HomeMy WebLinkAbout2009 - 00486 - plumbing CITY OF ORONO PERMIT NO.: 2009-00486
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/13/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 70 WEAR LA
PIN : 04-117-23-21-0019
LEGAL DESC : ROLLING MEADOWS 4TH ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WATER HEATER, 1 WATER SOFTNER
1ST FLOOR: 1 WC, ILAV, 1 KITCHEN SINK, 1 DISHWASHER,
2ND FLOOR:2 WC,3 LAV, 1 BATHTUB, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHER
VALUATION OF PLUMBING 16500
APPLICANT PLUMBING FIXTURE FEE 206.25
STATE SURCHARGE PLBG(VALUATION) 8.25
ELFMANN PLUMBING LLP TOTAL 214.50
8488 COUNTY ROAD 35 W PAID WITH CC# 5563
MN 55302-
(320)963-3000
OWNER
PFEIFFER,JASON&JONI
P.O.BOX 196
CRYSTAL BAY,MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions of this permit;(2)the
approval plans and specifications;(3)the applicable City
approvals,Ordinances and Codes;and(4)the State Building
Code. This permit is for only the work described and does
not grant permission for additional or related work which
requires separate permits.
This permit will expire and become null and void if
construction authorized is not commenced within 60 days,or / "A' /
if construction is suspended for a period of 180 days at any
time after work has commenced. The applicant is responsible
for assuring all required inspections are requested in
conformance with the State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
4'
FOR CITY USE ONLY
/ 0'' City of Orono
��' \ P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
i�,p/�p� (952)249-4600
o$
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)
0-Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs El 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: iG Lu t2_ /i3 S C3c2nI--)c.)
Owner: C-o 4-0 0."-) Z-A Co' Mailing Address: c t s ii1/1 4-- S r
City: lA tA-P(E F'L N /u^) Zip: S' 3 sem.
Home Phone: Alternate Phone: l Z 3 7 5
Contractor Information: f is t k-SF 0-6 4'4 emo
Contractor: 57---Fx-,v,t7- 'L 6l ontact Person:
Address: /W-3-S- State Bond #: (1Lf S4 2-1 Z %
City: MA/A47-0-41.0Zip: S5-30Z Expiration Date: '31 4 9
Phone: 1.20 96 3 3000 Alternate Phone: 3 t 0
❑ Insurance-Current: i'"1(Ow-c r 04 /c.7> V141
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FIXTURE BSMT 1" 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ! , Floor Drains
Lavatory ' Sewer Ejector
Bathtub Laundry Tray
Shower I f Washer
Kitchen Sink Water Heater
Disposal Water Softener
1
Dishwasher Wet Bar
Sillcocks ,Z Miscellaneous
., .u, �"," vxr y T7 1 � b • itl `k s�1P y.r i A
❑ 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)
/ 57, . " x.0125 $
(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) $
■ * 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.
** 9f; 3] ®, G i #1, 0 :044kre,.:yrj.,-',or
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 sta ements made on this application are complete, true and
correct.
Applicant's Signature: / Date: / L-
3
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CITY OF &ONO CALLED IN `p/J�,"'f
INSPECTION IOTI ESS SCHEDULED ffp. O //-4D
PERMIT N . —eV COMPLETED
ADDRESS D Grl/�>
OWNER CONTRf'7/9/ 1/q i9
TELEPHONE NO. 01411-60 - 374- 98: — 3S0
DESCRIPTION ,jhxr -&/r_Al
W ❑ FOOTING ❑ MEC CAL RI ❑ EXCAV/GRADING/FILLING
cc ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP 0 SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
41 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J )jLUMBING FINAL ❑ FOUNDATION/REMOVAL
Q ✓OWNER/CONTRACTOR TO MEET YOU: YES NO n
o COMMENTS: W) -(k W A 'c- -` � i
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ORRECT 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 site: rte`
Inspector. bi C
White Copy/Inspector's File Canary Copy/Site Notice
DAT()G TIME
CITY OF ORONO CALLED IN v `
INSPECTION NOTICEI SCHEDULED 5 8- 0 4,O
PERMIT NO.e400*--.0"( 9k COMPLETED r� I
ADDRESSqq /0 `�i(/ (.%
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OWNER L`��/1_ 3,5o rJ�'✓ ONT .
TELEPH NEN 601) 4
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DESCRIPTION T G h -e ' 1k
• ❑ FOOTING ❑ MECHANICAL RV ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
-❑ LUMBING FINAL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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I.t,:1.4211NORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W LI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice