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Home My WebLink About2011-00621 - plumbing � , CITY OF ORONO PEUM�T No.: 2011-oo62i 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1180 HER[TAGE LA PIN : 10-117-23-13-0002 LEGAL DESC : FOXHILL : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIXTURES- MULT[PLE NOTE: PLUMBING FIXTURES: (2)WA"fER CLOSETS,(2)LAVATORIES,(1)SHOWER,(2)K[TCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER,(1)WASHER VALUATION OF PLUMBING 2500 APPLICANT PLUMB[NG FIXTURE FEE 50.00 MASTER PRO PLUMBING STATE SURCHARGE PLBG(VALUATION) 125 3313 WILDWOOD PRIOR LAKE, MN 55372- TOTAL 5125 (612)290-4654 PA[D WITH CC# 2821 Minnesota State License#: 065584 PM OWNER ZIEGLER& KELLY RISCHE, DAVID 1 180 HERITAGE LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant pem�ission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issu ce,or if construction is suspended for a period of 180 days at any t e a er work has commenced. The applicant is responsible for assurin� ll re ired inspec[ions aze requested� on or� nce � the S e Buii ng Code.This permit may be revoke at any t e fo e cau e. � c / ' / �� 1 � �� G Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. l + * � FOR CITY USF ONLY O,��,� City of Orono � P.O.Box 66 Dale Received: Permit# �;;, 2750 Kelley Pazkway a �'.�.��;. �. C stal Ba MN 55323 A roved B Amount�: \�� ly � - ti rY Y, PP Y� ��'�'��;�.o� (952)249-4600—Main LMc t�i � 6 ��exo$ (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Co�nn�ercial Permits Must be Approved by the State Prior to City Approval) htt�:/iwwF��.dli.mn.�fov/CCI.D/PDF/ e � l��mb�Ia��rez�a �. �df GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applicarions 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 UI�TIL YOU RECEIVE 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 Apply) �� esidential ❑ Commercia] (Appioval Requued) ❑ New �ditional ❑ Repairs ❑ Replace c ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article N) Job Site/ Owner Information: Site Address: I � �� I��,�C� �— U Owner: Mailing Address: City: ��Y ZG�� Zip: Home Phone: Alternate Phone: Contractor Infonnation: Contractor: I't��P.� T �V'�,� Contact Person: ,S'feU� �n()✓� Address: �� n/r')�(,.,�(�� State Bond #: �S-S �M City: ��i pr- �G�'� Zip:�S.S37�.Expiration Date: Phone: '��^ ay� 'y�> � Alternate Phone: ❑ Insurance– Current: 1 \ s 1 � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BS1V1T 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 Miscellaneous PERMIT FEE CALCULATION(S) �, BASED OFF - 2002 STATE STATUE ❑ Yes, this section a lies PP The replacement of onl}�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; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next secrion, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee (If Applicable) $ 2.00 Total Permit Fee S (Permit Fees Continued On Next Page) 2 � f ► PERMIT.FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow�uidelines below: 1. CONTRACT PRICE * is 125% of contract price with a (Minimum Fee of�50.00) .��np . a0 x.0125 $ (conu'act pricej (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. r � PLUMBING PERMIT APPLICATION AGREEMENT :� �...; ,,,n'; 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 plication are coinplete, true and correct. Applicant's Signature: � Date: �'/�--ao �1 3 � � � ATE TIME CITY OF ORONO ��CALLED IN � �� I INSPECTION NOTICE `--� SCHEDULED a � , PERMIT NO.ti i%I f— (.X.�tW'I COMPLETED ADDRESS � ��(��1�-l.C.?2 f� Z�r�,� ---- OWNER TELEPHONE NO. ��j ��'�� CONTRACTOR , �.��-�-'� ��T� � DESCRIPTION �/�- T f(�(/Yl� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TFEE 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 ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � J O a � O � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN 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� 249-4600 OwnerlContractor on si : Inspector. White Copyllnspector's File Canary CopylSite Notice �� <� TIME � CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED PERMIT NO. ��l l:-��J�°�� COMP ETED -,�— ADDRESS � OWNER TELEPH NO. � ' ��T�'�� CONTRACTO '�� r �: DESCRIPTION �✓ Gc�c- v l � � ❑ FOOTING ❑ PLU BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ E HANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ CHANICAL 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: � �� C�c.� � o � l �� 1.r 2��5 T� � 3� �x � ti � i �- � o �=- . tC��,.�. .� �.� /�� /.� j3 � -t� w � Q � z � Cs-A S S �. �,T v�� v� � � S -t-r� �3� � � � ��c �sS. �� c� � �J ;��,��- �t�� a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W 0 �C�RRECT WORK,CALL FOR REINSPECTa6/�N � TEMPORARY V (� �( � !'� ' �"'�� PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46Q� OwnerlContractor on si#e: � Inspector. C�:f�r� J ��-S White Copyllnspector's File Canary CopylSite Notice