HomeMy WebLinkAbout2012-00755 - plumbing CITY OF ORONO * Z 0 1 Z - 0 0 7 5 5 *
' 2750 KELLEY PARKWAY DATE ISSUED: 08/03/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2280 FOX ST
PIN : 03-117-23-32-0014
LEGAL DESC : BILL KELLEYS LAND 1 ST DIV
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: BSMT: 1 WC, I LAV, 1 SHOWER, 1 FLOOR DRAIN
1ST FLOOR:2 KITCHEN SINK, 1 DISPOSAL, 1 UISHWASHER
2ND FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER
VALUATION OF PLUMBING 10950
APPLICANT PLUMBING FIXTURE FEE 136.88
STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUAT[ON) 5.48
13025 GEORGE WEBER DR
SU[TE#1 MAIL-IN FEE 2.00
ROGERS, MN 55374 TOTAL 144.36
(763)428-1833
OWNER
MYHRAN,ANDERS& LYNN
2280 FOX ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
the approved plans and specitications,appiicable City approvals,and the
State[3uilding Code. This permit is for only the work described and does
not grant permission t2>r 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 nuli 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."Chis permit may be
revoked at any time for due cause�
l'�`�'��c �- / / �W�' / /
Applicant Permitee Signature Date ]ssued By, i nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR('ITl I1SE ONLI
O4p�O Ciri of Oronu
P.O I3ox 66 Datc Kecei�eJ: Yennit=
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2750 Kelley Pazkway
� ' +� Crystal Bay,MN 55323 aprro�ed Bc: �moiint'�:
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CITY OF ORONO— PLLTMBING PERMIT
(All Commercial Perniits Must be Appro�ed b�-the St��te Prior to Cih�Appro�al)
GENERAL INFORMATION
1. You mav 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 retum mail after a review is completc;d. PERMIZ'S ARL;NOT
VAI.(D UN'I'll, YOU RECEIVE A PF.RMIT. WORK MUST NOT BEGIN UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB STTE.
3. Nlumbing permits may be issued ONI,Y to licensed plumbing contractors and to property owners
reslding in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must t�e done in accordance with State Caie requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
T�'PE OF PERMIT
(Check All That A Iv)
�.Kesi�ienti.�l ❑Commercial(Approval Required)
❑ Nr�� ❑A�i�litiunai ❑IZepairs �Replace
❑ In Acce,u,r� titn�chue''
*5'r�u nill need prH�r annru�al and ina� need (Per Oron��C'in Crxie.Chapter 7S.Article IV)
Job Site/ 4wner Infonnation:
Site Address: ���� ��X ��
Owner: +Hf1C�QV 5 I `1v�1Y(t.rl Mailing Address: Z��� ��X S�
ci�y: C�r�n� z�p: 55��a
Home Phone: Alternate Phone:
Coutractor I�ifonnation:
Contractor: �° �(1ft 1" U ,Ytc '�.,C , ContactPerson: �Qhn�'� �QrY��('
Address: 13v�� ,��c, ' I,U�e, Y�.D� State Bond#: �GO���-�—j �
City: r� Zip: 1�1� Expiration Date: j�-31-)3
Phone: ��J-1-I2�� I�j 3 Alternate Phone:
Q/Insurance—Current:
1
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PERMIT FEE CALCULATTON(S)-JOBS OVER $500.00
If above dces not apply;follow guidelines below:
I. CONTRACT PRICE *is 125%of contract pnce with a(Minimum Fee of$50.00)
►o, q 5c�. � c�, h .o�2s � I 3����
(contract price) (minimum$50.00)
2. STATE SURCHARGE b l q� �� �y
� x.0005 $ S y b
(contract price)
3. POSTAGE&HA1vI?LING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��`�- 3`�'
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemzitted work including materials,labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If arty material,equipment, labor or installations are fumished 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 pemut 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.
PLi_JMBING 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
correct.
Applicant's Signatu : �L ��'3'ZQ�'L Date: 0�����
Reset Form
3
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CITY OF ORONO CALLED IN / ���'
INSPECTION NOTICE 7 � SCHEDULED �// ��� 1.T
PERMIT NO. ��'�� C L /�-� COMPLETED
ADDRESS ' ;�.�; ` ` � '- f__
OWNER 1 TELEPHONE NO. ���^ �1�� �� ��
CONTRACTOR �`�t � �"� 'c ` ���(
>: DESCRIPTION �'r� �'l c � n�,� . ' ` � /
�
tiJ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL �ECHANICAL RI O LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ ECHANICAL FINAL ❑ 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 �LUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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GW �WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED �I ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: • �
Inspector. f�i.�i��� '` / :-��`
White Copyllnspector's File Canary CopylSite Notice