HomeMy WebLinkAbout2014-01080 - add floor drain in new garage ' � CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 4 - 0 1 0 B 0 *
DATE ISSUED: 09/23/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 1340 REST POINT CIR
PIN : 07-117-23-31-0021
LEGAL DESC : REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : UNDEFINED
NOTE: ADDING A FLOOR DRAIN IN THE NEW GARAGE. WORK WILL BE DONE BY THE HOME OWNER. OK'D BY LYLE OMAN.
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 5.00
PERET&JONI JOHNSON,ZIGMUND TOTAL 20.00
1340 REST POINT CIR
MOLJND,MN 55364- Payment(s)
CHECK 2106 20.00
OWNER
PERET&JONI JOHNSON,ZIGMLJND
1340 REST POINT CIR
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the wprk described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goWerning this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time aftez work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �w^
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Appl' ermitee gnatur ate Issued By Signature Date
_.. _..
FUR CITY USE ONLY
,�O City of Orouo
P.O.[3ox 6G Datc Rcceived: Pennit#
2750 Kellcy Purkwiiy
Crystal Day,MN 55323 Approvcd By: Amount$:
(952)249-4600—Main
� (952)249-4616—Fax
�' c.`� CITY OF ORONO—PLUiVIBING PERMIT
`�kFSH��� (All Coinmerciai Pennits Must be Approved b,y the State Prior to City Approval)
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GENERAL INFORMATION
I. You may apply for plumbing pelmits by mail or n�person at the City offices. Apptications will be
reviewcd and a permit will bc issued within two working days.
2. Pennit cards will be sent by retu�n maii after a review is completed. PLiZMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT I3GGIN UNTIL TH�
PERMIT CARD i5 POSTED ON THE JOB SITE.
3. Plumbin�;permits may be issued ONLY to licensed plumbin�contracrors and ro property owners
residing in thc dwclling.
4. Wlien any new coi�stniction or remodeling is involved,a separate builcling pennit inust be
obtained.
5. All work must be dont;in accurdance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour uokicc requircd)
� .
TYPE OF PERMIT
(Cl�eck All That Apply)
�.Itesidential ❑Commercial(Appi•oval Required)
❑New ❑Additional ❑Repairs ❑Replace
❑ In Accessoiy Stnicture?
*You will need prior approvul and may need CUY.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �� � ��5� t'a•'� �'�"C ��--
Owner: �����`� Mailing Address:
�..,�,
City: �_����'i Zip: � 1 J'��I
Home Phone: ��1• ��`�� �`(� �� Alternate Phone:
Contractor Tnfor�nation;
Contractor: Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alteinate Phone:
❑ Insurance—Current:
1
__.____.
PL,UMBING FIXTURES BEING TN':STALLED
FIXTUR� BSMT' 1� 2 OT[IER FIXTURE F3SMT 1' 2 OTHER
TYPE FL FL '1'YP�; FL FL
Water Closet Floor Drain
Lavatory Sewer �ectnr
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher �Vet Bar
Sillcocks Miscellaneous
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' a � PCRMI'�TL���AL�T:7Lt�TION(S)
� � � BA�ED OF�-2002 S�"A"F�STATUE
� Yes,this section applies
The replacement of only one Resiciential fixture or appliance that mects all three of the following
rec�uirements:
1. Does not c•cquirc modifieation to cicctrical or gas seivice.
2. Has�total cost of$500.00 or less;excludink the cost of tl�c fixtiire o►•appliance:and
3, Is improved,installed or replaced by the homeowner or licensed plumbin�contractor.
Skip i�ext section,if tl�is applies; Cost of Perniit $ 15.00
State Surcht�rge $ 5.00
Mail-In Fee(If Applicablc) $ 2.00
Total Permic Fee $ '�,�)
(Permit Fees Continued On Next Page)
2
FERMIT�'EE CALCULATION(5)—70B5 OVER$500:�0
If above does not apply;follow guidelines belo�v:
l. CONTRACT PRIC� *is 1.25%of'contrnct pricc with a(Minimum Fee of$SUAO)
x.0125$
(contruct pricc) (minimum�50.00)
2. STATE SIJRCHARGT
x.0005 $
(contract pricc)
3. POSTAGE&HANDLING(Only on MAiI-Tn npplicAtions) $ 2.00
4. TOTAL PERMIT F�E(Add Liiles 1-3 Above) $
■ * CONTRAC]' PKICE or JOB COST means tlie actunl or estimatcd dollar amount charged for tl�e
permitted work including materials, labor,profit,and other fixcd costs. lt is tl�e nmount to be ciiargcd
to the custoiner for the work done. If any materi�l, ec�uipment, IaUor or installations are fui�iished by
the owner, tenant or any olher party, Uie reason�ible 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 � dispute on the
amount of tl�e job cost, the City may request the submission of a signcd copy of d�e actuTl contract,
PLUMBING PERMII'APFLICATTON AGREEMENT
The undersigned hereby applies to the City for issuance of a Plwnbing Pennit, agrees to do all
work in strict accocdance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies tliat alt statements made on fliis application are complete, true and
con•ect.
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Applicant s Si�,iiature: r� Date: /
3 i
��� �''� DATE TIME ��
CITY OF ORONO CALLED IN � _�
tNSPECTION NOTICE p SCHEDULED
PERMIT NO._r��I����a� COMPLETED
ADDRESS
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OWNER TELEPHONE NO. �
CONTRACTOR
� DESCRIPTION �-� ���� �i ��
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FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI /F LLI-�G
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 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 ❑ SEPTI FINAL ❑ NDATION/REMOVAL
� 01�INE�RICONTRACTOR TO MEET YOU�YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours' advance. 9 -46��
OwnerlContractor on site:
inspector_
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CITY OF ORONO CALLED IN `�"�0` ��' �. _k
INSPECTIO T�C `\l� SCHEDULED '3� � lUU
PERMIT NO. U COMPLETED
ADDRESS � �� �� �����
OWNER TEL€PHONE NO. �� 2'1� � �D
CONTRACTOR ���
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�, DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL O F�CCAV/GRADING/FILLING
Q ❑ POU ED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y � F MING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
ZSULATION O WOOD BURNER/FIREPLACE ❑ S�TE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPWNT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v O PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEEf YOU:_YES_NO
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO,ARRANGE ACCESS.
Ca11 for the next insp�ction 24 hours in adva 52 49-4600
Owner/Contractor on site:
Inspector:
White CopyAnspector's File Canary CopylSite Notiee
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DATE TIME
�CI OF ORONO CALLED IN
ECTION NOTICE ���C SCHEDULED `�� �
rERMIT NO. ,_ r�/ C� COM�LETED
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ADDRESS l -' � O /�Q S-� �o��f �;jz .
OWNER TELEPH E I�IO.��r�/�{����
CONTRACTOR
� DESCRIPTION !����m � ��''� �
�
ly ❑ FOOTING ❑ DEMO-FINAL ������Z,�C S PTIC/FINA���h
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� O WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �,1,��
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED �
❑INSPECTION REQUIRED.CALL TO ARRAN A CESS. ` •�
Call for the next inspection 24 h � 95Z� 24� , $00
OwnerlContractor on site: �
Inspector.
White Copyllnspector's File C �y CopylSite Noticet