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Home My WebLink About2009-00583 - plumbing ( � CITY OF ORONO PERMIT NO.: 2009-00583 � 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: 09/14/2009 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2905 FOX ST PIN : 04-117-23-34-0007 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 035 BLOCK 000 PERMIT TYPE : PLUMB[NG(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES -MULTIPLE NOTE: (12)WATER CLOSETS,(14)LAVATORIGS,(8)BATHTUBS,(2)SHOWERS,(2)KITCHEN S1NKS,(2)DISPOSALS,(2) DISHWASHGRS,(3)SILLCOCKS,(2)FLOOR DRAINS,(4)LAUNDRY TRAYS,(2)WASHERS,(2)WATER HEATERS,(1)WATER SOFTENER,(1)WET BAR,AND(2)MISCELLANEOUS VALUAT[ON OF PLUMBING 56000 APPLICANT PLUMBING FIXTURE FEE 700.00 FREEDOM MECHANICAL STATE SURCHARGE PLBG (VALUATION) 28.00 11135 HWY.7 WATERTOWN,MN 55388 TOTAL 728.00 (612)363-6198 Minnesota State License#: 004042PM OWNER FRANCIS, MICHAEL& BERIT 2905 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo ,for due aus ..� • ��;��u �l /3 / l�� 6�-� l� �0 Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY USE ONLY ,�p� Cit}�of Orono �« �\ P.O.Box 66 Date Received: Permit# �ti,:,,� � 2750 Kelley Parkway a ��J�=' �*,r Crystal Ba MN 5532� A roved B Amount�: y �1j;�,�_ ` ; Y'� PP )': ��$�o (952)249-4600 CITY OF ORONO -PLUMBING PERMIT (All Commercial permits must be approved b}�the Building Official or Inspectorl GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the Ciry 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 pernuts may be issued ONLY to licensed plumbing con�•actors 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) �Residenrial ❑ 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: ��G�S /��,r .57L Owner: �/2,�/n,ci S Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �-2�a�,;-� �� Contact Person: �f �„e ��-f� /�e�-c Address: /�1.3� State Bond #: City: wrtf�2fow�v Zip: 3�� Expiration Date: Phone: �/a 3�� /S Alternate Phone: ❑ Insurance-Current: 1 � PLUMBINGFIXTURES BEING INSTALLED FIXTURE � BSMT 1 2� I OTHER FIXTURE BSMT � 1'' 2� � OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavatory � � � Sewer Ejector Bathtub � 3 Laundry Tray � � / , Shower � W asher 1 I l � Kitchen Sink � Water Heater � Disposal � Water Softener � Dishwasher � Wet Bar � Sillcocks � Miscellaneous � � � T,e�-�- v��.; � � �� PERMIT �EE��CALCULATION(S) � BASED OFF - 2002 STATE STATUE ❑ 1'es,this section applies The replacement of a 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 appiiance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee (If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PER.MIT FE� CALCULATIQN(S)—JOBS OVER$500.00 � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price witb a(Minimum Fee of�50.00) ,j��c:! x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCFIARGE ** Add�the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&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 pernutted 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 estimated cost or contract pnce 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or �.50—whichever is greater. For valuarions over�1,000,000 call the Buildin�Department at(952)249-4600 for the price. PLUMBINC�PERMIT APPLICATION AGREEMENT 'I 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 Signature: _.�' � �:��1�'t-� Date: J�l-��J! --�— 3 �'� �� r D /�'� TIME V ITY OF ORONO CALLED IN /`�` � V / INSPECTION NOTICE SCHEDULED � PERMIT NO.��-�� COMPLETED ADDRESS ��C� J ��' X �� - OWNER CONTR. �/'�C-2-��i-��'1 TELEPHONE NO. C�''�:� - �(,% 3 `" C�%/�'f� �' C � DESCRIPTION `L � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLI Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WAIL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a j � • O >. , � � O � W � Q � Z W � W � � W� ��JdVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �❑�CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. V pHOTOTAKEN INSPECTOR WILL RETI}RN ❑STOP ORDER POSTED.CAIL{NSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sit : Inspector. � r White Copyllnspector's File Canary Copy/Site Notice CY��' �j TIME V CITY OF ORONO CALLED IN �� / INSPECTION NOTI SCHEDULED D D � PERMIT NO.c�OD�� COMPLETED ADDRESS 4�}DS �� ZL. OWNER CONTR. I'�fiQQ�� /L�� TELEPHONE NO. �O�Z �03 lPl�d � DESCRIPTION !�c/N.f��2 Z ''� �*'�� E'� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION O WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o I 1� �•-�-r �S l 2 _ 'Z � ' �,�1 � -F- � �--� ,t�) l (� (�� `�;�S � � 0 � � S jT�'�' v � � Q � z W � W � � d �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN INSPECTOR WlLL RETURN i� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 24J-460� OwnerlContractor on site: p � � 'C � Ins ector. White Copyllnspector's File Canary CopylSite Notice �� : � / � --�D�� TIME � CITY OF ORONO �,ci .� CALLED IN �_ INSPECTIO NOTIC�''/� G�� SCHEDULED � 2la � ' �V PERMIT N�L'L�� wJD 3 COMPLETED � � ` ADDRESS ��G�� ,X �-t • OWNER TELEPHONE NO. ��a .3C^ � �D� CONTRACTOR � r�� C=��'� ��"�C�? �: DESCRIPTION �� -`--rn b � ��--7� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O 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 >. � O � W � Q � Z W � W � � GW �wORKSATISFACTORY:PROCEED �'ROJECTCOMPLETE ��CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION '� TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONW�THIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contracto t � Inspector. � � � White Copyllnspector's File Canary CopylSite Notice � � .� (�� /� TIME v CITY OF ORONO CALLED IN � � / INSPECTION N TICE SCHEDULED � PERMIT NO. ��I��S$'� co ETED ADDRESS OWNER TELEP ONL-�/ .� � 3 D x CONTRACTOR �� YjI � DESCRIPTION � " � � ❑ FOOTING ❑ PLU I G FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME NICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � o � T � S �� `— �'�5 -' � � � � �+ � c� �3 � �-� �� 0 � W � Q � z W � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on sit : Inspector. � White Copyll�spector's File Canary CopylSite Notice � � �-J DATE TIME � CITY OF ORONO LLED IN D INSPECTION NOTIC _ �D��SCHEDULED �1.�� PERMIT NO COMPLETED ADDRESS v � OWNER TELE �10NE NO�� CONTRACTOR �� "<� �: DESCRIPTION / - '�"v`� � � l� ❑ FOOTING PLUMBING FIN ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a o i� � �'L � n.. � ,�tC �Z. �� '�<� � l�u�✓s 1 �c��a� . 0 �1•' w � � .��.T � Q ^ � W � W � � � d � A W� �6�VORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �� White Copyllnspector's File Canary CopylSite Notice