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HomeMy WebLinkAbout2010-00308 - plumbing CITY OF ORONO PERMIT NO.: 2010-00308 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/06/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 4655 TONKAVIEW LA PIN 07-117-23-32-0064 LEGAL DESC N/A LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES INCLUDE: (4)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1 EACH)KITCHEN SINK,DISPOSAL AND DISHWASHER,(2)SILLCOCKS,(1)FLOOR DRAIN,(1)WASHER,(1)WATER HEATER AND(1)WET BAR VALUATION OF PLUMBING 11092 APPLICANT PLUMBING FIXTURE FEE 138.65 VALLEY PLUMBING CO. INC. STATE SURCHARGE PLBG(VALUATION) 5.55 860 QUAKER AVE JORDAN,MN 55352 TOTAL 144.20 () Minnesota State License#: 002107PM OWNER LICURSI,ANGELO&RACHEL 17601 70TH PLACE N MAPLE GROVE,MN 55311- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any imp for due cause. Applicant Permi ee Signature Date 41d&BySignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOIL CITY USE ONLY O 00 City o1'Orono ��g' } P.O.Box,66 Date Received: Permit# +� 2750 Kelley Parkway �I� '�;r. Crystal Bay,MN 55323 Appi oved By: Amount$: \\� °� (952)249-4600 !rd 0j CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person al the City offices. Applications will be reviewed and a permit will be issued within two working da�s. 2. Permit cards will be sent by return mail after a review is corlpleted. PERMITS ARE NOT VALID UNTIL,YOU RECEIVE A PERMIT. WORK MU ST NOT BEGINUNTIL THE PERMIT C IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbir g contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a sel larate building permit must be obtained. 5. All work must be done in accordance with State Code requil ements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (2448 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: Owner: C z �r�v�� �,. Mailing Address: -)704 City: G>'/ Zip: 3�; Home Phone: � _ I ' Alternate Ph,me: Contractor Information: Contractor: v14aA /C �4Contact Perst m: l) Coo - - Address: F210 � GC�.�`�� .�i�-�' State Bond#: °I U 3 City: - p: ` `�'` p ate: d � Zi =�x iration D Phone: �S�Z-F7/yZ " �ZrJ i Alternate Phone: Z, Z/ ® Insurance—Current: 1 f . .: NOW FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet / Z Floor Drains / Lavatory / / Sewer Ejecto r Bathtub Laundry Tra; Shower / / Washer Kitchen Sink / Water Heater / Disposal / Water Soften-r Dishwasher / Wet Bar / Sillcocks Miscellaneou s A 9 t ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tl gree of the following requirements: 1. Does not require modification to electrical or gas service. 2. Hasa total cost of$500.00 or less;excludine the cost o'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 Surchargr, $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 If above does not apply;i ollow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price witt a(Minimum Fee of$550.00) x.0125$ /3l� ✓ ( onuactprice) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code 1:iv.Surcharge(Minimum Fee of$.50) �� Ll A- �'V _x.0005 $ ont.ct price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Appiicatiors) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CON'T'RACT PRYCE or JOB COST means the actual or est mated dollar amount charged for the permitted work including materials,labor,profit,and other fixe(l 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 vale ie of such items must be added to the estimated cost or contract price for permit fee purposes. In tt a event that there is a dispute on the amount of the job cost, the City may request the submission o','a signed copy of the actual contract. ■ **The STATE SU2CHARGE 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. 3 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. APP t�Applicant's Signature: d'`'am'"" Date: / - 3 V! -- _T TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED �- — PERMIT NO. ZQ Irv)_00 3�&OMPLETED prt S=� ADDRESS ` 7��OLV(e-0 LjD-rV OWNER CONTR. 0_ kq Ru TELEPHONE NO. CU - 2 B 15 AS DESCRIPTION ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP W PLUMBING ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v BfN�FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CCW CL J - r CL JS 0 cc a W cc Q Z W W oc d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W GQBRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP 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/Contractor on site: Inspector. i:5 White Copy/Inspector's File Canary Copy/Site Notice T CO v T TIME CITY OF ORONO ALLED IN 7 I'V,"0 INSPECTION N TICE `3, SCHEDULED �Z PERMIT NO. D/D-4 OMPLETED G ADDRESS OWNER PHONE NO. 7 CONTRACTO a DESCRIPTION uj ❑ 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 INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a Tif a cc W Q Uwas 7- L P c m l z W Z W cc LAJ ❑WORK SATISFACTORY:PROCEEDROJECT COMPLETE W ❑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 ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit - Inspector. � l„ White CopylInspector's File Canary Copy/Site Notice