HomeMy WebLinkAbout2009 - 00305 - plumbing CITY OF ORONO PERMIT NO.: 2009-00305
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/11/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 835 WINDJAMMER LA
PIN : 07-117-23-11-0008
LEGAL DESC : PIRATES COVE
: LOT 004 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE:
MULTIPLE FIXTURES INCLUDE: (4)WATER CLOSETS,(5)LAVATORIES,(3)BATHTUBS,(2)SHOWERS,
(2)KITCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER,(3)SILLCOCKS,(2)FLOOR DRAINS,(2)LAUNDRY TRAYS,(2)WASHERS,(1)
WATER HEATER,(1)WET BAR,AND(4)MISCELLANEOUS FIXTURES
VALUATION OF PLUMBING 22000
APPLICANT PLUMBING FIXTURE FEE 275.00
SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 11.00
1521 94TH LANE NE TOTAL 286.00
BLAINE,MN 55449
(651)786-4007
Minnesota State License#: 003388PM
OWNER
HANSON, SCOTT&JENNIFER
835 WINDJAMMER LA
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance w' the State Building Code.This permit may be
rev d at any time ft due use.
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Applicant P itee �j.nature Date Is d :y ignature Date
•• SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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�^ FOR CITY USE ONLY
1"��,``. City of Orono
/40:4-"\
/ `�O\ P.O.Box 66
Date Received: Permit#
27.50 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(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)
❑✓ Residential El Commercial(Approval Required)
❑ New 0 Additional ❑Repairs 0 Replace
In 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: 835 Windjammer Lane
Owner: Scott Hanson Mailing Address: 835 Windjammer Lane
City: Orono Zip: 55364
Home Phone: (952)567-0601 (952) 567-3395
Alternate Phone:
Contractor Information:
Contractor: Schulties Plumbing, Inc. Contact Person: Douglas Jones
Address: 1521 94th Lane NE State Bond#: RL1584707
City: Blaine Zip:55449 Expiration Date: 12/31/09
Phone: (763) 786-4007 Alternate Phone: (763)786-4007
�✓
12/31/09
Insurance Current:
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT Is 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 2 1 Floor Drains 1 1
Lavatory 1 2 2 Sewer Ejector
Bathtub 1 1 1 Laundry Tray 1 1
Shower 1 1 Washer 1 1
Kitchen Sink 2 Water Heater 1
Disposal 1 Water Softener
Dishwasher 1 Wet Bar 1
Sillcocks 3 Miscellaneous 1 2 1
PERMIT FEE CALCULATION(S)
BASED OFF=-2002 STATE STATUE
0 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
1 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$50.00)
22,000.00 x.0125$ 275.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
22,000.00 x.0005 $ 11.00
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 286.00
• * 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.
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Applicant's Signature: D t%/ /� G�-',i
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Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. [11 FOLLOW-UP
i O-PEUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP 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!Contr ct r n
Inspector. / �(<ti
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White Copyllnspector's File Canary Copy/Site Notice
D ETIME
CITY OF ORONO CALLED IN 9 i � '
INSPECTION NOTICE SCHEDULED A 7 ' 3.'Ov
PERMIT NO.opOq-M30.5 COMPLETED
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❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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
_ ❑ UMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
PLUMBING FINAL ❑ FOUNDATION/REMOVAL
cL 0 ER/CONTRACTOR TO MEET YOU:_YES NO
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✓ BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
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❑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 site:
7.
Inspector.
White Copyllnspector's File Canary Copy/Site Notice