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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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (1)WATER CLOSGT,(2)LAVATORES,AND(l)BATHTUB VALUATION OF PLUMBING 9000 APPLICANT PLUMBING FIXTURE FEE 112.50 SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 4.50 1521 94TH LANE NE BLAINE, MN 55449 TOTAL 117.00 (651)786-4007 Minnesota State License#: 058799PM OWNER BALAN, TODD&ALISON 2001 SUGARWOOD DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of[he date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� �i�� � l l6 i �� `� ��if,Gt��� ,�P � � C] Applicant Permitee Signature Date Iss e y Signature Date � SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. �� � h ` F'flR CIT'Y'USE dNLY � �,���� City of Orono P.O.Box 66 Date Received< Pertni€# 2750 Kelley Parkway � � Crystal Bay,MN 55323 Approved By: T qmount$: � (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� � Address: / State Bond#: �l„�U'$�y71,�� . City: � Zip� Expiration Date: �o� ?D/� Phone: "7��i" /��o-���� Alternate Phone: 7G�i-�tv" ��� ❑ Insurance-Current: 1 .� . 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 y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � � �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� White Copyllnspector's Ffle Canary CopylSite Notice