HomeMy WebLinkAbout2010-00323 - plumbing �
� CITY OF ORONO PERMIT NO.: 2010-00323
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: OS/07/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2060 SPATES AVE
PIN : 10-117-23-31-0096
LEGAL DESC : ORA PARK ON LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 1 WATER CLOSET, 1 LAVATORY, 1 WET BAR
VALUATION OF PLUMBMG 2200
APPLICANT PLUMBING FIXTURE FEE 50.00
PH MECHANICAL STATE SURCHARGE PLBG(VALUATION) 1.10
5056 SULGROVE RD
MOLIND,MN 55364- TOTAL 51.10
(612)418-1123
OWNER
HANSON, MATTHEW&JAMIE
2060 SPATES AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,appiicable City approvals,and the
Sta[e Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit wili
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applica s r sponsible for assuring all reyuired inspections are
requeste n co ormance th the State Building Code.This permit may be „���,-J _
revok at time for e cause. � ��
� �� - �_/
i i �—�--/�--�-. � c'me-�-�'' i i
Appiicant Permitee Sign Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE.
r �-
. , FOR CITY USE ONLY
,�p�, City of Orono
O n, O P•O.Box 66 Date Received: Permit#
�,t 2750 Kelley Parkway
a ���1��Ati. F Crystal Bay,MN 55323 Approved By: Amount$:
���,t��i�..�o` (952)249-4600
CITY OF ORONO-PLUMBING PERMIT �Z�
(All Commercial permits must be approved by the Building Official or]nspector)
GENERAL INFORMATION
1. You may apply for plumbing pernvts by mai] or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Perniit 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 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. Al] 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 �Eldditional ❑Repairs ❑Replace
❑ In Accessory Sh-ucture?
*You will need prior approval and may need C,UP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: o��(,�O s A�,�,�}- S /�v� �r�n o M n S;S,�/
Owner: �G�� �.,,n, Sr9 V� Mailing Address: ,S�vn
L
City: c�r''Dr��O Zip: `J3,,3� /
Home Phone: �So?-,�y'�- dS�/ Alternate Phone:
Contractor Information:
Contractor: j�'�,f��Z�(��h; r,�,� Contact Person: h'/�UL r r•1�-�°
Address: ,�-��, �,,�,�vrc� � State Bond #: f'�y p Syc�_
City: ��u��1 Zip�3� Expiration Date: �-j,/-/�
Phone: ���-�{l� /(�„��_ Alternate Phone: �-y71-(� �/� �G,�
❑ Insurance- Current: ���,,,�, ���
1
� 1
► ,
,
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL 'FYPE FL FL
Water Closet Floor Drains
l
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower W asher
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;excludine the cost of the fixhue or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
r �•
+ .
,�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�J
��8�'� x.0125$
(contract 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 Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the
pernutted 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
esrimated 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: Date: �� �'—� �
3
1 �
� �— DAT TIME V
CITY OF ORONO CALLED IN �a
INSPECTION NOTICE SCHEDULED a �-' �
PERMIT NO.a0�0, DC��3 COMP�ETED �� f�
ADDRESS �� U �Ad Q�-l� �� 1
OWNER TELEPHONE NO.�L�- �`"l� l` �
CONTRACTOR �� �!/� ��ifi1�
�: DESCRIPTION ` � �"' `�
�
� ❑ FOOTING ❑ PLUMB FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECH CAL 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ MO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITION WiTNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContract on i •
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
�<O — — DATE / TIME ✓
CITY OF ORONO CALLED IN �/�� �
INSPECTION NOTICE �c HEDULED � �- �
PERMIT NO. � a'����1 r�, MPL
ADDRESS �
OWNER EL PHONE NO. ��— ������
CONTRACTOR
� DESCRIPTION �` `
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ I.AKESHORENVETIANDS
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. 0 FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
�
W
C
�
�
O
� % ;��-v/-P S'
0
�
W
�
Q
�
2
W
�
W
�
,
O
� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice