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Home My WebLink About2012-00857 - plumbing � CITY OF ORONO * z 0 1 2 - 0 0 B 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2850 LITTLE ORCHARD WAY PIN : 09-117-23-21-0007 LEGAL DESC : LITTLE ORCHARD : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB AND(1)SHOWER VALUATION OF PLUMBING 3600 APPLICANT PLUMBING FIXTURE FEE 50.00 TRADESMAN INC STATE SURCHARGE PLBG(VALUATION) 1.80 2942 XERXES AVE N MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 (612)581-4472 TOTAL 53.80 OWNER SWENSON,JAY � 2850 LITTLE ORCHARD WAY WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci£cations,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due ca e. � i� i � g'i�dil� App ' ant Permitee Sign re Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ;��R��1�'�l'�tJ��l��.�' ,:... ' • . O,�p�O City of Orono , P.O.Box 66 I)aCeIi��etu�d�� 'erm�t# � v 2750 Kelley Parkway �' � ��' � �' a�, � ,� � Crystal Bay,MN 55323 A�gr�r�ed�y; ; � .�l�noultt$ . x �� (952)249-4600—Main �aaso� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :1/www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df �s� � �Y�� .. �;z,.'� � 1. You may apply for plumbing pemuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Perxnit cards will be sent by retum 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 permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construcrion or remodeling is involved,a separate building pemut 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) � ' �'�Y;�E��.��'�IT'�' , �; . =,��ea'�C..�11��.t��', lE � _, _ �Residenrial ❑Commercial(Approval Required) 0 New ❑Additionai ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need urior aparoval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) :J�b.�ite/(�u��'�riation i �`� ' �� , ,,t, � : �, , �., . , ��. �, � ..�t,� Site Address: � �� / �(�.� Dli(_.��}-�A-�-1� l�l�-� Owner: �169-�� w��-�JSL:(� Mailing Address: �!<} wc� City: O �—c�w� Zip: Home Phone: Altemate Phone: -�C�n�e,t�r�f�rrr�at�c�n: Contractor: l•t..f9-,tk:_�!ti-u4-�,`/�rV e Contact Person: /v! /l� �l�K�-/!}"� Address: � �y Z ��=�=� �t�'"State Bond#: �/3/�7 �� ,��/ City: !�/I/a LS Zip:J� Expiration Date: 3 � Phone: �.e/� -sc�1 -��. Alternate Phone: ../ ❑ Insurance-Current: }��q-w�r=.�•�.,�1 — �C.'� 1 V FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet r Floor Drains Lavatory � Sewer Ejector Bathtub � Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ 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 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 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 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � � �C �i�, (7� x.0125$ SV � (contractprice) (minimum$50.00) 2. STATE SURCHARGE $ � x.0005 $ ` • (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 8 `� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �3 / ■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the pemutted 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 fizrnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated 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. T'he undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accord ce w� the ordinances of the City and the regulations of the State of Minnesota, and c ' s all statements made on his applicatio are complete, true and correct. � Applicant's gna e: • Date: S 2 �' l Z 3 � - � �� . ✓ 3 DATE�� TIME CITY OF ORONO CALLED IN �J� � INSPECTION NOT�� QS CHEDULED (� PERMIT NO. (J —�"`��OM ED ADDRESS ri��, , OWNER TELEPHONE NO. � f�� - CONTRACTOR �: DESCRIPTION UV � 11r ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHA ALRI ❑ LAKESHORENVETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q ti Z W � W � � GW �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C7 ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. o L l� _ White Copyllnspector's File Canary CopylSite Notice