HomeMy WebLinkAbout2008-00081 - plumbing CITY OF ORONO PERMIT NO.: 2oos-000s�
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEu: 07/23/2008
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 745 BRIDGEWATER DR
PIN : 33-118-23-11-0108
LEGAL DESC : STONEBAY FOURTH ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
VALUATION OF PLUMBING 12000
APPLICANT PLUMBING FIXTURE FEE 150.00
PLUMB RIGHT STATE SURCHARGE PLBG(VALUATION) 6.00
1216 82ND.AVE N TOTAL 156.00
BROOKLYN PARK, MN 55444-
(763)561-3306
Minnesota State License#: MN#3314
OWNER
Z B Construction, Inc.
,Z B CONSTRUCTION
10300 l OTH AVE N
PLYMOUTH, MN 55441-
AGREEMENT AND SWORN STATEMENT
"I'he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or rclated work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of[he date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
reque� n conformance with the St e Building Code.This permit may be
�voked at y t or d / ���
� - a �.�3 �� �-� y�--i-E o1�rn '7 � �3� �J a�
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.
FOR CTI'Y`USE ONLY
/O,�� City of Orono
P.O.Box 66 Date Received: Permit#1
+ � 2750 Ikelley Parkwa�
i1a¢ ��'�s;w�� Crysta]Bay,MN 55323 Approved By: Amount$:
����� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENE�L INFOIZMATION
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 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 1 �)� �� � �
,��],Residential ❑ Commercial(Approval Required)
,�,J New ❑ Additional ❑Repairs ❑Replace
� '
❑ In Accessory Structure?
*You will need prior approval and ma}�need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information: � �
Site Address: 7 ,�'2 ✓ �
Owner: 7 � Mailing Address:
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City: � (_ ��;(�_ 0��-. �` -� �Zip:
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Home Phone: `'�°�� `�
` �n` Alternate Phone:
Contractor��Information:
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Contractor: � . � �� Contact Person: `/ C
Address: � t� ' � �..,.�e��'` State Bond#: �.S�Q;3 y ,�'�'/'
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City: � � Q Zip:��lExpiration Date: �Z -3/� !�
Phone: ��.��,���3j��� Alternate Phone: ��,5�v�,��� �J��
❑ Insurance—Current:
1
1
' ;��, �T; ..'� �: �TRES BElNG INSTALLED �`��"�� �' '��� � ' �`q ��:
�`��'
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 ZN� OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains
Lavatory � � Sewer Ejector
Bathroom Laundry Tray �
Shower � I Washer
Kitchen Sink � Water Heater �
Disposal I Water Softener
�'"'
Dishwasher I Wet Bar 1
/
Sillcocks 1 Miscellaneous
� PERMIT FEE CALCULATI�N(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; excludin�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 $ 15.0�0
State Surcharge $ .50
Mail-In Fee(If Applicable) $ I.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
�
. ��r.�'�� ���� ��' �'FRMIT FEE CALCULATION(S)—JOBS OV�ER��500.00 ��' �
If above does�ot appl��; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� '' � U"�'`� x.oi2s $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee uf�.50)
x .0005 $
(contract price) (minimum$ SO)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chargec( for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the wark 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 adde�d to the
estimated cost or contract price for permit fee purposes. In the event that there is a disput�e 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 APPI_:ICATION 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 �+tate of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
C' ��,� � � �� ��
Applicant's Signature: Date: � �� ��C�
Reset Form .,
3
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� � DATE TIME
\ CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE ,�y�� SCHEDULED � a _���
PERMIT NO. a��.U��COMPLETED `
ADDRESS � �S r�' 1.0 C� �-�1��"�A/1 � D�L
OWNER TE PHONE NO. ��3 a� ����',
CONTRACTOR �� -��' �-�--�-! I'1�� 1`�P
� DESCRIPTION � ��m� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 ❑ SEPT FI AL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�_NO
WCOMMENTS: � I�C- Y1_ L7T_� �t�D nl()
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� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
u CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. / � � /1 QS
White Copyllnspector's File Canary CopylSite Notice
'�j DATE ,7�� TIME v
CITY OF ORONO CALLED IN / '� f�
INSPECTION NOTICE �i_ �i�scHE�u�Eo --�`� �
PERMIT NO..�n�!O �U COMPLETED
ADDRESS �`�c.� . � ��
OWNER CONTR. b �� �
TELEPHONE NO. � 3 —� �� �3U
� DESCRIPTION �
� ❑ FOOTING ❑ MECHANICA I ❑ EXCAV GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
r�n
Inspector. � , � f` . I� r
White Copyllnspector's File , Canary CopylSite Notice