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Home My WebLink About2010-00574 (plumbing-fixtures) CITY OF ORONO PERMIT NO.: 2010-00574 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE [SSUED: 07/13/2010 V 952 249-4600 FAX: 952 249-4616 REPRINTED ON 7/13/2010 ADDRESS : 3265 CARMAN RD PIN : 20-117-23-14-0011 LEGAL DESC : CARMAN COVE : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACE: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 SILCOCKS VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 THOMPSON PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 15001 MINNETONKA IND RD MINNETONKA, MN 55345 TOTAL 105.00 (952)933-7717 OWNER HECTOR, MARK& BONNIE 3265 CARMAN RD EXCELS[OR,MN 55331- AGREEMENT A1vD SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e 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 wo�k shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion 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 ap li t is responsible for assuring all required inspec[ions are reques e in c forman with the State Building Code.This permit may be revok d t any ti e f due cause. /�.%�� '� � I � �,� ��'Yi�l� � -/� -/ i i Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F FOR CITY USE ONLY � • O,¢��O City of Orono P.O.Box 66 Date Received: Permit# ��, 2750 Kelley Parkway f' Crystal Bay,MN 55323 Approved By: Amount S: � �� ` ;t� �' ��go�o` (952)249-4600 a CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 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. 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 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 ly) �Residential ❑ Commercial(Approval Required) ❑ New ❑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: � ' � �c�" �--�,�� /J'l='""-�=� Site Address: � � � Owner: '_y�`^ �� Mailing Address: S� �� City: Zip: s biL 3BZ � ��c� Home Phone: Alternate Phone:(�� Contractor Information: (� � Contractor: � �J� Y��' - Contact Person: �� ^� � (+ � Address: � �� `'1'+� �� 1� State Bond#: °"� ��Q--� i City: �'� Zipn�� Expiration Date: Phone: ��- l >.� r � Alternate Phone: ❑ Insurance—Current: 1 � �hr��{� r��. PLLTMBING� iT �� . .. �E s� rt ,„� � ,�._ , _ �.�. �-.�� FIXTLJRE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains Lavatory Sewer Ejector Bathtub , Laundry Tray Shower Washer � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks r � Miscellaneous 1 � � PERM:IT FEE CALCULATION(S) � � BASED OFF - 2002 STATE STATUE ❑ Yes, this secrion 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , yW. ,� .�.; �p, , , �, , � ° _ . ....rs,� .�, � � � �� , ,. �3 � � w ., v, . .. ��.�. .,. ., �. . � ,. , � s � m . ti, _� ..:_.�� ,.. ,��r� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) _ � �� xA125$ � � � (cont act price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) � l�� x.0005 $ -� (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ :�.0p �' `� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' � -� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 pernut 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 pnce under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952) 249-4600 for the price. � .' �� ,� ;� F ��LICATION AGREEMEN �'�d,�'��`� ��.�� ;��`,,,�.� �`� 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. ' i � �'�" -� f I � � � Applicant's Signatu�: Date: 3 �� E TIME � CITY OF ORONO CALLED IN � � � INSPECTION OTICE �7 SCHEDULED � � PERMIT N �D'LY / COMPLETED ADDRESS S ��/� `� OWNER TELEPHO O. �3�/� CONTRACTOR � >; DESCRIPTION L � � � ❑ FOOTING UMBING ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a O / a � O � W � Q � Z W � W � j GW ❑WORKSATISFACTORY:PROCEED �HOJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIOfV REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: i Inspector. .� White Copyllnspector's File Canary CopylSite Notice - - Q � AT h TIME ✓ , 1 �� 7�'� �v/l� `CITY OF ORONO CALLED IN INSPECTION NOTICE ��5�l.�SCHEDULED � � � � PERMIT NO. 2�DI D' � COMP�ETED ADDRESS �2 �5 C-�-� �� OWNER TELEPHONE No� 933 �7,y CONTRACTOR �-� �� r�� >: DESCRIPTION ��-✓�� L� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL�INAL ❑ TREE REMOVAI Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO /� � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � GW^�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 Owner/Contractor on sit : Inspector. �� ' White Copyllnspector's File Canary CopylSite Notice