The URL can be used to link to this page

Home My WebLink About2013-01006 - plumbing CITY OF ORONO * 2 (d 1 3 — 0 1 0 PJ 6 * 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2013 ORONO, MN 55356- �'` (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 880 PARTENWOOD RD PIN : OS-117-23-43-0001 LEGAL DESC : PARTENWOOD : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTiON TYPE : FIXTURES- MULTIPLE NOTF,: 2 WATER CLOSETS,2 LAVATORIES,2 SHOWERS VALUATION OF PLUMBING 5500 APPLICANT PLUMBING FIXTURE FEE 68.75 NYBO-PETERSON CO. INC. STATE SURCHARGE PLBG (VALUATION) 2.75 6606 280TH. STREET MN 55088- TOTAL 71.50 (952)461-2749 PAID WITH CC# 8865 Minnesota State License#: 058650 OWNER GRAY, JERRY&CYNTHIA 880 PARTENWOOD RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null an void if construction au[horized is not commenced within ys of the date of issuance,or if construction is suspended for,a�riod o 80 days at any time afrer work has commenced. The applica iC s resp ible for ur ng all required inspections are requeste n co fo nce wit te Building Code.This permit may be revok at t� for du se / �,''�,�� _+, l 2G l� , � ;/, _ ` �''_7'_z�'�, ,f./, � i� � r .: Applicant Permitee Sig ture Date Issued By Signa ure Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � 1 FOR CITY USE ONLI' City of Orono ' �-O� P.O.Box 66 Date Received: Permit# /-�,,(�� 2750 Keliey Parkway L ,�"-'' \ Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � � (952)249-4616—Fax �' �` CITY OF ORONO -PLUMBING PERMIT �qKFSHOF`�' (All Commercial Permits Must be Approved by the State Prior to City Approval} htt :Uwwti�.dli.mn. ov/CCLD/PDF/ e lumb lanre��a� ..df GENERAL 1NFORMATION 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 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. Cali(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) '•�Residential ❑ Commercial (Approval Required) i+v. ❑ 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: ' � � ��a � �'� Site Address: �V � G� /'� - Owner: � Mailing Address: ��O Gi.��J C' �� c�ty: n z�p: `S� 2 � � Home Phone: Alternate Phone: � ! � �� % % � Contractor Information: Contractor: � �r �U�w�Contact Person: � Address: ��C � G �✓��State Bond #: 0 G��/ �� City: �f.4� Zip:,��Expiration Date: �� '"'�I -2�� Phone: �_'L�6I Z7L�� Alternate Phone: -�'I� _ ��`�Z��g� ❑ Insurance—Current: ��p �� 1 � � ,y_.. � .,s�. � .�.�� ;� � �, . .. :r.. ., . j . . ,� � � . , �� .. �< FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory n Sewer Ejector �� Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener 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 � ' ky�. .. .,. ..e � -, �. „ . �z �y� . , . ' ,., . . .i � ,6, ��,r4ri�' y �S •3��, � . " �. : ` If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) � � J�' �� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE �S � . �O 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 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 the ordinances of the City and the regulations of the State of Minnesota, and certifies that all state s made on this application are complete, true and correct. Applicant's Signature: Date: �� C�►� 3 � Da� TIME � CITY OF ORONO CALLED IN ��_7 INSPECTION N,OT CE SCHEDULED ��- - �� PERMITNO.osO -D�DD�O COMPLETED ADDRESS �� z� � OWNER TELEPHONE NO. 45 Z Z�J Z �O�j7 CONTRACTOR O (�'.CG��'Yl�"� � DESCRIPTION � � ❑ FOOTING O PLUMBING FIN ❑ 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 ❑ SEPTIC FINAL ❑ FOUNOATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o � � '�S� d�-" a � 0 � W � Q � 2 W � W � � W i�ilfaRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on s' - Inspector. White Copyllnspector's File Canary Copy/Site Notice