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Home My WebLink About2012-00306 - replace plumbing fixtures CITYOFORONO * 2012 - 00306 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2012 � ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 679 MINNETONKA HGLD LA PIN : 06-117-23-44-0008 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 004 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACE PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY AND(1)SHOWER VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 EARL W.DAY&SONS,INC. STATE SURCHARGE PLBG(VALUATION) 2.50 520 BRIMHALL AVE P.O.BOX 294 TOTAL 65.00 LONG LAKE,MN 55356 (952)473-8403 OWNER NELSON,ROBERT&VICKY 679 MINNETONKA HGLD LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT , The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confo ce with the State Building Code.This permit may be rev d at any ti e f r due c w y/ /g / �Z / / Applicant Pe t e Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 � ' F tTY SE QNLY � City of Orono % /'�� O�' �O P.O.Box 66 Date Received: [ ermit#�� V � 2750 Kelley Parkway �� <"„ r.�� Crystal Bay>MN 55323 Approved$y: �� Amount�$:��' �.` � br (952)249-4600—Main `�an� (952)249-4616—Fax CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt r//www.d#i.mn, avlCCLD/PDF/ e �lumb lanreva , df 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 �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need arior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Jab Site/Owner Inforrnatian: s�te Aaaress: 679 Minnetonka Highlands Owner: Bob Neison Mailing Address: 679 Minnetonka Highlands c;�,: Orono Zip: Home Phone: �952) 475-1452 Alternate Phone: Contractar�nformatian: Contractor: earl w day & sons Contact Person: Diane Johnson Address: 520 Brimhall Ave State Bond#: PCC45G77 �ong lake 55356 12/31/13 City: Zip: Expiration Date: Phone: (952) 473-8403 Alternate Phone: ❑ Insurance—Current: 1 N,�Zi,z xm�� '�ar�•' ac' �..5, FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet ,� Floor Drains Lavatory ,� Sewer Ejector Bathtub Laundry Tray Shower ,� washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � � � y<,, , � s �'� � t�j�� 4�� 'y', :µ��,;`�s� �,.F��.��.3 �. �y,� ��' ��. ;�r w � ❑ 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 . . P��T�E�CALC�LATION S ;- �B��"�"��.�5f��.C}+�, ., - ..� . If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 5,000.00 X.o,2s $ 62.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE �j,OOO.00 Z. 'rJO x.0005 $ (contract 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 far 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, 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. P�ums��r aP�L�eAT�a�v a�� 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: 04/�9/�2 ,. �r- , ;. Reset Form ��, 3 �� C . ,� DATE TIME � CITY OF ORONO �--"' cALLED IN � INSPECTION NOTI\CE '�y� SCHEDULED � � PERMIT NO.��-%I J � s �-�'� COMPLETED I r ��,,�,�� ADDRESS �� Y�-r �,=�—�1 I�I�� ! �.� �� OWNER TELEPHONE NO. � ��3 -��i c3 CONTRACTOR Y � � � >; �ESCRI�TI�N � � � ❑ 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 ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE��`FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW �SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED �! ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � � (%� DATE TIME CITY OF ORONO CALLED IN 2 INSPECTION TI�a G��SCHEDULED � � PERMIT NO. connP�ErEo ADDRESS 7 ` OWNER ELEPHO NO. -�7 -�� CONTRACTOR N �'l� - � DESCRIPTION �""�� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL I ❑ 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 ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP I NAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � ��' GW ❑WORK SATISFACTORY:PROCEED L�ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice