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Home My WebLink About2010-00152 - plumbing . ! � CITY OF ORONO PERMIT NO.: 2010-00152 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE�ssuE�: 03/17/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 725 SIXTH AVE N PIN : 25-118-23-33-0004 LEGAL DESC : iJNPLATTED 25 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)WATER}IEATERS VALUATION OF PLUMBING 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 LEVAHN BROTHERS STATE SURCHARGE PLBG (VALUATION) 7.50 12700 BASS LAKE ROAD TOTAL 195.00 MAPLE GROVE,MN 55359- (612)551-8990 Minnesota State License#: 003188PM OWNER Spring Hill Golf Club 725 SIXTH AVE N WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buiiding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shail be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confor ance with the State Building Code.This permit may be rev d at any ti for e cause. � � .�� _ � � � �7 /� pplicant er ' ee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . � FOR CITY USE ONLY ,�p� City of Orono �� P•O.Box 66 �Date Received: Permit# �;,,,; � 27�0 Kelley Parkway a ��'�,��. F/ Crystal Bay,MN 55323 Approved By: Amount$: ��^�,�g�$o` (952)249-4600 � CITY OF ORONO- PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or]nspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail ar in person at the City offices. Applicarions will be reviewed and a pern�it will be issued within two working days. 2. Pern�it cards will be sent by returri 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 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 �f Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs � Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: 76� � ��/, Owner: ��,-�`h� �,�� (��(��v� Mailing Address: City: ��-'�'l C) Zip: �� 7� l Home Phone: ��?�j� - Q�7y Alternate Phone: Contractar Information: Contractor: �� N1 . �i�^ C� Contact Person: �GZ � � ��,7� Address: f�2 7 (�O ��j s� ��'/I� State Bond #: City: ' 1 Zip:�� Expiration Date: Phone: 7� s - �S/ -�%�'� Alternate Phone: ❑ Insurance- Current: 1 . .. . . '� � �, � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ 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; excludins 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 Pemut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ,.' � � � PERMIT FEE CALCI7�A'TLON(S --�TOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) r — / b�y x.0125 � ontract price) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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 far 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 Deparhnent at(952)249-4600 for the price. , PLUiVIBING PERM:IT 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 all statements made on this application are complete, true and correct. Applicant's Signature: � , Date: �"—� 7� /Q 3 � � `—�� DAT TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _ f�;30 PERMIT NO.��d -�d�s� co PLETED ADDRESS � S (-� ��- OWNER TELEP ONE NO. �� aa-�7�� CONTRACTOR �/ -S ' � DESCRIPTION (/VK�-�`C_. u4, �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a - o! - 5a a�'- ��f� � J O � � O � W � Q ti 2 W � W � � d r W� ❑WORK SATISFACTORY:PROCEED ) PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z) Z49-46�� OwnerlContractor on�site: Inspector._�o,�/_oC{ White Copy/lnspector's File Canary CopylSite Notice