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Home My WebLink About2011-01426 - plumbing CITY OF ORONO PERMIT NO.: 2011-01426 `' 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE IssUEn: 1U09/2011 952 249-4600 FAX: 952 249-4616 REPRINT�D ON 1 1/9/2011 ADDRESS : 3405 HIGH LA PIN : OS-117-23-11-0002 LEGAL DESC : REG. LAND SURVEY NO. 0843 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 2950 APPLICANT PLUMBING FIXTURE FEE 50.00 GLACIER PLUMBING INC STATE SURCHARGE PLBG (VALUAT[ON) 1.48 680 VALHALLA DR NE CEDAR, MN 55011- MAIL-IN FEE 2.00 (763)413-1883 TOTAL 53.48 OWNER REILLY, KEVIN & DENISE 3405 HIGH LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The�vork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced widiin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due�cause. l_i,•V� � / / l l l� Applicant Permitee Signature Date Issued By Signa Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . FOR CTTY USE ONLY ,¢p� City of Orono � O P.O.Boz 66 Date Keceived: Permit tt 2750 Kelley Parkway � �'��• � Crystal Bay,MN 55323 A roved B�: ► ,• PP Y Amount$� � 8�,0:�� (952)249-4600—Main � �+*xO �� ('952)249-4616—Fa� CITY OF ORONO — PLUMBING PERMIT (All Commercial Pennits Must be Approved by the State Prior to Ciry Approval) I�tti:lhr��c��.dli,iur�. ro�/("(�LD1Pl3Flx� �li��ab rlam•c��<� � a. �tl#� GENERAL INFORMATION ]. 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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N 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 [�tesidential ❑Commercial(Approval Required) ❑ New ❑Additiona] ❑Repairs 0 Replace ❑ In Accessory Structure? *You will need orior aooroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site 1 Owner Information: Site Address: �i�I p`� I�'r�h La,�,�,., Owner: u n �( M's� /'��,;\ ��_� ll u Mailing Address: �`/U�S f-�'c,y�� City: __ � L�nQ �� ' z�p: �55�3� Home Phone: -1 ��-N7�J''� �� Alternate Phone: Contractor Information: Contractor: _G(Q�,�p� f/ ,,.,,,b� , �Contact Person: �� Address: L��b U�l h l« C�.�t� State Bond#: �(_ /0��q��S City: (Q� Zip:� Expiration Date: � ��D7� �,�/� Phone: '7��3-�f13-i 8�3 Alternate Phone: ��a � �&(� `g7/�j' ❑ Insurance-Current: (,��S 1 � PLUMBING FIX'I'URES BEING INSTALLED FIX'I`URE BSMT 1 S 2�'I' OTI�R FIXTURE BSMT 15 2' OT'HER 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 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appiiance 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 fi�cture 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 g (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$50.00) aa�� X.o�25$ , o . Qa (contract prrce) (minimum$50.00) 2. STATE SURCHARGE �Q� x.0005 $ I•�� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMI'i'FEE(Add Lines 1-3 Above) $ � .3•� • * 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 amoum 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 Ciry 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 a11 statements made on this application are complete, true and correct. Applicant's Signature: ��- Date: �( ' 7'�� Reset Form 3 �D`�D ��7i�ji cJ "' Y DAT ' TIME � .fY OF ORONO 6��CALLED� �1 �� ` iNSPECTION NOTICE SCHEDULED �= �C) PERMIT NO.� ��I 1 - `i1.3��h COMPLETED ADDRESS �yb� �j��sh �f� OWNER TELEP ONE . ��J �I I�plp CONTRACTOR � r��-i�-Q- - �t `�M I��G1 >; DESCRIPTION � r� i�h � �;� � ❑ FOOTING ❑ PLUMBING INAL ❑ EXCAV/GRADING/FILLI G� 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI��,��eY� ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACT —OR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O a � O � ti � Q � Z W � W � � GW 'C7�P9RK SATISFACTORY:PROCEED C� PROJECT COMPLETE � �CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN i:�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice a�� -��f� � C/� DATE TIME "CITY OF ORONO CALLED IN � � �L � INSPECTION QT E I 'l SCHEDULED `� .� PERMIT NO."�� C�I�'!`� V/ COMPLETED ADDRESS �� — � f �; �i � f� ' -�'-�f3 i�'(��b��7%�ti OWNER TELEPHON� NO. � � CONTRACTOR '� �� t �—Ic��r��— �i��C� l �/�� >; DESCRIPTION � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED L�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: " Inspector. �. White Copyllnspector's File Canary CopylSite Notice