HomeMy WebLinkAbout2008-00365 - plumbing t �
CITY OF ORONO PERMIT NO.: 2oos-oo36s
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 1U06/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1950 SHORELINE DR
PIN : 10-117-23-42-0012
LEGAL DESC : ORA PARK ON LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE:
(3)PLUMBING FIXTURES-(1)WATER CLOSET,(1)LAVATORY,(1)LALTNDRY TRAY
VALUATION OF PLUMBING 2000
APPLICANT PLUMBING FIXTURE FEE 35.00
WESTONKA MECHANICAL INC STATE SURCHARGE PLBG (VALUATION) 1.00
6501 COUNTY RD 15 TOTAL 36.00
MOLJND,MN 55364
(952)472-4966
Minnesota State License#: 058019-PM
OWNER
CORNEJO,MARIA
1950 SHORELINE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction au[horized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at a�time for due cause.
�� r _1
)C.`,.�' '� /V}yj°`'w- �1 � (P � o�1 /%���o �D
Applicant P rmitee Signature Date Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� �
' FOR CTTY USE O'YLY
�O,¢��0�` City of Orono -
P.O.Box 66 Date Received Permit�!
+ a;, I 2750 Kelley Parkway
�� ,�y���` � Cryshl Bay,MN 55323 App�oved By: Amount$:_
p� �r Z��:�G`�� (952)249-4600
taso4j
�__�-�
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permi[s must be approved by the Building Official or Inspector)
GENERAL INFORMATION �
L 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 workin�days.
2. Permit cards will be sent by return mail after a review is completed. PERIv1ITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL T1HE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to propert}�owners
residing in the dwelling.
4. When any new construction 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 Apply)
�Residential ❑ Commercial(Approval Required) �
❑New �Additional ❑Repairs ❑Replace
� In Accessory Structure?
*You will need arior apnroval and may need CIJP. (Per Orono City Code, Chapter 78,ARicle IV)
Job Site /Owner Infarmation:
Site Address: / �,$�C� :� �� v r�- � �n.i .�� ✓-{�
Owner: ,Pj i �� m�- Gr o S ��/ Mailing Address: lqESa S t- o r J r�y D�.,
City: Zip:
Home Phone: Alternate Phone:
'Contractor Information:
Contractor: �'--2�7G"k�, rz7-� i� L��.�rt Contact Person: R ��I,���c�. Y1,1c�i°t�ISd►�
Address: b '�� / G rx �i� IS State Bond #:
City: �v u n� Zip:S S3k�{ Expiration Date:
Phone: �I S2-y 7'2'`19S�i Alternate Phone:
❑ Insurance-Current:
1
� �
�, { v;3;' �', �(�'r .� ., '�`U'R�ES:�'BE1NG IN S TALLED �,� ��,. � . °���' g :
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2ND OTI�R
TYPE FL FL TYPE FL FL
Water Closet . � Floor Drains
Lavatory � Sewer Ejector
Bathroom Laundry Tray j
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
� PFRMIT FEE CALCULATION(S) ��� �
BASCD OFF - 2002 STATE STATUE
❑ Yes,this section 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;excludin�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 $ 15.00
State Surcharge $ 50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
♦
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
0
2� Ddd a� x.0125$ 2.�� Od
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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$1,000,000 or$.50—whichever is
greater. For valuations 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:C/ ��%�/ �1'Y4li�%�-� Date: ) ) � �p 1 Q�
3
�� DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED —��_f/7/oR �
PERMIT NO.��� ��D�OMPLETED
ADDRESS � ���� ` �Ll�}.f'� �� ,��
OWNER CONTR. (�if��� � yZ',�
TELEPHONE NO. Lr��7�a-`��� �����
� DESCRIPTION L/.�.��f� �-� �^�����
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL � LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL � SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YO _YES_NO
� COMMENTS:
�
W
C
o '1� C� �.c� ��--� I i !�s�? S
� -�.�� ,l�Q � �- �^ � � r
� V'V�oU�. �Ael �2L),.�. T� ���C:S��U�'
W
�
Q
z @ � (� ( _� ��c�/�
� � ��rc� <1 t�I S t �( j�t'�'C �.�.5 ,S �C�
�
�
a
W ❑WORK SATISFACTORY:PROCEED fl PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
Q�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� �BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfItRN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on sit :
Inspector. �,.� n �
White Copyllnspector's File Canary CopylSite Notice