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Home My WebLink About2013-00938 - plumbing � '� � • CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 3 — 0 0 9 3 8 * DATE ISSUED: 09/12/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : ll 5 LUCE LINE RIDGE PIN : 31-118-23-34-0006 LEGAL DESC : PAINTERS CREEK : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 2 WATER CLOSETS,4 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 NYBO-PETERSON CO.INC. STATE SURCHARGE PLBG(VALUATION) 4.00 6606 280TH. STREET MN 55088- TOTAL 104.00 (952)461-2749 PAID WITH CC# 2234 Minnesota State License#:058650 OWNER LOCKMAN, STEVEN& SONJA 115 LUCE LINE RIDGE MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT 1'he work for which this permit is issued shail be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pertnission for additional or related work which requires separate pertniu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /�,,,, � /`r/J / � ��--L� �'�-h � � �— r�-— Ap ermite re Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .° r , + FOR CITY USE ONLY � City of Orono ` " CG �� P.O.Box 66 Date Received: Permit# � 0 2750 Kelley Pukway � Crystal Bay,MN 55323 Approved By:, Amount$: (952)249-4600—Main (952)249-4616—Fax y�' �` CITY OF ORONO—PLUMBING PERMIT �qkFs[�o�`` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://wwvv.clli.mn. ov/CCLD/PDF/ e lumb lanreva . cif 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 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 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 PER1vNtIT ' (Checic All That A ly) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You wili need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner armation: Site Addres�s': � L U � G l./1/ n �/,� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:�/f/��,��j,�(`/,�ontact Person: (T�iJ�! �/ ,�d , Address: �(�(��'� State Bond#: City: l,,f�6s7`-L2 Zip�,; agR ExpirationDate: Phone: ��j� �� `7�,1�1 Alternate Phone: ❑ Insurance—Current: 1 , � . , � W , _ w . '�. ..h.w..` .e x_-,-��. _ '�.�'. 2 .�.....�.. ,� ...�. ..... , a:..�.; ... , r ..:<. , �:r.., i_. u.�."..�x . :..�r.. FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet r� Floor Drains O� Lavatory ^� Sewer Ejector G� Bathtub � Laundry Tray Shower � Washer Kitchen Sink � Water Heater Disposal 1 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;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 r , . . R , �,� � m��. , � �., _, M��. �w �;, � e�.`,N-�k� .. :. �. . .r..�.,. �s. ,� ra .��r- .. ,.,.. . .,;,:� .. ��.�, . .a.., If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 00 �6da � X.0�25$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (conVact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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 work inciuding 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, 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 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: ��o?`-�� 3 ' Q -DATE TIME � �OF ORONO ' CALLED IN ( � � _ INSPECTION NQTICE 2� SCHEDULED � PERMIT NO. ,��4�7'1 COMPLETED ADDRESS �j�`1 � L i CQ L if�.t> �f q�� OWNER TELEPIHONE NO.�� - �� CONTRACTOR � � " � -n�i�i �t,t.�� >: DESCRIPTION `'��nl � ��.�: � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �'—� � W a � �� `7-C�, ( e �S 0 �. � � 1 ri r� � � 2S .�-S W � � Q z � � �� 3 - �� l W oc� �8 j �1r1 (3 — GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on �te: inspector. White Copyllnspector's File Canary CopylSite Notice