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Home My WebLink About2011-00239 - plumbing CITY OF ORONO PERMIT NO.: 2011-00239 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 465 TURNHAM RD PIN 31-118-23-24-0013 LEGAL DESC TURNHAM TOLL ADDITION LOT 001 BLOCK 003 PERMIT TYPE PLUMBING(<$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER APPLICANT PLUMBING FIXTURE FEE <$500 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG <$500 5.00 3670 DODD ROAD-SUITE 100 ( ) EAGAN,MN 55123- MAIL-IN FEE 2.00 O MISC FEE 0.00 Minnesota State License#: 6177OPM TOTAL 22.00 OWNER CADY,PAUL 465 TURNHAM RD MAPLE PLAIN,MN 55359 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. UA4;4 C-01- Applicant Permttee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. t 40 'k City of Orono FOR CITY USE ONLY (a `Y0 P.O.Box 66 2750 Kelley Parkway Date Received: Permit# ' y, ' Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) lett"'://""W'.dli.mu.2ov/CCLD/PDF1 a Plumb lanreva df 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 A l 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: Mailing Address: City: Zip: Home Phone: 5 S- 5 Alternate Phone: Contractor Information: ', Contractor: Contact Person: Champion Plumbing Address: #61770-PHS - State Bond#: LI is i 3670 Dod Id City: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 I � oZ515 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Witcher.Sink Water Heater Disposal ` Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. 2. Hasa 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 plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) g ) 2 PER ! �.. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) X.0005 $ (contract price) (minimum$ 5.00) 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 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLU 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: U tY' Form 3 DA TIME v CITY OF ORONO CALLED IN S- INSPECTION t4QTICE IT Y.-'o 0 PERMIT NO " o 2 7 COMPLETED ADDRESS OWNER t/U014e Cg:�C/ ITELEPHONE NOIi01Z-2-1-5-760.x" CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 2 ElINSULATION ElWOOD BURNER/FIREPLACE El SITE INSPECTION 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a j O i O L W cc Q Z ' W W CI � ❑WORK 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 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. ! to C r White CopylInspector's File Canary Copy/Site Notice