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Home My WebLink About2011-01115 - plumbing CITY OF ORONO PERMIT NO.: 2011-01115 . � 2750 KELLEY PARKWAY ORONO, MN 55356- �AT� issuEn: 09/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3215 GRAHAM H[LL RD PIN : OS-117-23-14-0066 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 2 BLOCK 1 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTG: (1)WATER SOf TGNER AND(1)MISCELLANEOUS PIXTURE-IRON R.H. VALUATION OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 50.00 CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 1.50 1519 148TH AVE NW ANDOVER, MN 55304 TOTAL 51.50 (763)434-0445 Minnesota State License#: 61240 OWNER KORSI, KEITH&AMY 769 BOULDER DRIVE LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to thc approved plans and specifica[ions,applicable City approvals,and the State E�uilding Code. This pennit is for only the work described and does not gran[pennission for additional or related work which requires separate permits. All provisions of laws and ordinanccs aoveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[i responsible for assuring all required inspections are reque ed� confom ce�th the State[3uilding Code.This permit may be re � a at any t� fo ause. - . � _ � �� ? ,2�,/ � ppli ee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR ITY `SE ONLY • ,��0 City of Orono P.O.Box 66 Date Received:� �� Permit# '�'��"�a ��r„��, 2750 Kelley Parkway a ��?�%�t� � Crystal Bay,MN 55323 Approved By: Amount$: ��, � �d��'��',''�1.o~ (952)249-4600—Main a�eso8� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Pernlits Must be Approved by the State Prior to City Approval) htt ://v��ww.dli.►nn.<fov/CCLD/PI)F/�e � lumb Ianre��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 RECEIVE 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 contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building pernut 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 ly) ��Residential ❑ 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:��5 ��-�/-1�-r�/`�% �� /7 � //� ? Owne • �-�==5 ��'a/�Y Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: / ', Contract°�.`�`'' �v� c�2 S � Contact Person: � �i'�'i-- Address fs`�� T�'!�� iv� State Bond #: City: ��ti�.�1.-;?�' Zip�_`.��xpiration Date: Phone: �� --�„��5�- Alternate Phone: ❑ Insurance—Current: 1 . PLUMBING FIXTURES BEING INSTALLED 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 Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneou� � �t t PERMIT FEE CALCULATION(S) j BASED QFF - 2002 STATE STATUE � ❑ Yes,this section applies The replacement of only one Residential fixture or ap liance 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; excludinQ 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 f � 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) �,� �.j�_ x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE &HANDLING(Only on Mail-In Appiicarions) $ 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 APPLIC�`;< ��() .;.,. G��EEMENT w��='� � _ � 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. -�� // � C Applicant's Signatur : /- Date�� — � 3 �.�� C� ATE ' TIME V CITY OF ORONO CALLED IN � � INSPECTION NOT�CE �CHEDULED /� f:.'� O PERMIT NO. aC�f l—�� COMPLETED ADDRESS �.� OWNER TELEP ONE NO. CONTRACTOR —" >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ,.� pHOTO TAKEN INSPECTOR WILL RETURN -] CITATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. !-�� White Copyllnspector's File Canary CopylSite Notice