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Home My WebLink About2010-01120 - plumbing , CITY OF ORONO PERMIT NO.: 2oiaoii2o �' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: i ll16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2690 PHEASANT RD PIN : 21-117-23-23-0019 LEGAL DESC : PHEASANT LAWN : LOT 019 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES INCLUDED: ( 1 )EACH: BATHTUB,SHOWER AND LAUNDRY TRAY,(2)WATER CLOSETS AND(3)LAVATORIES VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 5.00 720 PONTIAC PLACE TOTAL 67.50 MENDOTA HEIGHTS,MN 55120- (651)365-8680 OWNER GETLIN,LARRY&DEBBIE 2690 PHEASANT RD EXCELSIOR,MN 55331 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. fc � �(P � ( 0 6l l /(P� ld Applic t Permite Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �' � '� �R ��i��`� `� ' ; � �Q A� City of Orono - ' �' "�" ' t� �,��.a,� �'�"`� � � � � `r� P.O.Box 66 �a'te�tece�a� ," s �"��rn�,��# � ��]� 2750 Kelley Parkway � 4'��y ; „� „� :;i � Y a4� �;, �`a� � � CryStal Bay,MN 55323 �a,P,�ove�l�y� ��` '� 1��u1?t��` v�� >�,: ��, (952)249-4600 ��w_ , ..�r_xbi�f.�..FF .�� ,_, . CITY OF ORONO—PLUMBING PERNIIT (All Commercial permits must be approved by the Building Official or Inspector) �� '�� ,�r� x, �� ; ` � r 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut 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 UN1TL 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) � i� �' ��'�''.��„rx�" �� .,� ec`�'r�`+f'�'t��,1 i y�r�f1! ~��' �''�`pa �',e� 'S ��y,+�' , �f a �.,,�,;,« i ; i �: t 1 r'��'B>l�'�'a i i�'S s' � ��t� l 4 E x�� t �., '� . � �.� €m�, '�s ��f ,�:� w�. w�a f. s ,. �'�r++b"k d`� �'�'r".�'k�.+�p k°',.r� ,.� �.��w,�^4»;� -i 7 ,� &f s , s� �e„�;..+ .'.�v�, ��a�� + �p '�� :r ..��, 'i'a.a�!°f�, .,.`�s�'w�s'„�—,.:�� .�,k�'.'dr�asP��r� '� �� .: 6� � � �'; a RM�$� .n�s�*^#C �� :'��. v tF''m. s _ uIrc.,.nn.�� _ v. d.a.�:s.—� �. .,,.��u,s,a i_r,�c a...Wr;��n..n�,h�-� �Residendal ❑Commercial(Approval Required) ❑ New �, Additional ❑Repairs �Replace � ❑ In Accessory Structure? *You will need orior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article N) ., �: �� .-� .� �p,�{ «��r �� +.�,�y��-�� n��„ � �� -4A Site Address: � � g p /�`j �c�,S � fC d Q � Owner: �� /'h Mailing Address: City: � i"p �1 Zip: Home Phone: Alternate Phone: �'1 � ''t.r� ? ��E.�'�5��.��I��I�, N°U p+��.�a,�$,�C�r�; �: � t�A� `, :.�.�� :a�j .�-�� ..a's3;«( t�,._t�^a �,�•�"��s� �,�i�=•-�,�.'� ,�, Contractor: �/�/1e�� Q� ContactPerson: � ��- Address: 7 a� PU� T[�t.L P�, , State Bond#: City: ��,C��a �7 �� Zip: S'S/�d Expiration Date: Phone: (��I—�-t��—�/�7 Alternate Phone: ❑ Insurance—Current: 1 '►. r � � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory g � Sewer Ejector :.V Bathtub ( Laundry Tray � Shower I W asher Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of a Residenrial 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 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 Neat Page) 2 r , If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 'T .�d00 . av x.0125$ �� • � U (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) �SG�U x.0005 $ 2 " .� D (contract price) (minimum� 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 7� U U ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 aze furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated cost or con�act price for pemut 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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. Applicant's Signature: /�� y Date: � l� � O 3 �i � �C C� DAT TIME TY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED /� O /�� PERMIt NO.��I �v COMPLETED ADDRESS�/>�'/D ��GC�- GC�� l�'�_____— OWNER TELE E NO. CONTRACTO a-� � � DESCRI�PTION 4 r '--� � � ❑ FOOTING ❑ PLU ING INAL � ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME HAN AL RI ❑ LAKESHORFJWETLANDS � ❑ FRAMING ❑ MEC ANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W 0. j O �. � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETUFIN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECT�ONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. Whlte Copyllnspector's File Canary CopylSite Notice