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Home My WebLink About2013-00080 - plumbing , CITY OF ORONO * z 0 1 3 - 0 0 0 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: OU3U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1205 NORTH ARM DR PIN : 07-117-23-41-0013 LEGAL DESC : SAGA H(LL REVISED : LOT 001 BLOCK 004 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: MOVING GX1SI�ING FIXTURES: (I)WATGR CLOSE7',(1)1,AVATORY,(1)13A'I�EITU13,(1)KI"I'CHGN SINK(1)D[SPOSAL (1)LAUNDRY TRAY AND WATER SOFTENER NEW FIX"CURF,S-(1)LAVATORY,(1)D[SHWASHER AND 91)WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 GBG MECHAN[CAL STATE SURCHARGE PLBG (VALUATION) 0.75 P O BOX l 52 CHASKA, MN 553]8- TOTAL 50.75 (612)743-3 l 16 OWIVER THARALDSON, BREVIK 1205 NORTH ARM DR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for wl�ich this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing tllis type of work shall be compied with whcther or not specitied herein.'Chis permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of I 80 days at any time alter work has commenced. The applicant is responsible for assuring all required inspections are requested in eonformance with the State Buildin�Code.This permit may bc revoked at any time for due cause. �,�� ;..�_-_-.—....... ---- � > . /� -- i.�� i / , � �� l i / App ' L-I-'e�i e Signature Date ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ✓ .! � � � � F� U5�ONLY � ��,� City of Orono � � `��`� ' �� P.O.Box 66 DaY�Rece�ved: Permit�# 2750 Kelley Parkway �j � � ,�� Crystal Bay,MN 55323 Apgrovcd By � Arnount$:+��:°�'� (952)249-4600—Main �raso8� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GEi�1ERAL��R�TT+l�1� 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 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 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 �Gheck 1�11 That A 1 ) �Residential ❑ Commercial(Approval Required) �,New �,Addirional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need prior apuroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) �ob Site l Ow,t�er Iiifor�nation: Site Address: 1,��S /Ub�ry �/�� i�• ��2a1�v Owner: ��/y�� T/�cie'¢c,q`s°'� Mailing Address: City: Zip: Home Phone: Alternate Phone: C,�ntractor In�rmation: � Contractor: ��r ��c.�-4-9-.�✓-�'C�4� Contact Person: �' L?'�u� Address: I�� `��x /so� State Bond#: City: C�'��"� Zip:�S3��Expiration Date: Phone: ��`"�`��' c3 ll� Alternate Phone: �l� - ?Y3-3 ll6 [� Insurance—Current: �/� S � 1 �. � � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet 1 � v�� Floor Drains � Lavatory i� c�� Sewer Ejector Z � N� Bathtub � �x��4 Laundry Tray � mQv� Shower Washer Kitchen Sink � �v�� Water Heater � /N�1v�0 ,c�E:�Y Disposal / �v�Q Water Softener J, �� 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 f If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) `�l�Q�• �� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 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 for the pernutted 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 installarions 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 putposes. 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 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: � 31 1 3 � ^� D E TIME ✓ CITY OF ORONO CALLED IN � � INSPECTION NOTICE�,�/� /� SCHEDULED �� PERMIT NOa��3'"'(JrJV�v COMPLETED ADDRESS ��/ �.��, �1 :1.1i OWNER TELEPHONE O — �p CONTRACTO >; DESCRIPTION �/ �/ � � ❑ FOOTING ❑ PLUMBING N L EXCAV/GRADING/FI ING Q ❑ POURED WALL ❑ MECHANI 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 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 � COMMENTS: � W a � � O �. � O „'� � W � Q � 2 W � W � � a W�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED ❑ INSPECTIOtJ RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ��l.� "7 , White Copyllnspector's File Canary CopylSite Notice � � �Q � f � J' / �� "" `�C'� �C��DA E /- TIME � � °' CITY OF ORON CALLED IN INSPECTION NOTICE SCHEDULED 1��C1'J� PERMITNO. •�(e � :� (�C( ,�CCOMPLETED / ADDRESS �� C'�� ' ��f�f��7 �� . OWNER �"� �' f_�� ,� TELEPHONE NO. !l' �.� ' 7�C, �� CONTRACTOR � DESCRIPTION �� C�s`;�/-� f—/�'� / � � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL �Q�OWNER_/CONTRACTOR TO MEET YOU:�YES_NO,. c.��COMMENTS: . , r � ,, � � W � � � O �. � O � W � Q � 2 W � W � J � d RKSATISFACTORY:PROCEED O PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WOFK,CAIL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContract r it : Inspector. White Copy/lnspector's Ffle Canary CopylSite Notice