The URL can be used to link to this page

Home My WebLink About2010-00015 - plumbing -fixtures CITY OF ORONO PERm�T No.: zoia000is ' 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE ISSUED: OU1U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3225 CARMAN RD PIN : 20-117-23-14-0009 LEGAL DESC : CARMAN COVE : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTTON TYPE : FIXTURES- MULTIPLE NOTG: I-LAVATORY, I KITCHEN SINK, 1-DISPOSAL, 1-DISHWASIIER VALUATION OF PLUMBING 595 APPLICANT PLUMBING FIXTURE FEE 50.00 SOWADA& BARNA PLUMBING LLC STATE SURCHARGE PLBG (VALUATION) 0.50 P.O. BOX 188 CEDAR, MN 55011- TOTAL 50.50 (763)444-0292 OWNER HOUCK, MR. & MRS. 3225 CARMAN RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perYormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is lor only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of�laws and ordinances governing this type ofwork shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the datc of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections arc requested confonnance with Statc[3uilding Code."1'his permit may be revoked an ti or due c e. � __ � , � �� - � / / �_ - - ' � � L� �_` �l� �C t 4 / / App i ant Permitee Signature Date Issued [�y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , � FOR CITY USE ONLY • O,�p�,O City of Orono P.O.Box 66 Date Received: Permit# • � 2750 Kelley Parkway � ��'�r � Crystal Bay,MN 55323 Approved By: Amount$: d�'��n��o` (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits musl be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail ar in person at the City offices. Applications will be reviewed and a pernut will be issued within two warking days. 2. Pernut 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 tiNTIL THE PER�VITT 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 ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �eplace ❑ 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: ��S �; .,r},,2,,�� ff +�� ;� Owner: �;�� ,� L (< Mailing Address: City: C��:��c� Zip: Home Phone: `i;j_:-' � ' - ` �' � Alternate Phone: Contractor Information: Contractor: �°�:�`��'t ` ��; '.',',�;' ,,,a f;,�.��ntact Person: �_ ��; !�� .: %;,% ��,/� Address: ��« �U� j � '� State Bond #: / � City: , �-r��:,,� Zip; ;.j�C)i l Expiration Date: �,�? �,J,i� !� , Phone: %G�J -`f`��l ��_��`�_�a Alternate Phone: �v-=�-��; •:-,�'� '::`-� ❑ Insurance—Current: 1 �. � PLUMBING FIXTLJRES BEING INSTALLED ' FIXTURE BSMT 1' 2' OTHER FIXT RE U BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink � Water Heater Disposal / Water Softener � Dishwasher � Wet Bar Sillcocks Miscellaneous PERMIT FEE�CALCULATION(S) � � BASED OFF - 2002 STATE STATLTE � ❑ 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; excludine the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner ar 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 ! _ . b �� PERMIT FEE CALCULATTON(S —JOBS OVER$540.00 '` If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � .5� S X.oi2s � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) S 9 j X.000s $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernlitted 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 pnce. --- PLUMBING PERMIT APPLICATION AGREEMENT " � � � �� The undersigned hereby applies to the City far 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. i�' — / � ; � � i Applicant's Signature: �� Date: / �/ � t�� / , � � 3 �-=� U S� / �/ �_ / �D�F/� TIME CITY OF ORONO CALLED IN 6 � l INSPECTION NOT CE SCHEDULED / � PERMIT N � - l COMPLE ED ADDRESS � � K�L OWNER CONT�a w�� TELEPHONE NO. — 7 3—��P^�S 7 � DESCRIPTION �' � ❑ FOOTING ❑ MEC A ICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MEC ICAL FINAL ❑ LAKESHORENVETLANDS O ❑ 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 MBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: ' ` �/� ] �L� � Inspector. �, , White Copyllnspector's File Canary Copy/Site Notice