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HomeMy WebLinkAbout2010 - 00198 - plumbing CITY OF ORONO PERMIT NO.: 2010-00198 ' 2750 KELLEY PARKWAY 4 ORONO, MN 55356- DATE ISSUED: 04/07/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1030 WILLOW VIEW DR PIN : 28-118-23-41-0012 LEGAL DESC : WILLOW VIEW : LOT 002 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: THEY ARE ONLY DOING THE FINISHING WORK,THE R/I WORK WAS DONE BY SOMEONE ELSE. VALUATION OF PLUMBING 1400 APPLICANT PLUMBING FIXTURE FEE 50.00 EARL W. DAY& SONS,INC. STATE SURCHARGE PLBG(VALUATION) 0.70 520 BRIMHALL AVE P.O. BOX 294 TOTAL 50.70 LONG LAKE,MN 55356 (952)473-8403 OWNER WALLANDER,RAPHAEL& LAURA 1030 WILLOW VIEW DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rev e at any time f ue caus /IBJ(. If/ 7 / /7) (_/(___ 6),-v-v e /1 / / Applicant Permit Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY City of Orono t/ ¢�41' P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway l: xCrystal Bay,MN 55323 Approved By: Amount$: n d u a c '' (952)249-4600 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) ElResidential II Commercial(Approval Required) ® New ❑ Additional ❑Repairs 0 Replace �J \r. \ C,"� ® In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) JJ Job Site/Owner Information: Site Address: 1030 Willow View Drive Owner:_Wallander Mailing Address: �K ((- Orono 55356 3‘-{ City: Zip: Home Phone: Alternate Phone: (..-{ sL Contractor Information: �` 1i` YTh • Earl W Day&Sons Jeff Johnson \ Contractor: Contact Person: Address: 520 Brimhall Ave State Bond#: 31983 City: Long Lake Zip:55356 Expiration Date: Phone: (952)473-8403 Alternate Phone: (612) 600-6411 0 Insurance—Current: 1 V PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sr 2ND 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 1 Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ® 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 PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 1,400.00 x.0l 25 $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 1,400.00 x.0005 $ 0.70 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 50.70 ■ * 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. 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. ,1 Applicant's Signature: _ * / t,, i/J,, i Date: 04/07/10 Reset Form 3 et ot7ae - 6D/ 9•Y na.3 D T TIME CITY OF ORONO CALLED IN 6"-/ INSPECTION NOTICE , ` SCHEDULED 6P 1 /0 1. eyv PERMIT NOD/D- `1 COMPLETED / //�� ,, � ADDRESS /030 1%///ell; Elm tai s ! OWNER _ TELEPHONE NO.ggl-334 4/-363,6 CONTRACTOR 0I-,4..f/Q/ eS -L2J DESCRIPTION ,t/flaJ- V Fikut, lu Lk. ❑ FOOTING CI PLUMBING FINAL CI EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? 0 DEMO-FINAL 01SEPTIC INSTALL ❑ HARD COVER REMOVAL , v CIPLUMBING RI CISEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC o P t Ace A S Pte_ cpm,ti , c ) (- cc 0 F, � 'At in (7e(-4 - S cx W z W cc 0 ❑WORK SATISFACTORY:PROCEED LPROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑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 OwnerlContractor on site &-i Inspector. as° White Copy/Inspector's File Canary Copy/Site Notice