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Home My WebLink About2011-00054 plumbing , . . CITY OF ORONO PERMIT NO.: 2011-00054 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE tss��n: OU25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1190 LYMAN AVE PIN . 35-118-23-43-0034 LEGAL DESC : REG. LAND SURVEY NO. 1067 : LOT MB BLOCIC MB PERMIT TYPE : PLUMB[NG (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE N01'L: YLUMBING FIX�I'URI:S: (4)WAl'ER CLOSETS,(6)LAVATORIES, (I �ACH: L3A"CI ITUB, SHOWEI2,KITCHEN SINK, DISPOSAL,DISHWASI fER, PLOOR DRAIN, LAUNDRY'I'RAY,WATCR HGATER,(2)S[LLCOCKS VALUATION OF PLUMBWG 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 PROMECH LLC STATE SURCHARGE PLBG (VALUATION) 7.50 121 10 1DAH0 AVE N TOTAL 195.00 CHAMPLIN, MN 55316- (612)518-3066 OWNER PALMER, BRIAN&JULIA 1 190 LYMAN AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for��hich this permit is issucd shall be perfonned according to the approved plans and specitications,applicable City approvals,and thc Statc L�uilding Code. "fhis permit is for only the work describcd and docs not erant permission for additional or related work which rcquires separate permits. All provisions of la��s and ordinances governing this type of work shall be compied with whethcr or not specified hercin.This pennit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformai ith the State Buildir�g�Code.This pennit may be revoked at any tin or due cause. � � ��', %`,�a�i�, � � l 2,� l,� ZL��,t�� / l �l // Applic� � Perrrtitee ignature Date Is u By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY l E ONLY �,�` City of Orono � // ¢ `�' ' P.O.Box 66 Date Received: �� Permit# ��` � � �" 2750 Kelley Parkway � .� ''•• +. Crystal Bay,MN 55323 Approved By: Amount$:�� '�'� �'•, �o:�� (952)249-4600 ��oo CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) 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 PERMIT (Check All That A 1 ) 0 Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs � Replace ❑ In Accessory Structure? *You will need arior approval and may need C�'�P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: 1190 Lyman Ave Site Address: Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ProMech LLC Barry Wood Contractor: Contact Person: 12110 Idaho Ave N 0931587 Address: State Bond #: Champlin 55316 12/31/11 City: Zip: Expiration Date: Phone: (612)518-3066 (763)576-3907 Alternate Phone: ❑X Insurance—Current: S� sZ,`�•��,f' 1 ' �:�,� .��` ��,; � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � 2 Floor Drains � Lavatory 1 1 4 Sewer Ejector Bathtub � Laundry Tray 1 Shower � Washer Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher � Wet Bar Sillcocks 2 Miscellaneous $�,Tu°'�i��'�' .`��'''��!� f�,� �� ,: ��l��'"'J�'h��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 total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip neact 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 . . PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) /�Oov x.0125 $ _��7•�O (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) /S,c�o0 x .0005 $ 'I. SO (contract price) (minimum$ .5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �QS•�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 charged to the customer for the work done. lf any material, equipment, labor or installations are fumished 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. [n 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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: /q / Reset Form 3 TIME V CITY OF ORONO CALLED IN �� INSPECTIOI�NOTICE SCHEDULED / —L/ — ' . �D PERMIT N(iD�� `— �� COMPLETED ADDRESS ! � G�-yt OWNER TELEPHONE NO.�lZ slo 30�0�0 CONTRACTOR �, G�G�-- G� � DESCRIPTION ��G�►'►'"� �—" w' ``�� ❑ 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 ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W a � � O � � O � W � Q � Z W � W � � ��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � 0 CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. �.v� �� :•~'�r'��-=�..T� White Copyllnspector's File Canary CopylSite Notice � f� � DAT TIME � CITY OF ORONO CALIED IN �� INSPECTION O I �� , $L�HEDULED PERMIT NO. � MPLETED ADDRESS � OWNER TELEPHONE NO. ° � � 7— CONTRACTOR �0 � � DESCRIPTION , — LL� � ❑ FOOTING ❑ PL MBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE tNSPECTION 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 ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W 0. � J O � � O � W � Q � 2 W � W � � �d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT OCORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 Owner/ConVactor on si�e�.� Inspector. � o White Copyllnspector's File Canary CopylSite Notice � ' <Q� TE TIME J CITY OF RONO CALLED IN �� jJ INSPECTION NOI,IC �^�`SCHEDULED J � 'J " PERMIT NO.�/ ��L��l COMPLETED ADDRESS L OWNER ELEPH N NO. �� CONTRACTOR Q � � DESCRIPTION ` W ❑ FOOTING r ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL�� fl ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING °� '` � " MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION '� j� WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ R A D O N S L A B ❑ W A T E R H O O K-U P ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ' ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVA� � OWNER/CONTRACTOR TO MEET YOU�YES_NO v�, COMMENTS: � W C j � � O � � ° , �' � � � S W � � P eI' �� - � Q � z W � W � � � � RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTORIMLLRETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTfON REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor n�' e: Inspector. / c� �s White Copyllnspector's File Canary CopylSite Notice C� DAT TIME � CITY OF ORONO CALLED IN �^ �� INSPECTION NOTICE SCHEDULED '� �3 0 PERMIT NO.a�O//-G2�;7 y' COMPLETED ADDRESS � I`�� f 1'YI�T _ _ OWNER TELEPHONE N0.1Q I��b �U� CONTRACTOR r� YY1 e. '�.J � DESCRIPTION �"'""'�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 v ❑ DEMO-SITE �❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o �—�o'�'`.��"G� (,c1D� �r- l--{� r� � (�..�.?" f'L�OTC �A-n 1 Ir (� � � ��O � '?a �} ��-/�l � lP 1�1f1 ^ W ti� T Q r9 t�A,S (�/b g t e � -, � 6 � L� ,�4.�c' .N�� C ..,�a• w• �:�c z W � W � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White CopyllnspectoPs File Canary CopylSite Notice