. all �vorh must be done in accordance with State Code requirements. 6. 411 work must be inspected and air tested before it is covered. Call (952)249-4600. (2-3-48 hour notice required) TYPE OF PERMIT (Check All That A I ) [�Residential ❑Commercial(Approval Required) ❑ \�ew ❑ Additional ❑ Repairs [�Replace ❑ In r�ccessory Structure? *Y'ou will need nrior ap[�roval and may need('t:I'.(Per Orono City Code,Chapter 78,Article IV) Job Site /Owner Infor►nation: Site Address: / (o�f,5 ;� �. 5� O��ner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor [nfonnation: `� / � 1� Contractor: �-x� ,��-�,,�r� C"�kuviUrc�� Contact Person: ti ' /� �� f Address (o_(�� ,�cl� S� State Bond #: �`�� ,�� Cit�: i� ' Zip: Sy"� Expiration Date: /�-�/ - � ! Phone: Col�'r r��CS � Alternate Phone: ��c -�C5 �v ❑ Insurance-Current: �� -��,,s�,�,-�� 1 PLUMBING FIXTURES BE1NG INSTALLED FI\il_Rl-: BS�1T I� 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL �'ater Closet Floor Drains Lavaton Sewer Ejector Bathtub ` Laundry Tray 1 � Shower Washer Kitchen Sink Water Heater 9 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: I. Does not require modification to electrical or gas service. 3. Has a total cost oi$�OO.OG 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-InFee(IfApplicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On \ext Page) 2 . � � • �� 1 �� _t� ��y� PERMIT FEE CALCULATION S)-JOBS OVER$500.00 � a If abo�e does not apply: follow ouidelines below: I. COVTRACT PRICE * is 1?�%of contract price with a(Minimum Fee of$50.00) Ss, ��o.� �� X.o�zs$ /O 3 . 7�� (contract pnce) (minimum$50,00) ?. STATE SURCHARGE � �3� � �U x .0005 � �{, �� Icontract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOT'.AL PER'�11T FEE(Add Lines 1-3 Above) $ i Jc� ��% l • ■ * 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 ro the customer for the work done. If any material, equipment, labor or installations are furnished by the o��ner, 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. PLUMBING PERMIT 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 atei nt ,made on this application are complete, true and correct. Applicant's Signature: Date: Reset Form 3 , � \ /� � ,5 DATE >; ,� ::, TIME'. ._�/ CITY OF ORONO CALLED IN �D-2 7 INSPECTION NOTICE SCHEDULED �— -'/� ��-Q-~- PERMIT NO.°lBL�—Di33Z COMPLETED ADDRESS ��BS ��i s7� OWNER TELEPH NE NO.�lZ ✓�� 72'Z CONTRACTOR �C�hL?Q�C-.i'i�7��'(_ �C��+G%��C' �: DESCRIPTION ^ �� N�� -�- � � ❑ FOOTING ❑ PLUMBING FINA ❑ AV/GRADING/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 MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � j �d,�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI 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. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor o site: Inspector. "�� White Copyllnspector's File Canary CopylSite Notice �v , S� D T TIME CIT`if OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED ` �- 7��— :3a PERMIT N0. �D��D� ��Z COMPLETED ��p� ADDRESS �� 4� �� -. . - OWNER TELEPHO[N�z �'l`lolo c30S7 CONTRACTOR oS �� >: DESCRIPTION � �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 � ❑ 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 � ��S � �F�P�e � � ��e � �(L 0 � W � Q � Z W � W � � GWiB'�fORfCSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p 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: l Inspector._P` � t � White Copyllnspector's File Canary CopylSite Notice