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Home My WebLink About2011-01530 - plumbing CITY OF ORONO PERMIT NO.: 2011-01530 �, �--, 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 12/08/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 12/8/2011 ADDRESS : 480 LINDEN AVE PIN : 06-117-23-41-0111 LEGAL DESC : N/A : LOT 000 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV, 1 TUB, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER 1 ST FLOOR:2 WC,3 LAV, 1 TUB, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 PREFERRED PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 3.00 6400 HIGH POINT TRAIL PRIOR LAKE,MN 55372- MAIL-IN FEE 2.00 (952)447-5761 MISC FEE 0.00 Minnesota State License#: RL10549229 TOTAL 80.00 OWNER JNJ BROTHERS LLC 480 LINDEN AVE LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not speci£ed herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �_/�� G� / / / / r Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY O4p�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway � � '• Crystal Bay,MN 55323 Approved By: Amount$: ' ' ' % o� (952)249-4600—Main ��++rxQ'�' (952)249-4616—Fa�c : CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) GENERAL INFORMATION 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 RECENE 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 A I ) �■ Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaaroval and may need _ i .(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: s�te aaaress: 480 Linden Ave oWner: Gherardi Mailing Address: 1010 Willow View Ln c;�,: Long Lake Z;p: 55356 Home Phone: Alternate Phone: Contractor Information: Preferred Plumbing, Inc. �an C�D�,Jgh Contractor: Contact Person: Address: 6400 High Point Trail State Bond#: W� 5O� O953G Prior �ake 55372 12/31/12 City: Zip: Expiration Date: Phone: (652) 447-5761 Alternate Phone: (612) 483-9249 ❑ Insurance—Current: � 2�3�� 2 1 PLUMBING FIXTU�ES BEING 1NSTALLED FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet ,� 2 Floor Drains Lavatory � 3 Sewer Ejector Bathtub � � Laundry Tray ,� Shower Washer ,� Kitchen Sink ,� Water Heater ,� Disposal ,� Water Softener Dishwasher ,� Wet Baz Sillcocks Miscellaneous PERMIT FEE ALCULATION(S) BASED OFF -2 2 STATE 5TATUE ❑ Yes,this section applies The replacement of onty one Residential fiarture or appliance that meets all three of the following requirements: 1. Dces 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 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 Neat Page) 2 PERMIT FEE CALCULA'�TON S -JOBS OVER$500.� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimnm Fce of$50.00) 6,000.00 X.o12s$ 75.00 (contract price) (minimam 550.00) 2. STATE SURCHARGE 6,��.�� 3.�0 x.0005 S (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 80.0� ■ * 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 chazged 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. PLUMBING PERMIT A�'PLICATION�i+GREEMENT 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: 12/06/11 Reset Form 3 <�� / DAT TIME � CITY OF ORONO ca ED IN / / INSPECTION NOTICE j� SCHEDULED �Z /O�`�Z PERMIT NO � d 1�� COMPLETED ADDRESS OWNER T PH E NO. ' 2�`"� CONTRACTOR � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBIN AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � �.�.-ro ��n � a 0 � N O (��ss�- -c-e��-- 0 � W � Q � Z W � W � j � ��tORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. �[,� White Copyllnspector's File Canary CopylSite Notice