HomeMy WebLinkAbout2009-00569 - gas line only CITY OF ORONO PERMIT NO.: 2009-00569
2750 KELLEY PARKWAY
j ORONO,MN 55356- DATE ISSUED: 09/09/2009
952 249-4600 FAX: 952 249-4616
ADDRESS 2460 THOROUGHBRED LA
PIN 04-117-23-11-0014
LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN
LOT 002 BLOCK 001
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE GAS LINE ONLY
VALUATION $ 600.00
NOTE: RUN GAS LINE FOR OUTDOOR GRILL
APPLICANT MECHANICAL 50.00
LAKESIDE PLUMBING
12469 ZINRAN AVE. STATE SURCHARGE MECH(VALUATION) 0.50
SAVAGE,MN 55378 MAIL-IN FEE 2.00
(952)894-7600 MISC FEE 0.00
TOTAL 52.50
OWNER
SHAH&NIMA DESAI,BUGAR
2460 THOROUGHBRED LA
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 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 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_
Applicant Permitee Signature Date Issued By#nature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
r FOR CITY USE ONLY
City of Orono
O�O�O P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600
CITY OF ORONO—RL44?o Rff6-PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
I. 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 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)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That Apply)
�✓ Residential ❑Commercial(Approval Required)
❑New ❑Additional ®Repairs ❑Replace
® 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: 2460 Thoroughbred Lane
Owner: Nihar Shah Mailing Address: 2460 Thoroughbred Ln
City: Orono Zip: 55356
Home Phone: (952)836-9872 Alternate Phone:
Contractor Information:
Contractor: u rven •, Contact Person: Lagc
Address: JQ[46c� Z--Nrcti Ry,t- State Bond#: 6Looy - QM
City: Zip:SS113 Expiration Date: 13-31-o°I
Phone: qSd- $�1Y �toe� Alternate Phone:
❑ Insurance—Current: z S
1
FIXTURE BSMT 1 ST 2 OTHER FIXTURE BSMT 111T 2ND 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 `
RJN gas I:ne- ior
la
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;excluding 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 Permit $ 15.00
State Surcharge $ .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$50.00)
10 00 x.0125$_ SO
(contract price) minimum$50.0
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $ - so
(contract price) (m!mum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S,).:5o
■ * 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.
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: Date: q- y.o 9
3
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CITY 0 ORONO CALLED IN „} TIME
INSPECTION N TICE SCHEDULEDq a : 4a
PERMIT NO. COMPLETED U
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OWNER CONTR. Gl/yG�-G
TELEPHONE NO.
DESCRIPTION
❑ FOOTING ECHANICAL RI ❑ EXCAWGRAD G/FILLING
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El FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
-C ElPLUMBING FINAL ElFOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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LU ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra on s'
Inspector.
White Copylinspector's File Canary Copy/Site Notice
5Cr t TIME
CITY OF ORONO CALLED IN r" D r �
INSPECTION NOTI E SCHEDULED —8=
PERMIT NO O COMPLETED
ADDRESS a
OWNER C06- LAU460 &-f
TELEPHONE NO. RSZ- 8� `F ?fib b
DESCRIPTION (56td
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ElDEMO-FINAL ElSEPTIC INSTALL. El FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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2
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Wcc ❑WORK SATISFACTORY:PROCEED JECTCOMPLETE
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor ons' e:
Inspector. i C
White Copy/Inspector's File Canary Copy/Site Notice