HomeMy WebLinkAbout2010-00487 - plumbing r CITY OF ORONO PERMIT NO.: 2010-00487
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ►ssuEn: 06/16/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2001 SUGARWOOD DR
PIN : 34-118-23-21-0009
LEGAL DESC : SUGAR WOODS
: LOT 001 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE:
(1)WATER CLOSGT,(2)LAVATORES,AND(l)BATHTUB
VALUATION OF PLUMBING 9000
APPLICANT PLUMBING FIXTURE FEE 112.50
SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 4.50
1521 94TH LANE NE
BLAINE, MN 55449 TOTAL 117.00
(651)786-4007
Minnesota State License#: 058799PM
OWNER
BALAN, TODD&ALISON
2001 SUGARWOOD DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I80 days of[he date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Iss e y Signature Date �
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
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` F'flR CIT'Y'USE dNLY
� �,���� City of Orono
P.O.Box 66 Date Received< Pertni€#
2750 Kelley Parkway
� � Crystal Bay,MN 55323 Approved By: T qmount$:
� (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
������������ ,
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 cazds will be sent by rett�rn mail after a review is completed. PERMITS 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. 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 QF PERMIT`
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need�rior auuroval and may need CUP.(Per Orono City Code,Chapter 78,Article N)
Jc3b�1'�;1 t7Wrle�'"it�fc�ttTlati�ri:
Site Address: 07��
' ` �Owner:��� �� - - Mailing Address:
City: �xa Zip: ���
Home Phone: ��� -?�/� Alternate Phone:
Gontr�tor� c�rma.t��n:
Contractor: ,,t���l��lGtsJ`',�� � Contact Person: � L/�yJ�L�
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Address: / State Bond#: �l„�U'$�y71,��
.
City: � Zip� Expiration Date: �o� ?D/�
Phone: "7��i" /��o-���� Alternate Phone: 7G�i-�tv" ���
❑ Insurance-Current:
1
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. 1
FIXTURE BSMT 1 2 OTf�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
❑ 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 fi�ure 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 Surchazge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
.. �
.
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��,OIY�� x.0125$ ����
(c tract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State B(dg Code Div.Surchazge(Minimum Fee of$.50)
�'�c�`� X.000s $ y�
(c tract 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 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$1,000,000 or$.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.
� �
ApplicanYs Signature: � Date: �d ����/
,:.,, , ,.,,,,� "'I'�
3
� / DATE�� TIME V
CITY OF ORONO CALLE�iN �� �
INSPECTION OTICE SCHEDULED -�' � �
PERMIT NO. —�� �7 COMPLETED
ADDRESS ����
OWNER l�r� � TELEPHONE NO.7h3 �� �`��
CONTRACTOR
>; DESCRIPTION ��`�h� �T
� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� �1NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COHERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952) 249-4600
Owner/ConUact r on e•
Inspector. l�
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