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Home My WebLink About2012-01153 - plumbing r CITY OF ORONO I ' �I� I 'I I I' L �0 1 1 53 * 2750 KELLEY PARKWAY DATE ISSUED: 11/13/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 680 ORCHARD PARK RD PIN : 32-118-23-22-0006 LEGAL DESC : ORCHARD PARK : LOT 014 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(2)LAVATORY,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER,(1)WASHER VALUATION OF PLUMBING 3550 Som All,,•edrAAL.Cai S APPLICANT PLUMBING FIXTURE FEE 50.00 7 STATE SURCHARGE PLBG(VALUATION) 1.78 21005 LANGFORD AVE TOTAL 51.78 JORDAN,MN 55352 O PAID WITH CC# 1637 Minnesota State License#: 65625 OWNER WEGGE,MATT&LINDSAY 680 ORCHARD PARK RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and beco g e null and voi construction authorized is not corn, nced i " 180 days o date of issuance,or if construction is sus J-n,ed , . ., of 180 : • at any time after work has commenced. T •ap,lie. .I,si. for. uring all required inspections are re,uest d in , • 1. ce i ith i:State Building Code.This permit may be re o r u at. .,1 t 4 o du;cau / � ► 1 Li1 '� / \i? / \1 off • . i/ / 13 /12-- App' cant Pe -itee Sign.tu'• ' Date Iss i. By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I FOR ITY USE ONLY,. ¢0� / P.O.City Boxof 66Orono Date is Permit#29/ /r i 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: 5 if, 7 � 'r,�1�•w� ( -4 — in(952)249952)249-4616600—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt•://www.dli.mn.lov/CCLD/PDF/•e •lumb•lanreva• 1.•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 Apply) rfiitesidential ❑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 Infonnation: Site Address: IO p T( V VOJ\(- Owner: m l l Mailing Address: Sk City: G ` - // Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: S4 D1Ak Contact Person: � ,/J 1l `A akj Address: aI 06 5 I—Vit State Bond#: L /01 6o°/ 7 City: 1-0s i-) 1° Zip:S339"Expiration Date: ' _ c I 2 Phone: 32-tig7-d` f% O Alternate Phone: ❑ Insurance—Current: 1 FIXTURE BSMT 1S 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower ` Washer Kitchen Sink 1 Water Heater Disposal Water Softener Dishwasher 1 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;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 44. If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contractprice with a(Minimum Fee of$50.00) �7`jV oG x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00`" 5` 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ . / 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 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. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with t e ordinances of the City and the regulations of the State of Minnesota, and certifies that stat. e - ,e7 this application are complete, true and correct. Applicant's Signature: � i/i Date: //-13---)2 l2 3 .ge• DIFIE TIME CITY OF ORONO (/CALLED IN //-/`i�� INSPECTION NOTICE" ✓SCHEDULED /—/ �f/2— i, J Z PERMIT NO.0240z//Jr-3 COMPLETEDc0;36 ADDRESS Q et- r OWNER II TEL PHONE NO 4 SIA a `� G CONTRACTOR air/ .24 � DESCRIPTION ❑ FOOTING 0 BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT • ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP • ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SE T FINAL 0 FOUNDATION/REMOVAL Z OWNER/ • l CTOR • EET YOU. YES_NO c0., COMMENTS: CC W CC CC W CC W LU CC U T WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP 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: l' ) I r 3-‘ Inspector. Jul` White Copyllnspector's File Canary Copy/SIte Notice