The URL can be used to link to this page

Home My WebLink About2011-00125 - plumbing f � CITY OF ORONO PERMIT 1Y0.: 2011-00125 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE issUEn: 02/23/2011 952 249-4600 FAX: 952 249-4616 ADDRE�3S : 2256 SHADYWOOD RD PIN : 17-117-23-43-0125 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 2 WAT�R CLOSTTS,3 LAVATORIES, 1 BATI ITUB, 1 SHOWER, 1 KITCHEN SINK,2 SILLCOCKS, 1 I,AUNDRY TRAY, 1 WET BAR VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 � BETZ PLUMBING STATE SURCHARGE PLBG (VALUATION) 5.00 22667 NOLAN AVE N SCANDIA, MN 55073- TOTAL 67.50 (651)245-2455 OWNER BURKE, FORREST&RENEE 2256 SHADYWOOD RD WAYZATA, MN 55391- AGREEMEIYT AND SWORN STATEMENT "l�he work for��hich this permit is issued shall be�erformed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Codc. This permit is for only the work described and does not�rant permission for additional or related�vork which requires scparate permits. All provisions of laws and ordinanees governing this type of work � �shall bc compied wiUi�vhether or not specified herein.'I'his pennit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any lime atter work has commenced. The applicant is responsible tor assuring all required inspections are requested in conformance with the State Building Code.This permit may be � rev ai y time for du ause. ��. � �v� �� ,. �.._ � C,ryy��/`�� ,, � � � �� i �- i pp ' an 'ermit . ��nature Date Issued I3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � f FOR CITY USE ONLY � Q City of Orono �� • ¢ � ` P.O.Box 66 Date Received: Permit# � � Q` 2750 Kelley Parkway � �}�� F Crystal Bay,MN 55323 Approved By: Amoimt$: t °� • . o� (952)249-4600 , �, �'..�ieT�p4_..:- CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) 3�ttt� �'��<�ii;.��lT �a,t�%F`�'�,�3!�'�)��!n€ �I�mi�t�la�res�at� . df GENERAL INFORMATION L You may apply for plumbing permits by mail ar 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 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 invoived,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 oeed urior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: OS�Sl0 � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �,�Z��t j1C1 Contact Person: � J Address: v�o�(a(�7 h�0��.,� Av /� State Bond#: Cp��D'Pm City: JCc.�,�,c,�,a Zip:�3 Expiration Date: /07 -J��- o2U// Phone: (o5�'d25(S- �c�,SS Alternate Phone: ❑ Insurance-Current: �e5 1 t . ��;,�; . �� . ��'�"�� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet r� Floor Drains O� Lavatory � Sewer Ejector Bathtub ' Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Baz Sillcocks n Miscellaneous G� , � ;; ��'��'�� ;�"��: � � � _ „. �� , � � �, , ��i��,�:�3��;,'��'i�i��1C�_ u ,� „ � , a ,, �. P��. : � , . � „ •. �t xa�ti�. : ❑ Yes,this section applies The replacement of only one 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 plumbing 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 Conrinued On Next Page) 2 . ; �.'��1�"'��I:�I.�=I:,�� -:J��`^C��`�>��,' ' °: ` '- If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �Mlr� x.0125$ (conuact price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) x.0005 $ (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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 installations 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$5.00—whichever is greater. For valuations over$1,000,000 cail the Building Department at(952)249-4600 for the price. ��,� �� '';� � ' C�.�(�T�ra,�+azu�,�rm' T'he 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 Signatur • Date: ��a� �/ �� x 3 � D T�,/ TIME � CITY OF ORONO CALLED IN °�-3 T INSPECTION NOTICE �SCHEDULED S-2S-// � PERMIT NO. ad�I— DD�O7S COMPLETED << �� ADDRESS A�aS� ��lu�l G(llY�C✓ � OWNER TELEPHONE NO. �yl Z`f-s Z�S� CONTRACTOR �� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W �1lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next" ion 24 hours in advance. (952� 249-4600 OwnerlContra or e: Inspector. White Copyllnspector's Flle Canary CopylSfte Notice