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Home My WebLink About2009-00698 - plumbing A � CITY OF ORONO PERMIT NO.: 2009-00698 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 10/13/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4099 HIGHWOOD RD PIN : 07-117-23-44-0012 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 014 BLOCK 000 PERMIT TYPE : PLUMB[NG(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (1)EACH-WATER CLOSET,LAVATORY,SHOWER,PLOOR DRAIN VALUATION OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 50.00 III, ALONZO SERAN STATE SURCHARGE PLBG(VALUATION) 1.50 4099 HIGHWOOD RD MOUND, MN 55364- TOTAL 51.50 OWNER IIl, ALONZO SERAN 4099 HIGHWOOD RD MOUND, MN 55364- AGREEMEIVT AND SWORN STATEMENT The work for which this permi[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 permit will expire and become null and void if construction authorized is not commenced within l80 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 requcsted in conformance with the Sta[e Building Code.This permit may be revoked at�py-timq for e se. .- �� '`�' /� � �" �n" /o� / � Q pplicant cr �itee g t e Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. � � � . � FOR C[TY USE ONLY /�� Cit,y of Orono � �Q�� / P.O.Box 66 Date Received. � Permit# �Ug �U/�� „t �� 2750 Kelley Parkway �ia �F�'��" H Crystal Bay,MN 5532� Approved By: Amount�:�� K. �� ,.'` ,�.� \��r�ao (952)249-4600 CITY OF ORONO-PLUMBING PERMIT inll Commercial permits must bc approved b��the Building Officia]or Inspector) i GENERAL INFORMATIUN � 1. You may apply far plumbing permits by mail or in persoil at the City offices. Applications will be re.viewed and a pernlit will be issued within two working days. 2. Pern�it cards will be sent by return mail after a review is completed. PERMITS ARE NOT V'ALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIri'UNTIL THE YERMIT CARD IS POSTED On THE JOB SITE. �. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new consmzction or remodeling is involved,a separate building permit must be obtained. >. 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) � 0 Residential ❑ Commercial(Approval Required) ❑ Ivew �ditional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior appro��al and may need C'UP. (Per Orono Ciry Code, Chapter 78,Article IV) Job Site/�Owner Information: Site Address: �t7 �� (-f IV��y�� IZ� Owner: � L J G� Mailing Address: 5 9� � ��ty: � ��va z�p: 55 3�� 5� � �Z Zt7v � - t�rz� �Z3 — ��o� Nome Phone: � ' Alternate Phone: ��- �Sl � �v7 - �7�Y�/ �� Contractor Information: � Contractor: �� +��1/ Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 �. + • , 1 I PLUMBING FIYTURES BElNG INSTALLED � ' FI�TURE � BSMT 1' 2' I OTHER FI�TURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains , / V Lavatory V 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 applies The replacement of a Residentia] fixture or ap lip ance that meets all three of the following requirements: l. 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 contractor. Skip next secrion, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � � / t � � PE�MIT'FEE CALCULATION(Sj—fOBS OVER$500.00 i If above does not apply; follow guidelines below: 1. CONTRACT PWCE * is 1.25%of contract price with a(Minimum Fee of$50.00) � '�jo d0 x .0125 $ �O (contract price) � (minimum$�0.00) 2. STATE SURCHARGE ** Add the State Bld�Code Di��. Surcharee(Minimum Fee of�.50) �3�o v h .000s $ � - S (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_____�� 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 wark including matenals, 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. ■ ** The STATE SURCHARGE is .000� of the contract price under $1,000,000 or �.�0—whichever is ereater. For valuations over$1,000,000 call the BuildinQ Deparnnent at(952) 249-4600 for the price. PLLTMBING PERMIT'APPLICATION AGREEMENT � The undersigned hereby applies to the City far 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. s�7 Applicant's Signature: � Date: l0 � 3 % DAT TIME CITY OF ORONO c,a��E�iN �-2� INSPECTION NOTICE SCHEDULED 3-/-/D / : PERMIT NO. ' COMPLETED ADDRESS O G� OWNER CONTR.�7� /��l'�� TELEPHONE NO. �Z l c� 1�2� � DESCRIPTION /��— � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIFEPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION ? ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a o _ � � S �` %S ,n�.�s � � o ` � w � Q � z W � W � j d W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �, CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ,�CITATION ISSUED i] STOP ORDER POSTED.CALL INSPECTOR f I I NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. � � White Copylinspector's File Canary CopylSite Notice