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HomeMy WebLinkAbout2010-00031 - plumbing , CITY OF ORONO PEaM�T No.: 2oia0003l - " 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2105 SUGARWOOD DR PIIV : 34-118-23-21-0017 LEGAL DESC : SUGAR WOODS : LOT 003 BLOCK 003 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 7 WATER CLOSE7', 8 LAVATORY, 1 BATHTUB,4 SHOWER, 1 KITCHEN SINK,2 SILCOCKS, 3 FLOOR DRAINS,3 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOPTNER,3 WET BAR VALUATION OF PLUMBING 59606 APPLICANT PLUMBING FIXTURE FEE 745.08 B & D PLUMBING& HEATING INC. STATE SURCHARGE PLBG(VALUATION) 29.80 4145 MACKENZIE CONST TOTAL 774.88 MN 55376- �) OWNER SMITH, THOMAS& V[RGINIA 2105 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 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 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 revok at any time for d cause. �� �� � - � / 22 � /D �,/�_ ��-C_ � C)"��1 ( i i� � - 1 �1 /� / / p �canC Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. . FOR CITY USE ONLY „ ��p�O City of Orono P.O.Box 66 Date Received: Petmit# 2750 Kelley Parkway ��" �} `.; E' 952 249-4600 55323 Apprwed By: Amount�: ��04�, ( ) CITY OF ORONO—PLUMBING PERMIT (All Commercial permits m�t be apprwed by the Bnilding Off�isl or Inspector) GENERAL INFORMATION 1. You may apply for pl�bing 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. Peimit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD�,5 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 sir tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 ) �f Residentisl ❑Commercial(Approval Required) �New ❑Additional ❑Repaus ❑Replace 0 In Accessory Structure? •You will need nrior anorovsl and may need .(Per Orono City Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: o'���� SK�q��1� ���'� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �� Pl«��%� � s A ��. Contact Person: -.� �x����w Address: y�Ys f�c��s.rL� �r1. NE, State Bond#: S9 �$7 }��'`'� Czo` `�8G�i ) City: �'�•/HiGG� Zip:��Expiration Date: l2�3/�/� Phone: �`3� �9t-2z40 Alternate Phone: �/Z��Z$ "'d3Zy ❑ Insurance—Current: I��oN•u`'� /j'fa��w�?�••s• 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet ,Z , � Floor llrains 3 Lavatory 3 t I' Sewer Ejector �� Bathtub � Laundry Tray ' � Shower Z � Washer 1 Kitchen Sink � � � Water Heater t Disposal Water Softener I Dishwasher Wet Bar � ' ' Sillcocks .Z Miscell�eous PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE 0 Yes,this section applies The replacement of a Residential fixt�e or apnliance that meets all three of the following requirements: 1. s not require modif'ication to electrical or gas service. 2. Has a total cost of$500.00 ar less;ea�c ud' tl�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 Permit $ 15.00 State S�charge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permft Fees Continued On Nezt 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$50.00) J�i�O��•� x.0125$ (contract price) (minimum 550.00) 2. STATE SURCHARGE '*Add the State Bldg Code Div. Surcharge(M'i 'n�um 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 fiunished 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 City and the regulations of the State of Minnesota, and certifies that all statements made on this application aze complete, true and correct. Applicant's Signature: �.- µ'��' `� Date: Reset Form 3 � ` D T TIME CITY OF ORONO CALLED IN ` � � INSPECTION NOTICE SCHEDULED ` l� �r -� PERMIT NO.�O/�-ODD3� COMPLETED ADDRESS ���5 �-� G��d �J OWNER CONTR. � ���� TELEPHONE NO. �!l� - .3a�-D3a 3 � DESCRIPTION L�� � / � � FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILUNG Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. p WATER HOOK-UP � SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o c.��c� Qs G�O u,� � ''t�- sT '' b� � 0 � Q � Q c�r� �J � lA S T`�� f�-��.����G�S S� � a W � W � � O W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IPiSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on ite: Inspector. _� n. � c��� v White CopyMspector's File Canary Copy/Slte Notice �— " ' � DATE/ TIME � CITY OF ORONO CALLED IN � `�� INSPECTION NOTICE SCHEDULED v � PERMIT NO.�!d -��d3� COMPLETED ADDRESS `�QS ������`�y-`-� OWNER d � �LEPHONE Nv� °��3 ��77q-3 CONTRACTOR � � ` � a DESCRIPTION � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTtON 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 ❑ SEPT FINAL ❑ FOUNDATIOWREMOVAL � OWN TRACTO MEEf YOU:�YES_NO y COMMENTS: � W a O � ���� � / � � O � W � Q � Z W � W � j d W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. • Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. L'l1 S White Copyllnspector's File Canary CopylSite Notice � / �� � ��,� D TE TIME V CITY OF ORONO CALLED IN !�,G�L' INSPECTION f�OTICE SCHEDULED �c�f�� l ._ r� PERMIT NO. �� i I�i�-�y'C!��1� � COMPLETED ADDRESS s� I C� �� S t--��i'�1-�C�c�� E�� OWNER TELE HON n,o,��r I� -:3���_ 77�I< CONTRACTOR �I � �� � � �l�i'�}'1��{-��F �: DESCRIPTION ° ' �`" � r����� � � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 � ❑ 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: � W a � J O � � �A ��•�-c, -�—tT � � S fi- �, l� 0 � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED r PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED � E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on sit . Inspector_ � � White Copyllnspector's File Canary CopylSite Notice