HomeMy WebLinkAbout2008-00199 - plumbing 1 �
CITY OF ORONO PERMIT NO.: 2008-00199
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUED: 09/09/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 764 BRIDGEWATER DR
PIN : 33-118-23-11-0110
LEGAL DESC : STONEBAY FOURTH ADDITION
: LOT O15 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE:
MISCELLANEOUS FIXTURES INCLUDE:
(3)WATER CLOSETS
(4)LAVATORIES
(2)BATHTUBS,(2)LAUNDRY TRAYS,(2)FLOOR DRAINS
(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)SILCOCKS,(1)WASHER,(1)WATER HEATER,
(1)WET BAR
VALUATION OF PLUMBING 15500
APPLICANT PLUMBING FIXTURE FEE 193.75
PLUMB RIGHT STATE SURCHARGE PLBG(VALUATION) 7.75
1216 82ND.AVE N
BROOKLYN PARK, MN 55444- TOTAL 201.50
(763)561-3306
Minnesota State License#: MN#3314
OWNER
O.T. Development, LLC
LLC,O.T. DEVELOPMENT,
2670 KELLEY PKWY
ORONO,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not gran[permission for additional or related work which requires sepazate
permi[s. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l 80 days at any time after work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in rmance with the State Building Code.This permit may be
revoke any me for, e caus
� ' / / � / / � �
Appli nt Permitee Signature Date Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE.
e - --• .
FOR CITY USE ONLY
„��� City of Orono p � !�G�
P.O.Box 66 Date Received: Permit�u
���;�� � 2750 Kelley Parkway
�� ��'�s�� �� Crystal Bay,MN 55323 Approved,By: Amount$ ���
���{����t� (952)249-4600 � �� � �
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CITY OF ORONO—PLUMBING PERMIT
(All Commercia]permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. 1'ou 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 A 1
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior approval and may need CLJY. (Per Orono City Code,Chapter 78,Article IV) �
Job Site /Ov�mer Information:
Site Address: �� �
Owner: � � Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
,-; -
� -
Contractor: � ,� � Contact Person:
Address: ` � �- ..� State Bond#: �C� � ��/,� 1 /
City: , ip:��xpiration Date: �� —
Phone: 7��—�J��'f � ��t; Alternate Phone: `7�3�3�����
❑ Insurance—Current: �.�-�..--
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FIXTURE BSMT 1 2 OTf-IER FIXTURE BSMT 1 T 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains � �
Lavatory � Sewer Ejector
Bathroom j Laundry Tray >
�
Shower ' Washer
i
Kitchen Sink Water Heater
l
Disposal � Water Softener
Dishwasher ) 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; 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 $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
t • _. �
` PERMIT FEE CALCULATION S)'=JOBS OVER $SQ0.00 ,,,,,,.
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25°/a of contract price with a(Minimum Fee of$35.00)
�.� ����-� x .0125 $
(coAtract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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 SURC�IARGE 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'PERMII'APPL,ICATION AGREEMENT ' �'..����`���
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
wark 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.
� � �Applicant's Signatur : Date: J
Reset Form
3
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QAT I TIME �/
CITY OF ORONO CALLED IN / D
INSPECTION NOTI�E���g 9 SCHEDULED !O U �/. �(�
PERMIT NO DO COMPLETED �
ADDRESS
OWNER CONTR.
TELEPHONE N0. `"7 � "� D
� DESCRIPTION , Ik� �` ''v
� ❑ FOOTING � MEC �CAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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
� ❑ D O-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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W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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. (g52) 249-46��
OwnerlContractor on sit : r
Inspector. ��
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