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Home My WebLink About2011-00191 - plumbing � CITY OF ORONO PERMIT NO.: 2011-00191 2750 KELLEY PARKWAY ORONO, MN 55356- �AT� �ssuE�: 04/OU2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3300 FOX ST PIN : OS-117-23-44-0003 LEGAL DESC : REG. LAND SURVEY NO. 1358 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENT[AL CONSTRUCT(ON TYPE : FIXTURES- MULTIPLE No�rr�,: r�LUM�i�v� i��ixr�lrzr:s: (1)EACH-Wn"I�ER CL,OS1;"I�,LAVATORY, SI IOWGR,KI�fCI IEN SINK. DISIIWASHER, FLOOR llRA1N, W�1TER I IGATER VALUATION OF PLUMBING 4675 APPLICANT PLUMBfNG FIXTURE FEE 58.44 NOW1'HEN PLUMBING STATE SURCHARGE PLBG (VALUATION) 5.00 19960 FERRET ST. ELK RIVER, MN 55330 MAIL-IN FEE 2.00 (763)753-5216 TOTAL 65.44 PAID W[TH CC# 5814 OWNER � I�RUBECK, WILLIAM &JUDITH 3300 FOX ST LONG LAI<E, MN �5356- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall bc performed according to thc approved plans and specifications,applicable City approvals,and the State l3uilding Code. This permit is for only lhe work described and does not grant permission for adclitional or related work which requires separate permits. All provisions of laws and ordinances goveming this rype of work shall be com�ied with��hether or not specified herein.This pennit will e�pire and bccome null and void if construction authorized is not commcnced�viUiin I 80 days of lhe datc of issuancc,or if construction is suspended for a period of I 80 days at an��time atter�vork has commenccd. Thc applicant is responsible for assuring all required inspcctions are requested in conformance with the State 13uilding Code.This permit ma��be revoked al•any time for due cause. / / � / �/ Applicant Permitce Signaturc Date Issu� y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �. . 0��`311201� 04:21 7637535125 NOWTHEN PLUMBING PAGE e2/05 r.,,:—,_ , FOR 1 [f$F QNi,Y .�� p�• City of Orono �j /,�Q4 �0; P.O.l3ox 66 Dotc Rcccivcd�� pe��g ��`d // / � �i,..,,., � 2750 Kollcy Parkway �1�, i�'ra�- CrysG'al Ciay,MN 55323 /lppro�cd By: Amoum$; S \��'.�� (952)2d9.d600 �:�. CiTY OF ORONO ^PLUMB.T.NG PERMIT (A]] Commercial Permits 1V�ust be Appr��ed by the State.Prior to City /1p�►rova.l) I htt : Jwww,dli,mn. ov/ 1 �'/ e lumb lanreva . df Cd:NER�L INFORMATION I. You m�y apply for plumhing permits by mail or in person a.t thc City ot�ices. Applical:ions will be reviewecl and a permit will be issued within two w�rking days. 2. Permit ca.rds will be sent by return mail a�'cr a tcview is completed. PERMTTS ARE NOT VALiD UNTIL YOU RECEiVF A.PERMIT. WORK MUST.NOT DEGIN UNT�L THT PT T CARD I P ON THE J B ITT. 3. Plumbing permits may l�e issued ONLY to licensed plumbing contractors and to�roperl:y own�rs I residin,g in thc dwelling. 4, When any new construction or remodeling is involved,a ser�rate building permit must he obtained. S. A.11 work must be dqne in accordancc with State C:ode requircmcnts, I C. AJI work must bc inspected and air Cesled bcfore it is covered. C�II (952)249-4G00. (24-4$hour notice required) I TYPE OF PERMIT � I Cbeck All Tha,t�1 1 I []■ Residential ❑Commercial (Approval Rcquired) '� ❑ New ❑AdditionRl ❑ Repairs ❑ Replace �� ❑ in Aacessory St�uccurc? *You will need orior androvAl�nd may need .�( P.(.Per Orono City Code,Chapter 78.Artiolc iV) ,lob Site / Owner tnfor�nnation: 3300 Fox Street , Long Lake Sice Address: i Trubeck 3300 Fox Street ' Owner: Maili��g Ad.dress: y' Long Lake Z� 55356 i C�t A� iE-lome Phone: Alternate Phone: Contractc�r. lnfonnation: I Contractor: ��W�hen Plumbing, Inc. Tammy COntacl PeCson: A�dress: 19960 Ferret Street NW W150043989 State Bond#: Cit E�k River 55330 12/31/11 Y= 7i�: Expira.tion. Date: PI�lone: (763)753-5216 Alternate Phone: Owners ❑ insura.nce—Currcnt: 1 � J � . 03r'31/2011 e4: 21 7637535125 NOWTHEN PLUMBING PAGE 03105 PLUMBING FI�TURES BEING T1�15TAT�I:ED I'TXTURE EiSMT I��' 2 OTHER FTXTURC BSMT ]. 2"" OTFI'RR, TYPE FL FL TYPE FL r•1, Watcr Claset � rloor Drains 1 Lavatory ,� Sewer f jector BathCub Lt�undry Tray Showcr � Washcr Krtchen Sink � Wate�.l-IeAter 1 Disposal Watcr 5oftener Dishwashcr � Wet Bar 5illcocks Misc�llancous I PERMi�t FEE c�%cU�AT��N(S) � BAS;EZ? OFF=2UO2 �TATF STA'I"U� ' ❑ Yes,this section applias The replaccmcnt of only onc�e�idcntial fixture or anoliancc that meets all three of thc followinG rcquirement,s: 1. Does n t requirc modificati�n�o elocCrical or gas service. 2, Has t t ost o:f$500.00 or less:excludin�the cost of the fxturc or appliance:t�nd 3. ls imprqv�d, �nst211cd or replaced by lhc homeowner or licensed plumbing coniractor. 5kip next section,if this applies; Cost of Permit $ 15.D0 St.aCe 5urcharge $ 5•0Q Mail-TnFee(.I:fApplicable) $ 2.00 Tatal PcrmiC�'ee $ (Permit Fees Continued On NC7[L'Pa�c) 2 d. ! i , 03!31'12611 ! 04:21i 7637535125 NOWTHEN PLUMBING PAGE 04105 i I I � i PERMIT FEE C�hI:CIJLATIO�T.S ��JO��S OV��$5tl0,�U If�bove dpes not apply; follow guidelines b�low: 1 I, CONT_RACT PRi[".�. * js 1.25%of cqntract priee wrth a(Minimum Fee of$50.00) �� 4,675,00 58_44 , x.0125$ , (conMOcl prioc) (minimum$50.00) 2� T TE S R F GE �"� Add the Sia[e:61dg Cade Div. Surchargc(Minimum Fec ot55,Ut1) � 4,675.00 x .00�5 ��•34 (conl��ctpricc) � (minimum$ 5.00j 3� POST�GF&HANDLiNG(Only on.Mail-In Applications) � 2.pp � 4 TOT�L PI'sRMIT FEE(Add Lines 1-3 Abovc) $60,78 ■ � CO TRACT PRICE or .10B COSI' mcans the actual or estimatcd dollar amount charged for the permi ed wc►rk including materials, labpr, profil:,a.nd other fixed costs_ .1t is the amount to he charged to 1he customer for the work donc. If any material, eqUipmcnt, labor or installations arc furnisl�ed by the ovrn�r, tcAant or any pthet pARy, thc reasonable market value vf such items musti be added to the estimated eost or contract price for pecmit fee purposes. ]n the rvcnt that there is a dispute on the amount of the,job cost, the Cirv may request the submission of a signed copy of The actuai contract. ■ ""� The STATE SL+RCHARGE is .0005 of thc contract price under$I,OOD,OQp pr$5.00—wh ichever is greater. F0�VAluat�ons ouer$1,000,000 call the Building pepartmcnt at(952)249-4600 for thc price. �L�U�1Birir+�p��n�z'r�;p�T;�c��i�onr A��1vi�T�r � � i Tlie undersigned hereby applies to the City for issuance o�f a Plumbing Permit, agrees to do all wvrk in strict accordance with the ordinances of the City and the regulations of the State of Minnesota., a,nd certifie5 tl�at al.l statement,s made on thig application are eomplete, true and con-ect. /�,pplicant's Signature: l�` Date: �J/�� i ._ . ... ..._....... Reset F�►r.m � 3 �_ � DqTE TIME � CITY OF ORONO CALLED IN � / ��/ INSPECTION NOTICE SCHEDULED — "` � �"-r�� PERMIT NO.��' � �� COMPLETED ADDRESS 33G� � �� OWNER TELEPHONE N0.7� 7y3 �z�� CONTRACTOR /'��7�� : DESCRIPTION � � 11� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMWG ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � J � O � � O � W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑COR ECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on�: Inspector. � ' �\ White Copyllnspector's File Ca�ary CopylSite Notice �� DATE TIME CITY OF ORONO CALLED IN ` � INSPECTION yOTI�E SCHEDULED � '/��r' .3 %o� PERMIT NO. oIOG � V� 1� ( COMPLETED 'T�� ADDRESS 3.�� OWNER TELEPHONE N0.��03 75.3 -sZl.6 CONTRACTOR,��.�'��y[ P�� >: DESCRIPTION ��' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � '� � � � � � � O � Q r �� rU�� c' � Z W � W � � d W�17�yNORK SATISFACTORY:PROCEED ❑ PROJ ECT COM PLETE W ❑CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-460� OwnerlContractor on ite: ' Inspector. o /�� S White Copyllnspector's File Canary CopylSite Notice �� / DATE TIME � CITY OF ORONO CALLED IN `�� /�� INSPECTION NOTICE /� SCHEDULED PERMIT NO a�� DDI!� COMPLETED �-��''�-�'l� ADDRESS 3�� J�- �� OWNER E EPHONE NO. 7�3 �s3 Sz�� CONTRACTOR �� : DESCRIPTION �"-' ' �- ` � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ 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 a � � ��-� 'T(� �C� J� ��/�� O �..J / ( � M� s � � /� •.�- /'-•t � �c� •w � C�• �� N �1 1 Q � z W � W � � d W� �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice