HomeMy WebLinkAbout2010 - 00437 - plumbing CITY OF ORONO PERMIT NO.: 2010-00437
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/08/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2350 WAYZATA BLVD W
PIN : 34-118-23-22-0014
LEGAL DESC : EAST WILLOW WOODS
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : FIXTURE
NOTE: INSTALL RPZ VALVE FOR REVERSE OSMOSIS WATER SYSTEM
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APPLICANT PLUMBING FIXTURE FEE 50.00
R M MECHANICAL STATE SURCHARGE MECH(VALUATION) 0.50
2534 EASTWOOD AVE. SE
BUFFALO,MN 55313- TOTAL 50.50
(763)682-3390
Minnesota State License#: 064838 PM
OWNER
Offen Bros.
OTTEN,CLIFF&LOUISE
2350 WAYZATA BLVD W
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Pe •,i .nature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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FOR CITY USE ONLY
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P.O.Box 66 Date Received: Permit# OVIV-e2a ��
2750 Kelley Parkway
±'v r Crystal Bay,MN 55323 Approved By: _ Amount$: 4-J' 1)
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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 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 ell 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: 2.306 Ws..yz `' 8Lvd'
Owner: /'► 2" it f•t 00✓ Mailing Address:
City: 4 Dick Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �M h roll 4 L JK• Contact Person: t14e‹
Address: 2S38 A51gM*d Au¢sE State Bond#:
City: Qa..Lo Zip: .5:5313 Expiration Date:
Phone: 763-482-3390 Alternate Phone: G11-4'10-4344
❑ Insurance—Current:
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FIXTURE BSMT 1" 2ND OTHER FIXTURE BSMT ls' 2N° 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
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❑ 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. Hasa 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)
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of co act price with a(Minimum Fee of$55.000)
x.0125 $ �J • r-b
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J'auT
■ * 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.
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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: AA Date: to -O -/o
3
S• TIME
CITY OF ORONO CALLED IN Air /0
INSPECTION NOTICE SCHEDULED i1`1 '
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PERMIT NO.. . 2/O-' COMPLETED ''
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OWNER �� / LEPHONE 5if-8351,
CONTRACTOR • LL - L, anL — i L i
DESCRIPTION %��- /PZ
▪ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
" ❑ FRAMING ❑ MECHANICAL FINAL
Ili TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
• ❑ 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
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
C,)• COMMENTS:
0.
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▪ WCC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
El CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY
00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.3 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance. (952) 249-4600
Owner/Contractor s'
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice