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HomeMy WebLinkAbout2010-00322 - plumbing " CITY OF ORONO PERMIT NO.: 2010-00322 2750 KELLEY PARKWAY � ' ORONO, MN 55356- DATE�ssuEn: 05/07/2010 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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: SEWER EJECTOR ONLY-OK'D BY LYLE VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 COPPIN WATER& SEWER STATE SURCHARGE PLBG (VALUATION) 4.00 864 QUAIL PKWY WATERTOWN, MN 55388- TOTAL 104.00 OWNER HANSON, MATTHEW&JAMIE 2060 SPATES AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time alter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /_ �� _ 7_�G� ���, [,r'1�ww» � � � � ��� � ��'� � �����.l:�y'� � � � Applicant Permit Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. T � FOR CITY USE ONLY �,�p�,� City of Orono � 1 . P.O.Box 66 Date Received: Permit# �n(j 1 �,, 2750 Kelley Parkway �i � �ei�� � a� ,r:�: F( Crystal Bay,MN 55323 Approved By: Amount$: ����Ho��o~ (952)249-4600 CITY OF ORONO— PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply far plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two worlcing 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 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)2�49-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) � �Residential ❑ Commercial(Approval Required) ��New ❑ Additional ❑ Repairs ❑Repiace ❑ 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: r��6 n $�'�� }-C'�i ,4, .Q t�,r�n� ,,,,nJ S 5 3 q I Owner: (1'lv,�i��� N.in�.� Mailing Address: Sa,,,,�Q city: ��a n�. zip: �S 3 91 Home Phone: q 5 a- 5�`I -C�7� Alternate Phone: .� el�,- r�a;3 r_zS Contractor Information: Contractor: ��� �,, �l ; �„�,��( Contact Person: (�; l� CQ�a�f� Address: ��,y q�,a`� p,� _ ,� State Bond#: � S a a 3 q c 9 City: t.C,��{�e �oi,,,p. Zip:553�,�, Expiration Date: ��a� 31 � � � Phone: Id'St�� �9 7T_ Alternate Phone: ❑ Insurance— Current: ��� ��(�� 3�j ��T— 1 T . � . � 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 secrion applies The replacement of a Residenrial fixture or anpliance 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 fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 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$50.00) �(�l>�� , ��� x.0125$ (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 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 fumished 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. Far 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 on this application are complete, true and correct. Applicant's Signature: j�.,,.,v 4�,Nr,.;.� Date: � — 7 �- � (�__ 3 , . �- ----�- �� � � .. ) � tJ�`�"y � � � �-, �� ���`�� � o Fa� ��� � � � �� ��`� `� � � ` - � � � � , c�� ' . s � " � ✓ �. � , . . . . . ._ _ . � �C i _ � �O , `J � � , � �O r r- AIJ , �d D�S�.c�u,��e `� � , � �►(�C? �o cart+�� u� � . , t���h i�kQ. F(oo � ; ��( 0�" Wv.\� ; �c� r:2 i�Ld < �{'' SQ�e� s�G . � ��- ��l L ' , �vd-� - _ < � L _ � Q � , 1� L � �IXo1 � �. �re�' � . � p;�er ,—�} � • VOU�c�S i�aKP �j¢uiQC �Sec.�u,� W�`tir. Qc�.tl � Yt).,\t�Q� �-Ghc.t'�.�Q. ��d(' , ` pc�rn(� ko �5�-� i\oyoua P2r �►.� t � 0��'c \O' c� !-1e.� c - �� �,l�cc Po�� 1. f � Qp �o-�, �'UMQ '�'�i�K �::�h, a M:n��U� a� �n' c�.wa� F�e�rn �a:o(��,r�-y 1:reS <..n� �.�d.'� { � y,� 5 i.l� �o 6------ g�au:.�-� �a To.nbC ,Jc,ic( f2r�od�e ' a,� � c�� 6 0 � �a�+ e.S ,��� � , r J��'1�� �4v e.. � � � . r �� ��''�- �cr ✓ ITY OF ORONO C�N �<��C� TIME C o���� " " INSPECTION NOTICE SCHEDULED PERMIT NO.�GYD—+��.3��OMPLETED � ADDRESS � OWNER TELE HO NO. � `��� � CONTRACTOR � . a DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o �,�W .e1' --L S �T' S ��-+�C�� � l�f I� cJ �' �— �) T� � f �� ° i c�v SC� W � Q � z W � W � � � ��KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 Owner/Contractor on site• Inspector. i �,� White Copyllnspector's File Canary CopylSite Notice