The URL can be used to link to this page

Home My WebLink About2011-00184 - plumbing � , CITY OF ORONO PERMIT NO.: 2011-00184 � ' 2750 KELLEY PARKWAY a t ORONO, MN 55356- DATE IssuED: 03/3U2011 952 249-4600 FAX: 952 249-4616 ` ADDRESS : 110 SMITH AVE PIN : 02-117-23-21-0026 LEGAL DESC : ORONO ORCHARDS HIGHLANDS : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)EACH KITCHEN SINK,DISPOSAL,DISHWASHER, LAUNDRY TRAY,WASHER VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 DANA HOAGLAND PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 5.00 410 REGENCY LANE W HOPKINS,MN 55343- TOTAL 105.00 (952)935-5150 OWNER FISK,JAMES 1 l0 SMITH AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work -,shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. ,The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be tevoked at any time for due cause. ,, _......._.�---- i3/ i avr� � i a�l i / ,Applicant Permitee Sig ature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . FOR CITY USE ONLY 4�� City, of Orono P.U.Box 66 Date Reccived: Permit tl "��;, . �� 2750 Kelley Parkway �'`.� ��'� r� Crystal Bay,MN 55323 Approved By: Amount$: ��0� (9521249-4600 CITY OF ORONO — PLUMBING PERMIT (All Commercial Pennits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 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. PERNIITS ARE NOT VALID UNTII.,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. Ail 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 reqaired) TYPE OF PERMIT Check All That A 1 � [�Residential ❑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: �� S YYl \��_�1( � - Owner: �(�.VYI�� S\L Mailing Address: I� b S�(Y� I�� c�ri: �v� ��o z�p: 5�� 1 Home Phone: Alternate Phone: Contractor Information: �� 1�a��1.(��G Contractor: 1 v�(. Contact Person: �(�L�� V��( y�o �Lec,e� l,v� vv Address: State Bond#: S,p,��\4'��-1�t-1�-t City: 1ti��_ Zip: 5�3 Expiration Date: �I�`i j � 1 cn�Z Jl.��u� (,e�1 �, Phone: °13�-S\�� Alternate Phone: l.e\2 � �jU2�L�3-1 �-�� v�5• ��-�:. ' [� Insurance—Current: b�y��'�y �� l�v��e � fl o�-z��v�-P�nn 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet i ,L ' Floor Drains Lavatory ` � 1 Sewer Ejector Bathtub 1 ` Laundry Tray 1 Shower I ` i Washer 1 Kitchen Sink 1 Water Heater Disposal Water Softener � Dishwasher i Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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;excludinQ the cost of the�xture 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 $ I 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S -JOBS 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$50.00) Ui �� x.0125$ ��U (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) 8 , uu o X.0005 � sl' S (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $�� 1 U� ■ * 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 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT 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 this • plication are complete, true and corre�ct. Applicant's Signature: _ _ Date: �}-��J � I� Reset Form 3 �� / � DATE TIME V CITY OF ORONO ��CALLED IN `I �a��I l � r , � ; INSPECTION NOTICE _ � SCHEDULED � � �� ; PERMIT NO. _-� �-(( ��I� COMPLETED � ADDRESS � C.,.� �� 'Yl I'�{ (/1 �� , OWNER TELEPHONE NO. L[(�'�'G -Z131 CONTRACTOR � �'1i ��_� �--I L�'��l IGl1'"�C� �I��'�1� �: DESCRIPTION �� -� ��I ✓�CI �I J- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACT H�EEf YOU: YES_NO � COMMENTS: 1 C� "� � ' � W 0. � ,` ( r� �,� o S_ � � 0 � W Q � � �T ,1=� ,;r A fi�J � Z � l�^ .��t�,c,`�. r r1' —rz'� fi— �' � �f;,� � W � � d W ❑WORKSATISFACTORY:PROCEED L PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 Owner/Contractor on sit�: Inspector. �1- White Copyllnspector's File Canary Copy/Site Notice �f � S,� D E TIME � CITY OF ORONO CALLED IN 7 �� INSPECTION OTICE SCHEDULED �� v PERMIT NO. �� - 1� COMPLETED ADDRESS �l� �S�'lif�7`�li �Z�(1-�� OWNER TE PHONE NO. � �^ �� CONTRACTOR � � �'� a��7 � DESCRIPTION � � O �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TFEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a o !--?��l f�G. `�-v� �..J�.�r(�� ( � � �� .� � � , .`�� G�, C��t�'n,w•��' c�? ,��l,� W � Z �-� ' l C - T' ("rr �I/�' � W � W � � � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 ho rs in advance. (g52) 249-4600 Owner►Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice