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(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE:
BASEMENT: 1 LAV, 1 SHOWER, 1 LAiTNDRY TRAY, 1 WET BAR
VALUATION OF PLUMBING 3800
APPLICANT PLUMBING FIXTURE FEE 47.50
ALTA HEATING&PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 1.90
19260 MUSHTOWN RD
PRIOR LAKE,MN 55372 MAIL-IN FEE 1.50
�� TOTAL 50.90
Minnesota State License#:004916PM
OWNER
COLEMAN, SHARON
2280 SHADOWOOD DR
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
T'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be wmpied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if consWction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due�use.
�7'I�(,e�i_.l l� / / 0/ ��p � �, '�
Applicant Permitee Signature Date Issued By Si re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESC ABOVE.
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FOR CITY USE ONLY
, ,¢p1�'�;..
City of Orono
P.O.Box 66 Date Received: Permit#
t � �` 2750 Kelley Parkway
a �:`�R• } Crystai Bay,MN 55323 Approved By: Amount$:
9+ �,+ " bo` (952)249-4600
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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��
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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:
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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