HomeMy WebLinkAbout2011-00929 - plumbing CITY OF ORONO PERMIT NO.: 2011-00929
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/25/2011
• 952 249-4600 FAX: 952 249-4616
ADDRESS 2985 WATERTOWN RD
PIN 04-117-23-21-0001
LEGAL DESC AUDITOR'S SUBD.NO.230
LOT 006 BLOCK 000
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES
(6)WATER CLOSETS,(8)LAVATORIES,(4)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER
(2)SILLCOCKS,(1)FLOOR DRAIN,(1)SEWER EJECTOR,(1)LAUNDRY TRAY,(2)WASHERS,(1)WATER HEATER,(1)WATER
HEATER AND(1)MISC.
VALUATION OF PLUMBING 14950
APPLICANT PLUMBING FIXTURE FEE 186.88
PREFERRED PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 7.48
6400 HIGH POINT TRAIL
PRIOR LAKE,MN 55372- TOTAL 194.36
(952)447-5761 PAID WITH CC# 0791
Minnesota State License#:RL10549229
OWNER
GHERARDI,RICHARD&LORI
1010 WILLOW VIEW LANE
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 cause.
S-' 01?
pp rcant Pe itee ature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Aug 23 11 04:42p Daniel Clough 952-447-5764 p.2
�— FOR CITY USE ONLY
/ap City of Orono
0\ P.O.Box 66 Datc Razived: PeRrHt# L-
2750 Kelley Parkway
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
GENERAL INFORMATION
I. You may ripply 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 TUE
PERIMT CARD IS POSTED ON TRE m3 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)
F- TYPE OF PERMIT
Check All That Apply)
®Residential ❑Commercial(Approval Required)
❑New N Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You MR need prior approval and may need i U11.(Per Orono City Code,Chapter 78,Article INO
Job Site/Owner Information:
Site Address: 2985 Watertown Road
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Preferred Plumbing, Inc. Dan Clough
Address: 6400 High Point Trail State Bond#: RL10549229
Ci Prior Lake Zi 55372 12/31/11
ty: p: Expiration Date:
Phone: (952) 447-5761 Alternate Phone: (612) 483-9249
❑ Insurance—Current:
1
Aug 23 11 04:42p Daniel Clough 952-447-5764 p.3
PLUMBING FLXTURES BEING INSTALLED
FIXTURE BSMT I isT 2 OTTER FIXTURE BSMT IST 12"" OTHER
TYPE FL FL TYPE FL FL
Water Closet 2 4 Floor Drains
Lavatory 3 5 Sewer Ejector
Bathtub 2 2 Laundry Tray 1
Shower Washer 1
Kitchen Sink Water Heater
Disposal ,� Water Softener
Dishwasher Wet Bar
Silloocks 2 Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residential fixture or anoliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Hasa la s of$500.00 or less;cxciudiaQ the cost of the fbdure 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 S
(Permit Fees Continued On Nest Page)
2
Aug 23 11 04:43p Daniel Clough 952-447-5764 p.4
PERMIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE s is 1.25%of contract price with a(Minimum Fee of sse.00)
14,950.00 x.0125 $ 186.88
(contract puce) (O"Mum 550.00)
2. STATE SURCHARGE 14,950.00 7.48
X.0005 $
(oontiact price)
3. POSTAGE&HANDLING(Only on MW-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S194.36
* 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 ane 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.
PLUMBING PERMIT APPLICATION AGREEMENT
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: 08/23/11
Reset Form
3
T TIME
CITY OF ORONO �CALLEDIN
INSPECTION NOTICE SCHEDULED
PERMIT N0. 2 COMPLET D
9
ADDRESS
OWNERr TEL NE NO. q5�
CONTRACTOR
> DESCRIPTION
❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
1-1STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sita-
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
'" \ D TIME
CITY OF ORONO CALLED IN 9
INSPECTION TICE SCHEDULED
PERMIT NO. -��° COMPLETED0/
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OWNER T PHONE NO. (,---W�'7
CONTRACTOR
DESCRIPTIOIq S ,�n
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❑ FOOTINGLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL El MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL
O [-I TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q
El RADON SLAB El WATER HOOK-UP El PROGRESS
El FINAL E] SEWER HOOK-UP El COMPLAINT
v El DEMO'
-SITE El SEPTIC MAINT. El FOLLOW-UP
_ ❑ DEMO FI ❑ SEPTIC INSTALL El HARD COVER REMOVAL
v ElPLUM G RI ❑ SEPTIC FINAL EIFOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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W �Dd)VORK SATISFACTORY:PROCEED El PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING 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/Contractor on site:
Inspector. 11�
White CopylInspector's File Canary Copy/Site Notice