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Home My WebLink About2008-00131 - plumbing � CITY OF ORONO PERMIT NO.: 200&00131 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/14/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 425 OXFORD RD PIN : OS-117-23-41-0023 LEGAL DESC : STIELOWS 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK, (1)DISHWASHER,(2)FLOOR DRAINS AND(1)WET BAR. VALUATION OF PLUMBING 20500 APPLICANT PLUMBING FIXTURE FEE 256.25 MACK PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 10.25 12233 94TH AVE.N TOTAL 266.50 MAPLE GROVE,MN 55369- ('763)4248455 Minnesota State License#: 004121PM OWNER SCHWARTZMAN,JON&JANE 425 OXFORD 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 approvais,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 goveming 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 aze requested in conformance with the State Building Code.This perrr►it may be revoked at any time for due cause. ��6�� 8' �� 08' L��,� � .l � D � Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ED OVE. -�, �� ,�r{��s� , � �a�� ,�+�� City of Orono � ��.��'��;�� 3�� , �� 3 P.O.Box 66 � �j!� . �r��y�� ,��4��'� k "�� ;� 2750 Kelley Pazkway ��'`��s�,s }�"`� ` "' �� '+�� a�4 r� a €4 r �� k"t � � Crystal Bay,MN 55323 . �'��'�`��ni��`�,g, �'��y�� (952)249-4600 �`� � k :�"��.,r��,�x . „� „ ,�N , � ��;:t ,_a��.�s`_.� I� �� ,'� .a�i,�4.. ..rsS CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) � �� ' �� .�,�,��'�, � „ � �i �� ' �+�;:c a �, �:r,rau�t. '+,� ao a. 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wiil 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 UNTII.,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 properiy 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) � , , a � ,;-�'- , � ` �+�� w�,�„�� ' ,. r' �±� .�,n. , , "`g. .,,� _ .r._.,..*.,,y a 4£x E c. 3 xsF � 4�i�. � �I V l"'me *tNd- � � ,w �� k'"�fi(�-��'��,,1yH3 d�f t�' g)yp � � x, z�., . _., exw� ��'?'K. i„ �,. -..� . �'* ��5?��,.�,�N�fii'�r�°,�l��A'i^�''�'�� _ - ..a ..,�. ,. , .. . � . "i .ta.,�.. �. A.,. �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs �Replace ❑ In Accessory Structure? *Ybu will need nrior aonroval and may need ClJ.P.(Per Orono City Code,Chapter 78,Article N) ��gs��, E� � ��;� x�"ssr-y..��.��+*.� ,.,.�:.� �..�.��t.�+r,.1«.��#Wa+ xrr.�'�.. '�'.. ��iE�S� '� as.�'�,�.. .. Site Address: �02� �0✓� {'`CQ, Owner: S�h GJc,t� �J'19a�°2 Mailing Address: City: Q v�/1� Zip: Home Phone: Alternate Phone: '�:� 3 -�,_.'..,.'+�? €i3•. ' - �, S��`�. e�x�tn�'� v ��:��{'��' �y, + �.�.",, � .>.x....ax�=3: �Eaa,..:�,,u,. .wv,.,.�.�,.�h'��:��i�i'dY�;�<�.'�U�'ki�.��":�f�.��+�4�.��'>�� Contractor: Contact Person: �� {¢� Address: � �D �I�GC'c��a�� State Bond#: �/1 /��p City: ( ty� c� Zip: Expiration Date: _1� '-'3� `��' Phone: 7�p�"��(�S� Alternate Phone: (� Insurance—Current: $ '' �� 7��' 1 FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory / � Sewer Ejector l Bathroom Laundry Tray Shower J Washer l Kitchen Sink Water Heater /; Disposal Water Softener Dishwasher / Wet Baz � Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of a Residential fixture or annliance 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 fi�cture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ .50 • Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . . . a If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ��D �' `� X.oi2s$ (co tract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surchazge(Nlinimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or J�B COST means the actual or estimated dollar amount chazged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor or installations aze fumished by the owner, tenant or any other pazty,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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 1'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: i�� Date: � ^��""Q� i , 3 � � d� ATE TIME CITY OF ORONO ca��Eo N �/ �� INSPECTION NOTICE SCHEDULED S � ld:�D PERMIT NO.�D�8-�0�3� COMPLETED ADDRESS �� DX� �Da� OWNER CONTR. �-L� �� TELEPHONE N0. 7��" cSJ`��- B� --�5 � DESCRIPTION � � r � ❑ FOOTING �� MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL p SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = eB"'�LUMBING RI ❑ SEPTIC FINAI ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W 0. o U n,c�► �(r �o �� 0�C � � ° 1�1Q�_ � �• S��es' ► : n�c� Q �,�S�, c�q kec� I��o� S a �' �/�� 7� L1J� � � 2 W � W � � d � � RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-460� Owner/Contractor on te• Inspector._�.(.�l"��_ White Copyllnspector's File Canary CopylSite Notice � � ATE TIME V CITY OF ORONO iN O INSPECTION NOTICE SCHEDULED � � PERMIT NO. a��8-l�4`�.,I COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. � 3 � —� � DESCRIPTION �, � � ❑ FOOTING p MECHANI A I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANI L FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ �^PCUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J �❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � � O � W � Q � Z W � W � � W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � 0 CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site Inspector. ` White CopyMspector's File Canary CopylSite Notice