HomeMy WebLinkAbout2011-00101 - plumbing rr CITY OF ORONO PERMIT NO.: 2011-00101
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 02/15/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 650 TONKAWA RD
PIN 05-117-23-33-0005
LEGAL DESC PARTENS POINT I ST DIV
LOT 002 BLOCK 000
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(3)WATER CLOSETS,(3)LAVATORIES,(1)BATHRUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,
(2)SILLCOCKS,(1)LAUNDRY TRAY,(1)WASHER,(2)WET BAR,AND FLOOR DRAIN IN GARAGE
VALUATION OF PLUMBING 6500
APPLICANT PLUMBING FIXTURE FEE 81.25
HUNTS PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 5.00
15225 CARROUSEL WAY#1
ROSEMOUNT,MN 55068- TOTAL 86.25
(651)322-1130
Minnesota State License#: 58964
OWNER
ADAIR, MICHEAL&JEANNIE
650 TONKAWA RD
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant>f sponsible for assuring all required inspections are
requested'KqKormancc with the State Building Code.This permit may be
revoke t y time for ue c s
Applicant Permitee Signature Date
Iss6e&By Signa re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
OR CITY USE ONLY
O City of Orono D/
P.O.Box 66 Date ReceiI, // Permit# (/� /
.bl2750 Kelley Parkway
r t Crystal Bay,MN 55323 Approved By. Amount$:
yc (952)2494600
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 perrtuts 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: d o��'q- /V
Owner: /4/11 t AAlIA'.IL Mailing Address:
City: &&1410 Zip: �S3L 3
Home Phone: Alternate Phone:
Contractor Information:
Contractor: deds au to 1
,04.6 AAe-Contact Person:
Address: /5 16- 6*44 tz a (� State Bond#:
City: it g&Z&4 Zip;�EFd`L Expiration Date:
Phone: ,_ // 3 d Alternate Phone:
❑ Insurance—Current:
1
1
s
FIXTURE BSMT 1 2 N11 OTHER FIXTURE BSMT 1 2 ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
r
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
zT
❑ 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$50.00)
1�16� x.0125$ 0/ ZSR
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $ j. O10
(contract price) (minimum 5—."-
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ "9612—S
■ * 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.
Applicant's Signature: Date:
3
D1yT� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. — 00/0Z COMPLETED p��
ADDRESS 6'50 f etwq Q
OWNER TELEPHONE NO. (V Z� `�/
CONTRACTOR
DESCRIPTION Z4�4
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q [:1 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W, ^ WORK SATISFACTORY:PROCEED ElPROJECT 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 site:
Inspector. 4 Lei C)"3
White Copy/Inspector's File Canary Copy/Site Notice
�E ` TIME
CITY OF ORONO CALLED IN �
INSPECTION WITICE SCHEDULED 2 �� ✓ , J v
PERMIT NO. COMPLETED
ADDRESS
OWNER EPHONE NO�sI—� 4W
CONTRACTOR
OWW*m-a DESCRIPTION
❑ FOOTING Mt
I FINAL ElEXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑,^ME ICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
El FINAL El SEWER HOOK-UP El COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
vOi COMMENTS:
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Uj ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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 ta`' r
i
Inspector.
White CopylInspector's File Canary Copy/Site Notice