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Home My WebLink About2009-00606 - plumbing � CITY OF ORONO PERMIT NO.: 2009-00606 ,. 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE IssuEn: 09/2 U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1980 SIXTH AVE N PIN : 27-118-23-42-0004 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT: 1 WC, 1 LAV, 1 BATHTUB 1ST FL: 1 WC, 1 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 EARL W. DAY& SONS,INC. STATE SURCHARGE PLBG(VALUATION) 7.50 P.O.BOX 294 TOTAL 195.00 LONG LAKE,MN 55356 �) OWNER PIERPONT,JUDY 1980 SIXTH AVE N LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo t any ti for ue c �1 ia� i4 � � plicant Perm' e Signature Date Issued By S' ature Da e SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB . s FOR CITY LISE ONLY A` City of Orono ' ^ �¢O`r�` P.O.Box 66 Date Received: Permit# �//O�� 2750 Kelley Parkway �� '�• r ' Crystal Bay,MN 55323 Approved By: Amount$: � ��'%,v.ae (952)249-4600 \��o�'� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL 1NFORMATION 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. Per►nit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNT1L YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Piumbing 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 A 1 ) � Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior apuroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: 1980 county Rd 6 Owner: Pierpont Mailing Address: City: Orono Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Earl W. Day&Sons inc Contact Person: Jeff Johnson Address: 520 Brimhall Ave. Box 294 State Bond#: 23310580 Long Lake 55356 12/31/09 City: Zip: Expiration Date: Phone: (952)473-8403 Alternate Phone: �✓ Insurance—Current: 1 . r PLUMBING FIXTURES BEING�NSTI�LL�D FIXT'URE BSMT 1 2 OTI-�R FIXTURE BSMT 1 2 OTI�R 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 : PERA�I'�F�,GA�.CLJI.ATI�I(S) : BAS��-�0�2 STA'1'�STI�TUE _ ❑ Yes,this section applies T'he 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;excludina 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) $ 2.00 Total Permit Fee S (Permit Fees Continued On Neat Page) 2 .� PERMIT FEE CALCUi.ATION S -J4BS OVER�50U.04 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 15,000.00 x.0125$ 187.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50) 15,000.00 x.0005 $ 7.50 (contract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 195.00 ■ * 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 materiai, equipment,labor or installations are fumished by the owner,tenant or any other party,the reasonable mazket 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. ■ ** T'he 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. PLLJMBING PERh�IT APP�.ICATION AGREEME�IT The undersignal hereby applies to the City for issuance of a Plumbing Permit, agrees to do a11 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. ApplicanYs Signature: Date: 09/18/09 Reset Form 3 ✓ �( � TIME CITY OF ORONO CALLED IN � � INSPECTION OTI E SCHEDULED � PERMIT NO. ""�� COMPLETED ADDRESS �/8D SG� � /�• j OWNER CONTR. � � ��. TELEPHONE NO. D /�� 'L 5�73 Bf�Q� '> � DESCRIPTION �/?>l!/7d `L� "" ��- l�1�d�"� u � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � y ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS i � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � d �L � ,�v �,�' 0 � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECO�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. s - White Copyllnspector's File Canary CopylSite Notice ,