The URL can be used to link to this page

Home My WebLink About2011-0090 (Plumbing) � CITY OF ORONO PERMIT NO.: 2011-00090 2750 KELLEY PARKWAY ORONO, MN 553�6- �ATE iss[1Eu: 02/09/20ll � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1425 BAY RIDGE RD PIN : 10-I l 7-23-34-0017 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LO"I' 000 BLOCK 000 � PERMIT TYPE : PLUMBING (>$500) PRONERTY TYPE : RESIDENTIAL CONSTRUCTION TYPF, : FIXTURES - MULTIPLE NOI G: PLUMBING FIX"I IJRI?S: (1) Wn�I�GR CLOS�T,(3)SI IOWLRS,(1 GAGI) KI"I�CHGN SINK, DISI[WASHGR AND NLOOR DRAIN VALUATION OF PLUMBING 1539� APNLICANT PLUMBING FIXTURG FEE 192.44 JAYCO PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 7.70 � 10510 HIDDEN VALLEY DR. � ROGERS, MN 55374 TOTAL 200.14 (763)295-2709 � Mi��nesota State License#: 005294PM OWIVER WIENS, KOBERT&JULIE 1425 BAY RIDGE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The�vork fbr�vhich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buildin�Codc. This permit is for only lhe work described and docs not grant pennission for additional or rclated work which requires scparate permits. All provisions of la��s and ordinances governing this rype of work shall bc compicd��ith��hether or not specificd herein.This permit will ex��ire and bccome null and void if construction authorized is not commenccd�vithin 180 days of the date of issuance,or if construction is suspcnded for a period of 180 days at any time after��ork has commcnecd. "I�he applicant is responsible lor assuring all requircd inspections are roquested in conformance with thc State Building Codc.'fhis permit ma��be revok at any timc fo ic causc. � ��%/ Z� P lL , ,�' � �� : � l � Ap�licanl Per rtee �i natu ate Issu� [3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY /O¢��O City of Orono P.O.Box 66 Date Received: Permit# I .;, 2'I50 Kelley Parkway ��'*1 t�/� Crystal E3ay,MN 55323 Approved By: Amount$: � ,h:,yg`o�! (952)249-4600 �sxo 0 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by thc Building Official or Inspector) GENERAL INFORMATION l. 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 VAL[D UNT[L YOU RECENE 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 A I ❑� Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs 0 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: 1425 Bay Ridge Rd Site Address: Rob&Julie Wiens 1425 Bay Ridge Rd Owner: Mailing Address: Orono City: Zip: Home Phone: �952) 544-4701 Alternate Phone: Contractor Information: Jayco Plumbing Inc Shelley Contractor: Contact Person: 10510 Hidden Valley Dr RL10520324 Address: State Bond #: Rogers 55374 12/31/11 City: Zip: Expiration Date: (763)295-2709 Phone: Alternate Phone: ❑ Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT l�� 2ND OTHER FIXTURE BSMT �sT 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavatory Sewer Ejector Bathtub Laundry Tray Shower 3 Washer Kitchen Sink � Water Heater Disposal Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one 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;excludin�the cost of the fixture 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 $ (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) 15,395.00 x .0125 $ 192.44 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) 15,395.00 x .0005 $�'�� (contract price) (minimum$ 5.00) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $200.14 ■ * 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. ln 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$5.00—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 Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. �> .� r'�� -�.- -d'� .- _ Applicant's Signature: G�� f Date: � ��'/j/ �' Reset Form 3 �}--� 5�e� a � _ �( TIME t/ CITY OF ORONO CALLED IN � � INSPECTION �lQ TICE SCHEDULED �� PERMIT NO. o`��—D� PLETED ADDRESS � OWNER E PHONE N0.�3��/`��70 f'� CONTRACTOR � � >; DESCRIPTION � � � l� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. '�� U Q � � � Jc.� � l Q � 1J � z � � � � � � W � W � j GW��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Cail tor the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor pn si e j�� ` � Inspector. � � White Copyllnspector's File Canary CopylSite Notice D E TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED O /•�� PERMIT NO�I I—G�1D COMPLETED ` ADDRESS I `C 2 S �Q�C�� OWNER TELEPHONE N0.7�P3 Z'g� ��7 CONTRACTOR � >: DESCRIPTION ��'`�"'�J � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a a r1Jl� � ��C� SS l.)�� --1 a � O � `� I h �-rtS-.�. � .�- R� *� � W Q {�J'i� 41� .k4 it t�>:,�c�-�� 1.�. -.�� U ✓l� • �( zD� C�1 I � 'r�nra �C'c�' w � jl r;c.�.J f�l ��: i� �� j�r �.(,�,� ,� .�S �� S" GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE��,� � � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. � �� , � � White Copylinspector's File Canary CopylSite Notice