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HomeMy WebLinkAbout2010-00103 - plumbing � •- CITY OF ORONO PERMIT NO.: 2oiaooio3 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1910 SHADYWOOD RD PIN : 17-117-23-24-0020 LEGAL DESC : SHADY-WOOD : LOT 031 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)EACH: WATER CLOSET,LAVATORY,SHOWER,FLOOR DRAIN,LAUNDRY TRAY,WASHER, WATER HEATER,AND WET BAR VALUATION OF PLUMBING 2700 APPLICANT PLUMBING FIXTURE FEE 50.00 MANATEE PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.35 11525 199TH CIRCLE TOTAL 5135 MN 55381- (612)756-1172 Minnesota State License#: 005923PM OWNER MCMANUS,JAMES&MEGAN 1910 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be d at any time for due c � � a� �o35, ��0 Applicant Pe ee Signature Date Iss e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � • i ' F R ITY SE ONLY O,�p�O City of Orono �ry p/� P.O.Box 66 Daie Receive. ��Perrnit# C�.�r�'� 2750 Kelley Parkway � �. � � Crystal Bay,MN 55323 Approved By:' Amount$:��r� ��` (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Officiai or Inspector) GENERAL,INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applicarions 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 permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construcrion 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) TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior annroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � � t 0 5�no��`A�pp� {��, Owner:�i M iM� rv�.a„�v� Mailing Address: �� m,P City: ��f O Y\p Zip: Home Phone: Alternate Phone: Contractor Information: '' Contractor: ��ne��QQ Q�y��;,�q Contact Person: ,�tg�4 ��ef Address: I (Sa� I`(4��'C i rCl�P State Bond#: c(�O�� 7� City: �J cl vr., lc�l� ZipSS�g� Expiration Date: ��- 3 l� I O Phone: (�(���s',(o��'� a, Alternate Phone: ❑ Insurance—Current: 1 � , � : , w;.„,. �� , . T �� ,. � u �, s � �, FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains ' Lavatory � Sewer Ejector Bathtub Laundry Tray t 1 Shower � Washer � Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar } ! Sillcocks Miscellaneous ❑ Yes,this secrion applies The replacement of a 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 contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Negt Page) 2 � , , , If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� �b0 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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 installarions 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuarions 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: _ Date: v�^v1 rj— � � 3 �—�� �,J — " AT TIME �F, CITY OF ORONO CALLED IN ��� INSPECTION NOTICE SCHEDULED o2 /!� � PERMIT NO. a0/D-00/Q,.3 COMPLETED ADDRESS ,�9�� �G�CCQ"�G��� OWNER TELEPHONE NO�� '� -��7 °2 CONTRACTOR Q�I�—�-- - �U � DESCRIPTION ����%�7� C �� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL �`ImE'CHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � ^ r 0 � W � Q � Z W � W � j a ,�� � � Gf10lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: � Inspector. White Copyllnspector's i e Canary Copy/Site Notice <��i'�` D TIME ✓ CITY OF ORONO CALLED IN °� � INSPECTION NOTICE SCHEDULED a�_��� 1 '� PERMIT NO.e9D/D—����.3 COMPLETED ADDRESS lQ�� s � � OWNER TELEPHONE NO. �P�Z 7`�,F ��72 CONTRACTOR �I� ��� � DESCRIPTION � �`�`" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � O RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �CO CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Cail for tl�next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice �j[J( TIME v CITY OF ORONO cALLED IN INSPECTION NQ���/O� SCHEDULED � �_ PERMIT NO.ozA COMPLETED ADDRESS �71D lJ�l.�J�Oa � /Cs� OWNER TELEPHONE NO. ��Z 75�0 ll7Z- CONTRACTOR Q�� a DESCRIPTION � �N� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPlA1NT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMB L ❑ FOUNDATION/REMOVAL � OWNE ONTRACTOR TO MEET YOU: YES NO � COMMENTS: � W a � J O a � O � W k Q � 2 W � W � � � � ❑WORKSATiSFACTORY:PROCEED I�OJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTORIMLL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ IfVSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner/Contractor on si : Inspector. � White Copyllnspector's File Canary CopylSite Notice