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Home My WebLink About2009-00879 (plumbing) � CITY OF ORONO PERMIT NO.: 2009-00879 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 12/04/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3245 CARMAN RD PIN : 20-117-23-14-0010 LEGAL DESC : CARMAN COVE : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURES-MULTIPLE NOTE: 1STFLOOR: 1 WC. 1 LAV, 1 SHOWER VALUATION OF PLUMB[NG 2100 APPLICANT PLUMBING FIXTURE FEE 50.00 THOMPSON PLUMBING STATE SURCHARGE PLBG (VALUATION) 1.05 15001 MINNETONKA IND RD MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)933-7717 MISC FEE 0.00 TOTAL 53.05 OWNER NIEC,SEN,JON& KIRSTEN 3245 CARMAN RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if cons[ruction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �V�a�� l,��- / / Applicant ermitee Signature Date Issued By nature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CITY L'SE OiLI' ` City of Orono O¢��O P.O.Box 66 Date Keceived: _ Yeanit� 2750 Iielley Parkway � ` Crvstal Ray,M?�'S5323 APProved B}': - _ _ :�mount$: , ___-- o`� � (9521 249-4600 i �a�x�° CITY OF ORONO—PLUMBING PERMIT (:111 Commcrcial peanits must bc approved by the Budding Official or Inspector) GENERAL INFORMATION 1. You may apply for plwnbing pennits by mail or in person at the City offices. Applications will be revie��ed and a perniit will be issued��ithin two working days. 2. Pennit cazds will be sent by return mail after a revie�v is completed. PERNIITS A}2E NOT Vt1LID UN"t'1L YOU KI:CEIVE A YERNIIT. WORK MUST NOT BEGIlV UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Plunibing pemiits ma��be issued ONLY lo licensed plumbing contractors and to propertv owners residuig in the d�helling. 4. When any new construction or remodelir�is involved,a separate building pennit must be obtained. 5. All work must be done in accorciance��ith Statc Codc requiremcnts. 6. All work must be inspected and air tested beYore it is coveretl. Call(9�2)249-4600. ('2�-�18 hour notice required) TYPE OF PERMIT (Check All That A Iv) �Residential ❑Commercial(Approval Required) i� ❑New ❑Additional ❑Repairs eplace ❑ In Ac;cessory Structurc? *You will need nrior anaroval and ma��need C_T:1'.(Per Chono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��`�� G"d�� O�ner: / ��'Cy� Mailing Address: .��—�� Cit�: Zip: Home Phone: Alternate Phone: Contractor Information; � , Contractor: _ p Contact Person: ��- ��. Address: THOr�pS�NETp KA�N�'45� State Bond#: 1 , M�NNETO Cin�: Zip: E�piration Date: Phone: JS.�'��3-�7 7/ 7 Alternate Phone: � [nsurance—Current: 1 PLUMBING FTXTURES BEING INSTALLED F1XTiJI2F. BSMT 1` Z O'I'HF,R FIXTIJRE RSMT 1 2' OTHER '1'Yl'E FL FL 'rYYL 1�L 1�L Water Closet / Floor Drains Lavatory / Sewcr Ejector Bathtub Laun�'Tray Sho��er / Washer Kitchen Sink Water Ileater Disposal Water Softener Dishwasher Wet Bar Sillcocks Nliscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement oY a Residential fiarture or�pliance that meets all three of the follo��7ng requirements: 1. lloes 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 nezt section,if this applies; Cost of Perniit $ 1�.00 State Surcharge $ .50 Mail-In Pee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If abo��e docs not apply;Tollow guidclines belo��: 1. CONTRACT PR10E # is 1.25%of contract price�vith a(Minimum Fee of SSO.UO) 2/O� °G x.o12s$ S� �'i (contract price) (minimum 550.00) 2. STATE SURCHARGE *'Add the State Bldg Code Di��. Surcharge('�linimum Fee of 5.50) -� 2/C�C� �° X.000s � /. �`' (contract pricej (minimum$ .50) 3. POS I�AGE&HANI3LING(Only on Mail-ln Applications) $ 2.00 �. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �3 �� ■ • CONI'KAC'1' YR[C'L or JOF3 COST means the actual or esiimated dollar amount charged for the perniitteci work ineluciing materials,labor,proYit,and other tixed costs. It is the amount to be eharged to the customer for the wc�rk done. If any material,equipment, labor or installations are furnished by the o��mcr, tenant or an�� other party, the reasonable market value of such items must be added to the estimatcd 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 S'1'A"1'L SURC1I�tUE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,00O,OOU call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT T'he undersigned hereby applies to the City for issuancc of a Plumbing Permit, agrees to do all �vork in strict accordance with the ordinances of the City and the regularions of the State of Muuiesota, and certif'ies that all statements made on this application are complete. true and correct. i �� `� —� C Applicant's Signature: �, = � Date: Reset Form 3 C ` � � DATE TIME ✓ CITY OF ORONO � CALLED IN �/ I � INSPECTION NO��I^C�.E/� M ' '�/�'SCHEDULED ��=u-,/ir; �-.�' PERMIT NO. �l C rI "1��,��i l`% COMPLETED << �� ADDRESS ��-I �� -�-r �'�� (C_C� OWNER CONTR.� �� TELEPHONE NO. � S .��- �� 1 —] '��""�'i2-� � „ .J � DESCRIPTION ��// !�-�_ � �"lI�-�✓��f � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILL Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WAIL 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 � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W 0. � � O a � O � W � Q � Z W � W � � � ,�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContr o si Inspecto . White Copyllnspector's File Canary CopylSite Notice e,J� D TIME " CI F O�O O C LLED IN � INSPECTION TICE �)Q S HEDULED �' � PERMIT NO. � , ��" v � MPLETED `r ADDRESS � � OWNER CONTR. � TELEPHONE NO. � � � � �' � DESCRIPTION ll�( - ��"1 ��-' � �L� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 J ❑ 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 C � �Lti(c� IL� l�c --{Z' C �v i� � � � �=�� !�] � L��'�1..�'�'�1-/� � O � � li . �„% . `, 1 2 ,�.. r� �' 'l-i'1 r.-.. �� ''��v.:�� Q `� Z / �.J � �� ' �r .�>_� `-� �'Q r�1'C'�t"1„�..� W � W � � d W ❑WORKSATISFACTORY:PROCEED C] PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED !' ISSUE CERTIFICATE OF OCCUPANCY W O�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V B FORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: / � Inspector. �, / I`�/ � -�� White Copyllnspector's File Canary CopylSite Notice