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HomeMy WebLinkAbout2008-00174 - plumbing � CITY OF ORONO PERMIT NO.: 2008-00174 � 2750 KELLEY PARKWAY r ORONO,MN 55356- DATE ISSUED: 08/26/2008 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2280 SHADOWOOD DR PIN : 27-118-23-32-0015 LEGAL DESC : SHADOWOOD FARM : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 LAV, 1 SHOWER, 1 LAiTNDRY TRAY, 1 WET BAR VALUATION OF PLUMBING 3800 APPLICANT PLUMBING FIXTURE FEE 47.50 ALTA HEATING&PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 1.90 19260 MUSHTOWN RD PRIOR LAKE,MN 55372 MAIL-IN FEE 1.50 �� TOTAL 50.90 Minnesota State License#:004916PM OWNER COLEMAN, SHARON 2280 SHADOWOOD DR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT T'he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be wmpied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consWction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due�use. �7'I�(,e�i_.l l� / / 0/ ��p � �, '� Applicant Permitee Signature Date Issued By Si re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESC ABOVE. .� t FOR CITY USE ONLY , ,¢p1�'�;.. City of Orono P.O.Box 66 Date Received: Permit# t � �` 2750 Kelley Parkway a �:`�R• } Crystai Bay,MN 55323 Approved By: Amount$: 9+ �,+ " bo` (952)249-4600 ��asxo4`; CITY OF ORONO-PLUMBING PERMIT (All Commercial permiu must be approved by the Building Official or Inspector) 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 pertnits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new conshvction or remodeiing 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 A 1 /�esidential ❑Commercial(Approval Required) ❑New n�, Additiona��1?�P/ ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior aaarovat and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: ��(�D ;�����'l �� , Owner:�J�' I 1 L'l ��u�r��'�,� Mailing Address: � �(�}�j��i-V� �� �J� ' �A City: � �U l � Zip: C���j�� Home Phone:"I��t-14-�`-��`� Alternate Phone: � Contractor Information: Contractor: -1 � IL I�ontact Person: ��1,� `� \, �'� t ��� � 1,, � Address: �G�. �,Q.� U�YI StateBond#: �a 31 D �b88� P� 'rn � City: � �-C, Zip:��Expiration Date: Phone: q�1-4'-����j��t� Alternate Phone: �Ljf�-�(„�(� ',37�� . [� Insurance-Current: ����(�(',� �r� � 1 �.Sl�l-�L�� � � � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTI-IER FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory r Sewer Ejector 1 Bathroom Laundry Tray � Shower ' Washer Kitchen Sink Waker I-Ieater Disposal Water Softener Dishwasher Wet Baz ` Sillcocks Miscellaneous PERMIT FEE CALCULATIi�N(S) BASED O�'F-2(�2 STATE STATUE ❑ Yes,this section applies The replacem�t of a Residential fixture or appliance that meets all three of the following requirements: 1. s not require modification to electrical or gas service. 2. Has a to�gt 1 cost of$500.00 or less;excludina 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. State Surcharge $ .50 Mail-In Fee(If AppGcable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Nert Page) 2 s � PERMIT`FEE CAtCULATION S —JOBS OV'ER 5500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE "is 1.25%of contract price with a(Minimum Fee of$35.00) ��iw xA125$ �� � � (contract price) (minimum$35.00) 2. STATE SURCHARGE '�*Add the State Bldg Code Div.Sutcharge(Minimum Fee of$.50) �� X.000s s � . °�' � (co►,c�c rrice> cminin►um s so> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �/ �/ •-� v ■ " CO1V'I'RACf PRICE or JOB COST means the actual or estimated dollaz amount charged for the pe�mitted work including materials,labor,profit,and other fixed costs. It is the amaunt to be charged to the customer for the work done. If any material,equipmeirt,labor or installations are fumished by the owner,tenant or any other pazty,the reasonable mazket 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 51,000,000 or$.50—wluchever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUNIBING PERMIT APPLICATION AGREEMENT 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 a11 statements made on this application are complete, true and cotrect. ApplicanYs Signature: ►V'` Date: �J` � � � Reset Fam 3 v � `•C� D T TIME � CITY OF ORONO ALLED IN Q � D�7 INSPECTION NOTICE SCHEDULED � ��"J � � �4� PERMIT NO a -DD! C MPLETED �- ADDRESS � � ` OWNER CONTR. TELEPHONE NO O /� CI ,5 ��3 77 � DESCRIPTION �` � � �`l�.-� � ❑ FOOTING ❑ MECHANICA I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � �LUMBING FINAL ❑ FOUNDATION/REMOVAL � WNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � _. _ . . _ � � - �� �_� _ . . _ __. O � . __ _... _ . ._ _ _ __.. -- -. . .. .. W � � • _Q � . - ----�- ---- - _ . . .__ . . _ _. _ . . Z W _ . _ . . � - W � � � d � W� ❑WORK SATISFACTORY:PROCEED �] PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION _ TEMPORARY V BEFORE COVERING " PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN _ ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on�ite: Inspector. _ �,J� '� � White Copyllnspector's File Canary CopylSite Notice