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Home My WebLink About2008-00106 - plumbing , CITY OF ORONO PERMIT NO.: 2oos-ooio6 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUEn: 08/04/2008 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 766 BRIDGEWATER DR PIN : 33-118-23-11-0109 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 014 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE VALUATION OF PLUMBING 14000 APPLICANT PLUMBING FIXTURE FEE 175.00 PLUMB RIGHT STATE SURCHARGE PLBG(VALUATION) 7.00 1216 82ND. AVE N BROOKLYN PARK,MN 55444- TOTAL 182.00 (763)561-3306 Minnesota State License#: MN#3314 OWNER O.T. Development,LLC LLC, O.T. DEVELOPMENT, 2670 KELLEY PKWY ORONO, MN 55356- AGREEMENT A1vD SWORIv STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether ot not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in co rmance with the State Building Code.This permit may be revoked y t e for cause ' /i � - � � �'�-/�-�...�� G`�i� � i � i �'�� pphcant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. A '" � FOR CTPY USE ONLY �� City of Orono P.O.Bo�66 Date Recerved: Permit# ��h;,ti _ � � 2750 kelley Parkway � � �� s'` �� Crystal Bay,MN 55323 Approved By �� Amount'$: �� (9S2)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the 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 VALID UNTIL YOli 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 �esidential ❑Commercial(Approval Required) ew ❑Additional ❑Repairs ❑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: Site Address: �t�— � �J �,,/ Owner: �i ,� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: �} � -� : f - . ,p .,%� f Contractor: �� . Contact Person: � " Address: %U� � �� /V State Bond #: �p 7�� C�ty: ip:`J�r��piration Date: �� > � Phone: ?�.3,��/ J��5 Alternate Phone: ❑ Insurance—Current: 1 a �.-��k'� '•� .e,�,3 �:,'::. ��"�y ,.�',��..�];a�` A�i �ea � ,9�.;. 'L'I'2if��.tJTL'1LL.L:i� ,.`'=sY.� �..r ,, ��t ,�' FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 D OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains . � � Lavatory � � Sewer Ejector Bathroom � I Laundry Tray i �� Shower � / Washer / f ( Kitchen Sink � Water Heater f F Disposal t Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous � � PERMIT FEF C�I�C�U�,AT10N(S) � 13ASED (7i'F -�2002 STATE STATI3E ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirernents: ]. 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 $ I 5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 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$35.00) , �,� ��a(� � X.oi2s $ ( ntract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$SO) 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 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 APPLTCATION 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. � Applicant's Signature: ate: � J (� Reset Form 3 �- ✓ CITY OF ORON�0� � CALLED IN 9DA�� TIME INSPECTION NQTJ � SCHEDULED 9' '0 �3� �ERMIT NO. C� COM�LETED ADDRESS 7�� `'�� OWNER CONTR. l/' �� TELEPHONE NO. 7�.3 0�,3� �f-C1U X � DESCRIPTION � � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS � ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � ,� �z'S�- � � 0 � w � Q � z W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR 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 OwnedContractor on„site: Inspector. L�l./ r• White Copyllnspector's File Canary Copy/Site Notice � D TE TIME " � CITY OF ORONO CALLED IN �� INSPECTION NC}�Ii'.,,�, SCHEDULED � PERMIT NO. ��'��DICZI.� PLETED ADDRESS � � OWNER CONTR. � �� a��' TELEPHONE NO. �� ' � �" C2�� 3 ��0 � DESCRIPTION � � �`� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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: � W a Q � 1 � 1 [. � � � � � (��1 c� �fe� ��.. 0 � W � Q � Z W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit . Inspector. , White Copyllnspector's File Canary CopylSite Notice