HomeMy WebLinkAbout2010-00177 - plumbing � CITY OF ORONO PERMIT NO.: 2010-00177
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE�SSUEn: 03/29/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1480 SIXTH AVE N
PIN : 26-1 18-23-32-0008
LEGAL DESC : DOUGLAS ESTATES
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMB(NG (>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 2ND FLOOR: WATER CLOSET,LAVATORY, SHOWER
VALUATION OF PLUMBING 3400
APPLICANT PLUMBING FIXTURE FEE 50.00
STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 1.70
112 E STH ST
SUITE 101 MAIL-[N FEE 2.00
CHASKA, MN 55318 MISC FEE 0.00
(952)361-0128 TOTAL 53.70
OWNER
HAUSER, ROBERT& SALLY
1480 SIXTH AVE N
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
'fhe work for which this permit is issued shall be performed according[o
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the wark described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of'180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�`�`� `�` � � �_ i i
Applicant Permitee Signature Date Issued By Sig ture ate
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOV .
.
�� City of Orono ��x�USE o1v�.�
f/�'¢' �\ P.o.Box 66
f� a�� Date I��ceived; Percnit#
��,, 2750 Kelley Parkway
1�`_ „-. p Crystal Bay,MN 55323 Approved B}r: Amount$:
` ,�¢`� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL�NFORMATT�N
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 iOB SITE
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When ary new construction or remudeling 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)
TYFE O:F'FEII��IIT
C�ck.�.0 That A
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Re lace
P
❑ [n Accessory Structure?
*You will need nrior auoroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Informatic�n:
Site Address: (y� � Y �� � C
Owner: �V6e.�°1 ��s• Mailing Address:
City: �J �.s�c"��` ', Zip:
Home Phone: Alternate Phone:
Contraetor Information:
Contractor:S��j►�c.�.oi���r-�rH�. �+-tL Contact Person: �i� � 1 �"-�dfi�
Address: ���'=���'r `��''��-l�� State Bond#: ��� � -�
City: �� "`"� Zip:s� 3�� Ex iration Date: ! � � t ' ��
P
Phone: '��v Alternate Phone:
�s��.--�,/--C%� z�
❑ Insurance—Current: � ���- � �
1
�
� ; � ��., ,
r A _
f P �� �"
,� �,�,� ,�g''4s
FIXTURE BSM7' ls 2 OTHER FIXTURE BSMT 1` 2 " OTHER
TYPE FL FL TYPE FL FL
Water Closet r Floor Drains
1
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
�� �� � � n � �
� �� � ��`� ` � � ' � ,�� � �� ��
�*�t` a4 � a �'. � 3�
❑ Yes,this section applies
The replacement of a Residential fixture or a� liance 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) $ 2.pp
Total Permit Fee $
{Permit Fees Continued On I�Iext Page)
2
r
�: � � .,.. � ,
� � . ,» y <<��� ,.
"� '8� .,,�. E�.. �., :.,z sro
„f t � v
F,k-,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�3, �lb� °�—' x.oi2s $ ..�� ��'
(contract price) (minimum$50.pp)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
3u�C�°` :� � � ?�
X.000s $
(con[ract price) (minimum$ .Sp)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMYT FEE(Add Lines i-3 Above) $ � ,,'�v}��.�'
• * 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. [t 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 bc 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, [he City may request the submission of a signed copy of the actual conlract.
■ ** The STATE SURCHARGE is .0005 of the contract price under$I,000,000 or$.50—whichever is
greatcr. For valuatiuns over$1,000,000 call lhe Building Department at(952)249-4600 for the price.
�� "" ,�t�:� �' ,�, ��
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 [he City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. �
r`� � �
Applicant's Signature: --'�� -���/ `� ^��'��
Date:
� .:�.. �.. `�.�µ,
3
� , r V
I qATE TIME � k�
CITY OF ORONO �" cALLED IN � I � I f� ��
WSPECTiON NOTICE „� CHEDULED � �-' �
PERMIT NO.c�(� I �.� L'C'� � �con�P TED
ADDRESS__ � � �C- �� � X��� �v-t' �, -
OWNER CONTR. c> t F I {� fC��,( C
TELEPHONE NO. �-� �7�' ?��C I — C�' I c� �(,(��
J
� DESCRIPTION ��� �-'L�� �—
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑.FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O � �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEM(�-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
�
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
W
�
Q
ti
Z
W
�
W
�
�
d
W� r�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on sit :
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
K I D E TIME �
CITY OF ORONO CALLED IN � ��
INSPECTION NOTI�i E SCHEDULED �D �
PERMIT NO. /�'�� COMPLETED � �`
ADDRESS � 8� ��
OWNER /,�n�S TELEP,HONE N0.9.�a-�i-oi ��
CONTRACTOR J7'G�rI�Lc /� �S� �S
� DESCRIPTION ��� �' '�'`
W ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT
v ❑ 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
v�, COMMENTS:
�
W
�
J
O
�.
�
O
�
W
�
Q
�
2
W
�
W
�
�
W ❑WORKSATISFACTORY:PROGEED �ROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CAIL FOR REINSPECTiON TEMPORARY
V BEFORE CQVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Ca11 for the next inspect' 24 hours in advance. (g52) 249-4600
Owner►Coniractor
Inspector.
White Copy nspector's File Canary CopylSite Notice