The URL can be used to link to this page

Home My WebLink About2011-00247 - plumbing CITY OF ORONO PERm�T No.: 2oi1-oo2a� � • 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE �SSUED: 04/28/2011 � (9�2) 249-4600 FAX: (952) 249-4616 r � ADDRESS : 3215 GRAHAM HILL RD PIN : OS-l17-23-14-0066 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: �WATER CLOSGTS.6 LAVA"I�ORIES, 1 [3AT11"fUl3,4 SI IOWGR, 1 Kll'CI IEN SINK, 1 DISYOSAL. 1 DISI IWASHER,2 SILCOCKS,3 FLOOR DRAINS. I LAUNDRY TRAY, I WASHER, 1 WATF,R HH;ATER, 1 WGT l3AR VALUATION OF PLUMB[NG 35000 � { APPLICANT PLUMBING FIXTURE FEE 437.50 STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 17.50 13025 GEORGE WEBER DR TOTAL 455.00 SUITE#1 � ROGERS, MN 5537a (763)428-1833 � OWNER I<ORSI, KEITH& AMY 769 BOULDER DRIVE LONG LAKE, MN 55356- ACREEMENT AND SWORN STATEMENT 'fhc work lor which lhis permit is�ssued shall bc performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. "Chis permit is for only the work described and docs not�rant permission for additional or related work which requires separate permits All provisions of laws and ordinances governing this type of work shall be compicd with whether or not specified herein.This permit�vill expire and become null and void iPconstruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. "I�he applicant is responsiblc for assuring all required inspections are �requesled in confonnance�vith the State[3uilding Code.This permit may be revoked at any time tor due cause. /��. �� ,,,,,. _ � ____�y / / ,'. �> � � �-�� . f � . `� ��...�t-� c7'�'1Cc �� i i ' p'[icanl Pcrn�i � �Signaturc Date Issued By Signature Date , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR('IT7-IiSE ONI.1 ' O¢p�O Cih of Orono . - — -- P.O.Box 66 Ihtz Recri�eJ: Penuit= 2750 Kelley Parkway a '. � Crystal Bay,MN 55323 1pFxo�eJ Bc: _�mount�: �t� � c` (952)249-4600-Main �'4rexa�'� �952�_'�39-�616�-Fas CITY OF ORONO — PLUMBING PERMIT (A(( Commercial Permits Must be Appro�-ed b��the State Prior to Cih Appro��►1) GENERAL INFORMATION 1. You may apply for plumbing pennits 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. YEI2MITS ARE NOT VALID UNTII. YOU RECEIVE A PFRMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TI-�JOB SITE. 3. Plumbing pem�its may be issued ONLY to licensed pltunbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building perrnit must be obtained. 5. All work must be done in acc;ordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4fi00. (24-48 hour notice required) TYPE OF PERMIT (Check All That A Iv) �Residential ❑Commercial(Approval Required) (�]Ne�� ❑A�idit[i�nal ❑Repairs ❑Replace ❑ In Access�,n� Stnicture'' *You�ill ne�d nrN�r apnro�al and iva� need (Per Oronu Cih C��e.Chapter 7ti_Arti�le IV) Job Site/ Owner Information: Site Address: �:�)S� �r�.�-�r1C�'n-� �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Lifonnation: c, Q Contractor: �e��var� ��um��'nc\ Contact Person: � �llAk�e Y J Address: �3�� C�etirry: I,�J�:lae��. State Bond#: (.Q 13�44 P M -�i-t� i City: v � Zip:S`�5�'� Expiration Date: fa��1 -�� Phone: 7�3 �z� \��3 Alternate Phone: �I�-��-k'- �I�} I � Insurance—Cunent: 1 PLUMBING FIXTLTRES BEING INSTALLED FIX"I'Z.JRE BSMT 1 2 OTHER FIXTiJRE BSMT 1 2 OTFIEK TYPE FL FL TYF'E FL FI, Water Closet � I � Floor Drains I � Lavatory � ( ,` Sewer Ejector 'T Bathtub � Laundry Tray ` I Shower � � Washer 1 Kitchen Sink I Water Heater i Disposal ' Water Softener Dishwasher i Wet Bar ' Sillcoc;ks � Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF- ?00? 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;excludina 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 CALCULATTON(S)-JOBS O`�R$500.00 If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of 550.00) �35�� X.olas$ `+3'7:S�, (contr�t price) (minimum$50.00) 2. STATE SURCHARGE _35, o�� X.000s $ 1�l.S?� ccontra�t price> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ �'�5 ��V ■ * CONTRACT PRICE or JOB COST means the actual or estimated doltar amount chargeci for the permitted work including materials,labor,profit,and other fixed costs. It is the a�nount to be charged to the customer for the work done. If any 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 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. PLLJMBING 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: � Date: 7-02 7- �/ Reset Form 3 / �� .�" Yr, TIME �/ CITY OF ORONO � CALLED w � Z�� ,., INSrECTI�N N�TIC� / SCHE�ULE� �/ PERMIT NO. � �� '��r � COMPLETED ----,- c- � cti j�'�Vl'z ��i [ I _ ADDRESS ->�I -7 -1V' OWNER TELEPHONE NO. ��-`� ��+��✓-� CONTRACTOR �fC-t-�--<z-� / /-�l �.-� : t''�' -� � DESCRIPTION �-�L^-`'n�� "+��1� �'�w� � ❑ 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 ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � � o � ,� � � �- � v � U /l c� .c��°�l'�✓� C� W x Q � Z W � W � j GW/%Cl`Ip�RKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY �u � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOFi � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. / , �,�' � 1,S�; White Copyllnspector's File Canary CopylSite Notice �� V DA TIME CITY ORONO LED IN INSP CTION OTIC /y� SCHEDULED L •�� PERMIT NO 'l/� 7 conn LETED ADDRESS � � OWNER TE ONE NO. ��8�� CONTRACTOR � �; DESCRIPTION _� � ❑ FOOTING ❑ PL BI G FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M CH ICAL RI ❑ LAKESHORENVETLANDS 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 >. � , , O �� 4 ? Y � W � Q Z L � � f � f W � W � j d W� � WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 Owner/Contractor on site• Inspector. o�' ' - White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED ' �� PERMIT NO.a��%�Da�7 COMPLETED ADDRESS� �a/.5 �/��C'vrvl �d� ,�l1� OWNER TELEPHONE NO. ��—3/�p—�7a/� CONTRACTOR .S7�GC�� O >; DESCRIPTION �� T � � ❑ FOOTING ❑ PLUMBING FIN � 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C j � � O a' �' � � O � W � Q � Z W � W � � d /�� O�y' �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE i � W ❑ CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � - �� A�J TIME CITY OF ORONO CALLED IN �� ` `/ INSPECTION NOTIC �,/7 SCHEDULED 1'_ '_1 � PERMIT NO. aD -�� t� ( COMP ETED ADDRESS �� Gt-�/lG�/'/l�l . G�- OWNER TE ONE NO. � - �°� �3l CONTRACTO �� : DESCRIPTION � n � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � w � � GW /WORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLETE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on si : Inspector. White Copyllnspector's File Canary Copy/Site Notice d" l] D TIME � CITY OF ORONO CALLED IN �� OD Z`�� -'� INSPECTION NOTICE SC�IEDULED � �- PERMIT NO.�D l�`_f'��OMPLETED ADDRESS 3 Z-�S C�V'cz�}�-,""� ��-�-Q� � OWNER TELEPHONE NO.��Z 3�� 7� r CONTRACTOR 5��-t C1',.��%�J l�-e �� >: DESCRIPTION r��'L � �`� � ly� ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a j � o /L.� f1 ,.c,- ,�..� -�"c�� C `��t C � � � � . � 1 � .�- -�- C...2 � �,� / Q �C� S �-r C� � � S S...�v .S � z w � w � � a W `❑�WO�_R��K� SATISFACTORY:PROCEED f� PROJECT COMPLETE � �G9�ECT WORK&PROCEED r7 ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 Owner/Contractor on site: Inspector. � �� White Copyll�spector's File Canary CopylSite Notice