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Home My WebLink About2012-01163 - plumbing CITY OF ORONO * z 0 1 2 - 0 1 1 6 3 * 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 650 GANDER RD P[N : 04-117-23-43-0020 LEGAL DESC : FOXWOOD 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMB[NG (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO"CG: PLUM[31NG FIXTURES: (1)KITCHBN SINK,(1)DISPOSAL,(1)D[SIIWASHER,(1)RANGE VALUATION OF PLUMBING 733 APPLICANT PLUMBING FIXTURE FEE 50.00 SOWADA& BARNA PLUMBING LLC STATE SURCHARGE PLBG (VALUATION) 0.37 21058 DAVENPORT STREET P.O. BOX 188 TOTAL 50.37 CEDAR, MN 5501 1- (763)444-0292 OWNER TUCKER,JAMES& WHITNEY 650 GANDER RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State l3uilding Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended tbr a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an time for due cause. �� 1 �--- /l l /`l / l�t � � (.J��CQ.�t�. /l i/ i /a-� Applicant Ycrmitee Signatur� Date [ssue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . C�. � 5s�� FO CIT USE LY ��0 p�� City of Orono �� rmit#�!�"� � � //�g `r� P.O.Box 66 Date Received: �� ,y,,., �I� 2750 Kelley Parkway � 1 ,g� �u Crystal Bay,MN 55323 Approved By: Amount$: �a` `� g�'�hi:y�' (952)249-4600—Main �4uo ( 52)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Priar to City Approval) htt ://w�v��.dli.mn. ov/CCLU/PUF/ e lumb lanre��a . df GENERAL INFORMATION 1. You may 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 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 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 A 1 '�Residential ❑ Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure'? *You will need prior approval and may need Ct'Y.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 6��c� Gc*r�-L2i' �a. Owner:I,eJ{��fne.� T�ke,�' Mailing Address: �1'O G 4.��/e� J� City: i,u��-�. Zip: S�' �3�7 i Home Phone: ��'�� /7�0-?�3L� Alternate Phone: 6ri� �.1'��'�.2 Contractor Information: SG3U��ti(S� � /JCle�1CC ��Iv'rilkl'.�1� Contractor: Contact Person: ,�{�t Address: ��- �c�K �8$ State Bond#: City: C�� Zip:sso 7 � Expiration Date: /.�•.31-�.2 Phone: �6 3 �`1�r-(Ja��2 Alternate Phone: �� Insurance—Current: 1 PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1' 2� OTHER FIXTURE BSMT 1 T 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink � Water Heater Disposal I Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous I � � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one 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;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip 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) 2 PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 7��, 5� X .�I25 � (co�tract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 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 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 estimated cost or contract price 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. PLUMBING PERMIT 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 Signature: �ij',� �,�� Date: l/��— ,�/l� Reset Form 3 � � � �� QA�E TIME ✓ CITY OF ORONO CALLED IN �`�`� � _-�� INSPECTION NO ICE ��, SCHEDULED OZ�9'� PERMIT NO._� �G��/ COMPLETED ADDRESS �i� �� '�,��QO�c_� �� OWNER � T HONE NO� � �� CONTRACTOR >; DESCRIPTION / � � ❑ FOOTING ❑ PLU ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M ANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O 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 MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � I� �:� � ✓�.� � 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice �`� D E TIME ✓ CITY OF ORONO CALLED IN �_ INSPECTION NOTICE / SCHEDULED �3__5/.3 -c�� PERMIT NO.oZD/� ��/w 3 COMPLETED ADDRESS �o�D /O�C��I � OWNER TELEPHONE NO. �G 3 `{`�� DZ�7'Z CONTRACTOR S�wa-�G'(� �j��G �; DESCRIPTION l��j'�- �� L ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ 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 � �• � �' J O „ � � 1 � �-- �,,�,-�� L.�J` ti.�� ' �� Q ��n_ !K� A x� �C��. �� c1 �.� � ��'�-1��L'� — � � � , U r a�� QC`� S �� `�i(��' � t� f�—i��- � t v ' c�F �c.��f� � �cl�cx��+-� � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. �1 -/ 7� � White Copyll�spector's File Canary CopylSite Notice