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Home My WebLink About2011-00334 - plumbing .,. � CITY OF ORONO P�aM�T No.: 2oii-oo33a 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUEn: OS/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2650 FOX ST PIN : 04-117-23-41-0003 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUM131NG FIX"CURGS: (3)WATER CLOSETS,(4)LAVATORIES.(1)BA"C[ITUB,(2)SHOWGRS,(1)KITCHEN SINK,(1)DISHWASHER,(1)FLOOR DRAIN AND (1)WASHER VALUATION OF PLUMBING 5500 APPLICANT PLUMBING FIXTURE FEE 68.75 AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG (VALUATION) 2.75 7120 71ST AVE.N. TOTAL 71.50 PO BOX 205 LORETTO, MN 55357- PAID WITH CC# 9327 (612)750-0278 Minnesota State License#: 065381 PM OWNER PAULSON, STEPHEN 2650 FOX ST WAYZATA, MN 55391- AGREEMEI�T AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specifications,applicable City approvals,��nd the State[3uilding Code. 'This permit is for only the work described and does not grant permission for additional or related work��hich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hercin.This pennit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter�jork has commenced. The applicant is responsible for assuring all required inspections are re uested in ca ormance with the State Building Code.This permit may be e ked a[ �ti for due causc. � �� ! � � �� / /02�� I ppli nt Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � } F R C Y�SE ONLY � 0,►`� City of Orono / 3 �O� `YO P.O.Boa 66 Date Receive �� Permit#�i�� y;,�_ 2750 Kelley Parkway � �a 1�'�;�'�` +� Crystal Bay,MN 55323 Approved By: Amount$: 7�� y,��t� (952)249-4600—Main � � �'��exo� (952)249-4616—Fax � CITY OF ORONO — PLUMBING PERMIT �, �,�j�� (All Co�nmercial Permits Must be Approved by the State Prior to City Approval) htt�:/lww��.dli.mn.�so�/CCI.,U/Pl>F/ e � lumb lattreva �.�df' GENERAL INFORMATION 1. You may apply for plumbing permits by mai] 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 RECENE 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 properry owners residing in the dwelling. 4. When any new construcrion 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) t_-• ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You�vill need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: �� Site Address: �,�� "" �� '(�' � Owner: ��e� {f� �Sby1 Mailing Address: t �� `K Sh''��'- City: ��v�1 D Zip: Home Phone: Altemate Phone: �.�'/� � Contractor Infonnation: Contractor: � � I �;{/y'1 � �� ontact Person: �� -� Address: '��%�� State Bond #: � � 7 7 �� City: l�a�� v � '✓1Zip�3�Expiration Date: � 2' �U � ( � Phone: �- 7�� 6�7� Alternate Phone: �%9�'I� ❑ Insurance- Current: �O S �' 1 � R � i PLUMBING FIXTlJRES BEING 1NSTALLED 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 I 1 Kitchen Sink � � Water Heater �� n Disposal Water Softener � Dishwasher Wet Bar Siilcocks Miscellaneous �Q � �� PERMIT FEE CALCLILATION(S) � BASED OFF - 2002 STATE STATUE � ❑ Yes,this section applies The replacement of onl}�one Residenrial 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. Slcip 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) � �• � . PERMIT:FEE CALCULATION(S)—JOBS OVER $500.00 j If above does not apply; follow guidelines below: 1. COl�'TRACT PWCE *is 1.25%of contract pnce with a(Minimum Fee of$50.00) � �� x .0125 $ (contract price) (minimum$50.00) 2. STATESURCHARGE x.0005 $ (conmact 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 esrimated cost or contract price for permit fee puiposes. 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 PERIVIIT APPLICATIONAGREEMENT 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 tMs application are complete, true and correct. , . Applicant's Signature: � ' Date: � � �� 3 S� ATE TIME ✓ CITY OF ORONO pD 33� CALLED IN 5�� INSPECTION NOTICE SCHEDULED /2 /� f�;�o PERMIT NO.�O// COMPLETED ADDRESS �lQ�,�� 7� OWNER TELEPHONE NO.�l� �� Z 7� CONTRACTOR ��"- �� >; DESCRIPTION �L . �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � O >. � O � ' W � � Q � Z W � W � � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL{NSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspectio 24 hours in advance. (J52� 249-4600 OwnerlContractor on s' e: Inspector. � White Copyllnspector's Fiie Canary CopylSite Notice �� a� F � . DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI�� CHEDULED `� � � f �� PERMIT NO. ' l��'��1 COMPLETED ADDRESS ��C C ��L% ��-,T�� OWNER TELEPHON� NO. �P�� dC�,' ��r� CONTRACTOR '�-�� f��'��- >; DESCRIPTION A Y 11� Cr�. _ _ �_�' , � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTR�TOR TO MEET YOU: YES_NO � COMMENTS: � w a � � O � � O � W � Q � � Z W � W � � GW �(,ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. � �-� White Copyllnspector's File Canary CopylSite Notice