The URL can be used to link to this page

Home My WebLink About2013-01033 - plumbing w CITY OF ORONO * 2013 - 01033 * 2750 KELLEY PARKWAY DATE ISSUED: 10/02/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 3590 NORTHERN AVE PIN : 17-117-23-43-0138 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 008 BLOCK 002 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(2)SHOWERS (2)SILLCOCKS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)FLOOR DRAIN, (1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER VALUATION OF PLUMBING 11000 APPLICANT PLUMBING FIXTURE FEE 137.50 TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE PLBG(VALUATION) 5.50 265 CTY RD 110 NORTH MOUND,MN 55364 TOTAL 143.00 (952)472-9200 PAID WITH CC# 4708 Minnesota State License#: 060524-PM OWNER MAENNER,BRADLEY&AMANDA 2130 TAMARACK 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 does not grant permission for additional or related work which requires separate 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 conformance with the State Building Code.This permit may be revoked at any time for due ca se. AM l ant e e ature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. City of Orono F ITY USE ONLY ?, ^)�OP O Box 66 Date Receit-S Y—/y� Perrmt 0 2750 MNPar553 Kelley Crystal Bay.MV 55323 Approved By: Atnotmt S: (952)249-4600—Mani y (952)249-4616 Fax c` CITY OF ORONO-PLUMBING PERMIT KFSHO (All Conmmercial Permits Must be Approved by the State Prior to City Approval) htt ://wwtv.dli.mn. ov/CCLD/PDF/ a plumbplaurevapp. df GENERAL INFORMATION 1. You may apply for pltmibing 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 Apply) Residential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code.Chapter 78.Article IV) Job Site/Owner Information: Site Address: 359 Q Nvy- -e y'h (LQC doC Owner: Ga'A 1' a-Ae nn-er Mailuig Address: 2,110 TcA rtipla r-OtL City: v�q �-6� L � Zip: SS jS 1 e" 9phone: (-609-3 - Alternate Phone: Contractor Information: ��yy�� Contractor: .T �16Co`nfact Person: ,scy-4 (7v-ave,✓P o Address: 2k5-(-0A ON State Bond#: P C.(0 L4 City: Zip%-3SN o4Expiration Date: 1122 Phone: 'A' (�1 a-�1� (� Alternate Phone: Insurance-Current: y--[q 1 a w PLUMBING FICTURES BEING INSTALLED FIXTURE BSMT IST 2m OTHER FIXTURE BSMT IsT 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 1W Sewer Ejector Bathtub Z Laundry Tray Y Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF',-2002 STATE STATUE ❑ 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 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 PERMIT FEE CALCULATIONS JOBS OVER$500.00 If above does not apply,follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) I L 000' x.0125$ (—t-ct tee) (mumwo.00) 2. STATE SURCHARGE I.oo0�' x.0005 $ (contract rime) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �> Vv 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �61 U * 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 fiunished 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. 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. t� Applicant's Signature: Date: 3 C�_ / DATE TIME CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED PERMIT N ela.33 COMPLETED ADDRESS 35 OWNER T PHONE Nta �—` J CONTRACTOR > DESCRIPTION v''J ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING Q El POURED WALL ElMEC CAL RI ❑ LAKES HORE/WETLANDS ❑ 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 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W ac a J S O cc O 2 W cc Q 2 W W CC J d � IlOf'tK SATISFACTORY:PROCEED l PROJECT COMPLETE �!�❑CORRECT WORK&PROCEED Ll ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L.i PHOTO TAKEN INSPECTOR WILL RETURN LI CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. . White Copy/Inspector's File Canary Copy/Site Notice