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HomeMy WebLinkAbout2012-00157 - plumbing CITY OF ORONO * z H 1 2 - 0 0 1 5 7 * . 2750 KELLEY PARKWAY nATE issuEn: 02/27/2012 ORONO, MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDRESS : 75 LEAF ST PIN : OS-117-23-11-0014 LEGAL DESC : GRAHAM HILL PRESERVE 3 : LOT 1 BLOCK 3 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV, 1 TUB,2 SILLCOCKS,2 FLOOR DRAINS 1ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER 2ND FLOOR:3 WC,5 LAV,2 TUB, 1 SHOWER VALUATION OF PLUMBING 28000 APPLICANT PLUMBING FIXTURE FEE 350.00 STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 14.00 112 E STH ST SUITE 101 MAIL-IN FEE 2.00 CHASKA,MN 55318 MISC FEE 0.00 (952)361-0128 TOTAL 366.00 OWNER KAPSNER,JASON&JULIE 760 DICKEY LAKE ROAD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `�'K.G¢-c-� Lrl- / / / / Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . ` F(}R CITY U�E UNLY City of Orono '. O4Q�� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � ;-- � Crystal Bay,MN 55323 Approved By: AmounC$: (952)249-4600—Main � (952)249-4616—Fa�c � CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt : www.dli.mn.�ov C:CLD PDF e lumb lanreva . df GENERAL INFQRMAT�ON 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.TOB 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 C)�FERMIT Check A11 That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need urior anaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site J�wner Informatic�n: Site Address: � � L�s� 1— ST Owner: ��4I�✓5���'" ���� MailingAddress: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 5 T�C.i h���r'��✓�`'��`s�'"�C Contact Person: F��s �C�V' �r Address: �« 't Sfi�' sT ��''� �d j State Bond#: 65��� s City: ��'"6+�`� Zip: 5531�j Expiration Date: �Z`b�� ! � Phone: ��'�3� �� �2'� Alternate Phone: � Insurance—Current: 1 �� ��� £Ea.��� � ,,. .. ,., . ._,. � � -� ; FIXTURE BSMT ls 2N�� OTHER FIXTURE BSMT 1sT 2"n OTHER TYPE FL FL TYPE FL FL Water Closet � I 3 Floor Drains � Lavatory � ` � Sewer Ejector � 1 Bathtub � � Laundry Tray � Shower ( Washer i I Kitchen Sink t Water Heater I 1 Disposal Water Softener Dishwasher � Wet Bar Sillcocks •1 Miscellaneous b� � � s y .�:. ..,,.. _:. - : /h £ �$P � � :.......,.. . ._.. ... �...; � �� \ '� �\. i .:- � ��mh'nt3 3 :» � �`�`������ /- a..,__ :� • `� .. '- �at. . � '._.. ... ' � ;�n;i�.... ..: .. '� �.�.�,. :� :, ''-�,,, � �' � ❑ Yes,this section applies The replacement of only 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[otal 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 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 $ (Permit Fees Continued On Next Page) 2 h �..........,, _. l \� �c , . �' ...,. . .. �.. ��::. ! Y- If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �!/ c�� v`'� �'��� `� x.0125$ �� � (contract price) (minimum$50.00) 2. STATE SURCHARGE � / � O D �Y��G x.0005 $ "'�� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 �6 �.� ■ * 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, tenan[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 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. � a� �-�z Applicant's Signature: � Date: �, ��h t.` x �.: � � � : ����� ���.. �.�: _., a� 3 �� <J v1 DATE TIME �/ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � � �:30 PERMIT NO.o�Dl�-D��57 COMPLETED ADDRESS ! � �L�L �/LGe� OWNER TELEPHO 0.��'�� '�� Z$ CONTRACTOR ��S >; DESCRIPTION �� � � � ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE�NSPECTION 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 � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � J � �� �C�� �� ( 0 � W � Q � 2 W � W � � d W�r.'�UVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor ogi site: .' Inspector. � 1✓ � White Copyllnspector's File Canary Copy/Site Notice � � 4AT TIME , / CITY OF ORON CALLED IN � �-- r� INSPECTION NOTICE SCHEDULED a•' 4� PERMIT NO,o?4/a- �lJ�'� COMPLEfED ADDRESS OWNER ELEPHOJxE S CONTRACTOR �� �`� � � DESCRIPTION ��-� �` � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPlA1NT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o �f}� �f 1 '� �-S �. 0 � _T ,��,4 c�� oN I �SSv /e � � �- � Q � �5��'�� r� �.Su �� 1, J',�3`� W � � � ,�� I c ����c-�• A �}- 3 . �,�//4 � � � `OGQ�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W C�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION • TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. � �..i White Copyllnspector's File Canary Copy/Site Notice