HomeMy WebLinkAbout2010-00628 - plumbing � CITY OF ORONO PERMIT NO.: 2010-00628
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 07/27/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2103 SUGARWOOD DR
PIN : 34-118-23-21-0018
LEGAL DESC : SUGAR WOODS
: LOT 004 BLOCK 003
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: 2 TRENCH DRAINS
VALUATION OF PLUMBING 2200
APPLICANT PLUMBING FIXTURE FEE 50.00
B&D PLUMBING&HEATING INC. STATE SURCHARGE PLBG(VALUATION) 5.00
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- TOTAL 55.00
(763)497-2290
OWNER
WINKEY,TRAVIS&LISA
2103 SUGARWOOD DR
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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 construc[ion is
suspended for a peri d of 180 days at any time after work has commenced.
The app]icant ponsible for suring all required inspections are
requested i formance wi he State Building Code.This permit may be
revo y time for ause.
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�icant Per ' e Signature Date � � � �
` Issued By Si ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O
i
FOR CITY USE ONLY
"`p' City of Orono
t :"� � ` P.O.Box 66 Date Received: Pemiit#
`"� �`i, 2750 Kelley Parkway
t� r''*- �;� Crystal Bay,MN 55323 Apprwed By: Amount S:
� ' �o'�o'�` (952)249-4600
�,:
CITY OF ORONO—PLUMBING PERMIT
(All Commercial pe�mits muat be apprwed by the Building Official or Inapector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City of�ices. Applications will be
reviewed and a permit will be issued within two working days.
2. Peimit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID iJNT'IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT 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 OF PERMIT
(Check All'That A 1 )
✓�Residential ❑Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need orior aoaroval and may need�'i 'i'.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 2103 Sugar Woods Drive Long Lake, MN
Owner: Lisa Winkey Mailing Address:
City: Long Lake Zi
P�
Home Phone: �612)4145124 Alternate Phone:
Contractor Information:
Contractor: B�D Plumbing And Heating Contact Person: Hollis Larson
Address: 4145 MacKenzie Court NE State Bond#: 3016-MB
City: St.Michael Zip:55376 Expiration Date: 07/01/11
Phone: (763)497-2290 Alternate Phone:
❑ Insurance-Current:
1
I
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTLJRE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
La�atory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous ;�2 f,t,/C 2
�A S
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
Q Yes,this section applies
The replacement of a Residential fixture or annliance 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 ne�section,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 Nest 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 conttact price with a(Minimum Fee of$50.00)
c�=
'��2LC� x.0125$
(contract price) (minimum�50.00)
2. STATE SURCHARGE "Add the 5tate Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum� .50)
3. POSTAGE&I IANDLING(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. 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 C' and the regulations of the State of
Minnesota, and certifies that all sta ts made o �s applicarion are complete, true and
correct.
Applicant's Signature: ��� Date: ��`7 /D
Reset Form `/
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3
�� pZ0 DATE TIME �/
CITY OF ORONO!�-���z� CALLED IN �- �'7
INSPECTION NOTICE n SCHEDULED , Z -�� ��-�
PERMIT NO. ���D^DD�pZX COMPLETED
ADDRESS a�o3 S��71-'���� ���
OWNER TELEPHONE NO.
CONTRACTOR � �� ����
>; DESCRIPTION ��r � !� / `�� Y ��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ �AKESHORE/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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspec 'on 24 hours in advance. (952� 249-4600
Owner/Contractor on ite: '�
Inspector.
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