HomeMy WebLinkAbout2010-00034 - plumbing CITY OF ORONO PERMIT NO.: 2010-00034
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 01/25/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2325 WATERTOWN RD
PIN : 03-117-23-22-0015
LEGAL DESC : THE NURSERY
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: 1 KITCHEN SINK
VALUATION OF PLUMBING 2400
APPLICANT PLUMBING FIXTURE FEE 50.00
WELD&SONS PLUMBING CO INC. STATE SURCHARGE PLBG(VALUATION) 1.20
3410 KILMER LANE N
PLYMOUTH,MN 55441- TOTAL 51.20
(763)475-0296
Minnesota State License#: 059322-PM
OWNER
INC,KELLEY&KELLEY
2325 WATERTOWN 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 is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
rev ed at any for due cause.
pplicant Permitee Sig ature Date
Issuedignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB0,VjE.
01/25/2010 12:02 7634752566 PAGE 02/06
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(952)249.4600
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CITY OF ORONO--PLUMBING PERMIT
(All Commercial permits must be approved by the Building OfficiAl or Inspector)
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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. WQgK MUST N_OT 8ZGjN_VLjTrL THZ
PERMILT CARD TS POS D 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)
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Residential ❑Commercial(Approval Required)
❑New Additional ❑Repairs KReplace
❑ In Accessory Structure?
*You will-teedrior a np roval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
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Site Address: e2 ?J� Gf/i�''/Owvi rN M
Owner: //
r-je dAla.iling Address: Z_
City: _ D t`o n r� Zip:
�Home Phone: � Alternate Phone:
ri���N�'• I`Jytiil'•�UT4�-Ii�ti�tiilZ}I�IIj1f'�(lit`��1'�ilirj``ryli�tE�i�;'�tin�;i;i:''+';�':,
s• k,.. iP„ ro � ,, �, y. ,p a ,;r.I I ��YEEIrr t I"•'"�t!i;,;,.�"�,t"'ii
Contractor: ¢' � p
5 1/Um bel Contact Person: 721M721M /tb /f—
Address: _,ff 0' k;f Mt�r i4-#W d State Bond #: ZiY
City: -&JL4QO Zip-_&A) Expiration Date: 12--.31-10
Phone: xl3-175--o2g6y Alternate Phone:
❑ Tnsurance—Current: 66nt:T" t)ojf�
I
01/25/2010 12:02 7634752566 PAGE 03/06
SEEM
FIXTURE BSMT 1 2 OTHER I FIXTURE BSMT IFr 2 Nil 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
NMI_
E] Yes,this section applies
The replacement of a Residential fixture or anellence 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(1f Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
01/25/2010 12:02 7634752566 PAGE 04/06
If above does not apply;follow guidelines below:
CONTRACT PRICE, * is 1.25%of contract price with a(Minimum Pee of$50.00)
Zw 00 x.0125$ r00
(amtroct price) (minimum$50.00)
2. STATE SURCHARGE "Add the State Bldg Code Div.Surcharge(Minimum Fee nrs.50)
2q60,0a x.0005 $ /100
(Contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S—/r Z0
• * 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 pen-nit 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: IS& Date:
�,ndut�i�ehm • ... : i i ,
3
DATE TIME V
CITY OF ORONO CALLED IN L C
INSPECTION NQTICE SCHEDULED
PERMIT NO. ()i 0 4 t'T COMPLETED
ADDRESS �33 atm
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ 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
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YO YES—NO
COMMENTS:
W
Q.
J
O
cc
O
W
W
QC
Q
Z
W
Z
W
CC
cc WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
W ❑ MRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.) 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.
White CopylInspector's File Canary Copy/Site Notice