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Home My WebLink About2010-00127 - plumbing� � � CITY OF ORONO rERMiT No.: 2oiaooi2� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 03/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4149 HIGHWOOD RD PIN : 07-117-23-44-0018 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 022 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(3)LAVATORIES,(1 EACH)BATHTUB,SHOWER,KITCHEN SINK,DISHWASHER VALUATION OF PLUMBING 9900 APPLICANT PLUMBING FIXTURE FEE 123.75 ABOVE&BEYOND PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 4.95 6431 153RD LANE NW TOTAL 128.70 RAMSEY,MN 55303- (763)360-6568 Minnesota State License#: 70645526 OWNER KOCH,MARK&NANCY 4149 HIGHWOOD RD MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consUvction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo y time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � - . FOR CITY USE ONLY �,�p�� City of Orono ��, � P.O.Box 66 Date Received: Permit# G�� 2750 Kelley Parkway � �' , � Crystal Bay,MN 55323 Approved By: Amount$:�� L_ �, (952)249-4600 ��aos CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORIVIATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applicarions will be reviewed and a pernut 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 perxnit 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 A11F�'hat A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Own�r Information: Site Address: `7/4� l--�«1,,,,,�,Q , Owner: Mailing Address: City: _��o„o Zip: Home Phone: Alternate Phone: Contrac�or Information: Contractor: �„��- �,�.9 {►,�1,,,.6,�� Contact Person: T:•.S-�� Address: �oY31 ►�3�`�[rv.N.� State Bond#: 7t�c,y��-z tp City: 2a�„�_ Zip:�� Expiration Date: � Q�c �� Phone: 7sry3.-3�0 - � � St Alternate Phone: Insurance—Current: 1 . _ - .� t � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet r ! Floor Drains Lavatory l Z Sewer Ejector Bathtub � Laundry Tray Shower � Washer Kitchen Sink r Water Heater Disposal Water Softener Dishwasher � Wet Bar Sillcocks � Miscellaneous ❑ Yes,this section applies The replacement of a Residential fixture or apvliance 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;excludine 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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � �' � � � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �`� c� X.oi2s$ 12� contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ��at� x.0005 $ `I�s (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ----Z.Off---------� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �Z S�— • * CONTRACT PRICE or JOB COST means the actual or esrimated 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 installarions 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 far 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 .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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: 3—��—�p 3 �— � � DATE TIME �. � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � a•�U PERMIT NO. !D- �a7 �OMPLETED ADDRESS U�� OWNER TELEPHONE NO. - �- CONTRACTOR �- a � �- C—� � DESCRIPTION �' � � ❑ FOOTING ❑ LUMBING FIN ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J (�`PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNE MEET YOU�YES_NO � COMMEN�S: W /yl�(� .� �io- DO/�.B' a � � 0 � � 0 � W � Q � 2 W � W � � � ��iIORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W��❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4f)�� OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice Me� o2��D �DD� Zg p� qT�'j TIME � CITY OF ORONO CALLED IN ✓ '/ INSPECTION NOTICE�^�Iw�'-7SCHEDULED � � PERMIT NO.o1f�1 b—(J�J�� J COMPLETED ADDRESS � OWNER TELEPHONE N0.7�"�'' �s� CONTRACTOR /�b � Q >; DESCRIPTION � Frn ��-cS �nL° � � ❑ FOOTING ❑ PLUMBING FINAL ❑ E CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE�NSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ' v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBiNG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � G y�5 l �n�2 -r�s fi- o te 0 a � � �/1ti�e n o.c�fi-fl� 'TC 5�- 0.J w � �C� .�,.. 3 ��" b�!� Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. ' White Copyllnspector's File Canary CopylSite Notice