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Home My WebLink About2012-00888 - plumbing CITY OF ORONO * 2 B 1 z - 0 0 8 8 8 * 2750 KELLEY PARKWAY DATE ISSUEU: 09/07/2012 ` ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1729 NORTH FARM RD PIN : 27-118-23-44-0018 LEGAL DESC : THE FARM AT LONG LAKE : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 1 WATER CLOSET, 1 SHOWER VALUATION OF PLUMBING 1143 APPLICANT PLUMBING FIXTURE FEE 50.00 CITY VIEW PLUMBING& HEATING STATE SURCHARGE PLBG (VALUATION) 0.57 1880 WAYZATA BLVD W TOTAL 50.57 P.O.BOX 150 LONG LAKE, MN 55356 (952)473-8793 OWNER FIELD, MR.& MRS. BENJAMIN 1729 NORTH FARM RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permi[is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance wit e State Building Code.This permit may be rev e t any time for du� se. �/��, - f� � l� l �c� ,,� C�%�Y�� l�� — � Ap cant Permitee Si n ure Date Issued By Si�aturc Date � �� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �� J FOR CITY USE ONLY O,¢��O CityofOrono � ��z_ �G P.O.Box 66 Date Received: � Permit# d �: 2750 Kelley Pazkway � �+`'t• +� Crystal Bay,MN 55323 Approved By: �C� Amount$: 5� 'J � l�� ,yo'� (952)249-4600—Main ��o�� (952)249-4616—Fax CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Priar to City Approval) htt�:/%��.itii.n�n.�ru��lCCLI)IPDF/�e �lan�b sl��nrcr<i > >. ��1f 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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 I �Residential ❑ Commercial(Approval Required) ❑New ❑ Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need('11P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��vZ� N a�� A�N'1 I\� Owner: �1�v1�Aw�,� -� ��,�� MailingAddress: �c1Y�"�- c�ri: C��,��.� z�p: �S 3 S � Home Phone: ��y�3 a��Iy Alternate Phone: Contractor Information: Contractor: C�-� �;e�J �� --� Contact Person: Qv�►-� L� G,r �A1 � �� Address: ��SO � I�es�"��>�"a �� State Bond#: �C(�y�I 17� City: l�c'1h � Zip: �535� Expiration Date: I� .3� o� j 3 Phone: �5a v173� J�� Alternate Phone: 6 i�-C�� 3�� ❑ Insurance—Current: �� 1 PL�1�'�T+�F�T�:t��+T�"�`�;��3 FIXTURE BSMT 1 2 OTNER FIXTURE BSMT 1 2 OTI�R 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 �'��'��{�.�.�.'�f�E��=`,. ' ` - $�;��`�FFF-2(�2��'�`T�#,'�".�'�f"�;: ❑ 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;excluding 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 Pennit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S (Permit Fees Continued On Neat Page) 2 . . PE�T F��.�UL� ; S '�J��'1��$�.� . ''. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 1)'�3 a° X.oias$ (contract price) (minimom 550.00) 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 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 fumished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contiact 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. PLU�+f$'��F��►�II"I''�T�'P�.�C�'�`��k��.�5`��'�' The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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 conect. ApplicanYs Signature: Date: � ��/� � �'� 3 �� DATE TIME � CITY OF ORONO �CALLED IN � INSPECTION NOTICE SCHEDULED � PERMITNO. ��/o�-CX��fi COMP/LETED ADDRESS / ol�' � " �"�%� '1 OWNER TELEPHONE NO. �a ^�� ` ,� CONTRACTOR � " ��-t� � , �: DESCRIPTION ��' � '� � � ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO I' � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W� �K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOF REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DAT TIME � CITY OF ORONO CALLED IN ��' � INSPECTION�ODT�aE o08.�8. SCHEDULED /D -4- /2. : o� PERMIT NO. COMPLETED ADDRESS �7 29 ,/I�D7'�� !��- � OWNER TELEPHONE NO.�sZ ��3 �?Q� CONTRACTOR � ��' >; DESCRIPTION ��' ��4�� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION 0 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � -�� - _;- � White Copyllnspector's File Canary CopylSite Notice