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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= . __..-- --_--- 2750 Kelley Pazkway � ' +� Crystal Bay,MN 55323 aprro�ed Bc: �moiint'�: : � --- _ _ __— �ct' � �c (952)249-4600–Main '�eex°�` �'>���'�y-.1fi16–Fa� 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 , . 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 ��l) (^)�� I�/ ��TE TIME ✓ 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: � W a j � � � � � � 'L� O � � f �. � O � W � ����-�--� <.,T 'j L 'r,'f <�� � Z W � W � � 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