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Home My WebLink About2009-00478 (plumbing-fixtures) � ` CITY OF ORONO PERMIT NO.: 2009-00478 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUED: 08/1 U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2443 CARMAN ST PIN : 20-117-23-12-0013 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMTT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 LAV, 1 SHOWER, 1 FLOOR DRAIN VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 GATEHOUSE,JULIE STATE SURCHARGE PLBG(VALUATION) 0.75 2443 CARMAN ST WAYZATA, MN 55391- TOTAL 50.75 OWNER GATEHOUSE,JULIE 2443 CARMAN ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 SO days at any time after work has commenced. The a licant is respo for assuring all cequired inspections are req i co or e h the State Building Code.This permit may be r k d t an t e r d c se. ._. � � � I' � � / / Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � � � FOR CITY USE ONLY ,�� Citp of Orono � P.O.Box 66 Date Received: Permit# � ��, ,,,, � � 2750 Kelley Parkway �I�a ��'At �i� Crystal Bay,MN 55323 Approved By: Amount$: > 6 �;1�,- ti r � ',��;ry>$o / (952)249-4600 , �e�o$ CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved bv the Building Ofticial 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 YOL'� RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED On THE JOB SITE. 3. Plumbing pernuts 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 reyuired) TYPE OF PERMIT (Check All That Apply) � Residential ❑ Commercial (Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *1'ou will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Dwner Information: Site Address: ��?�j/'��`y� �-�- Owner: J l� ��G� ��"Q, � ,�, Mailing Address: '��"^t> c�ty: UJQti��.��-�� z�p: �� 3� i Home Phone: Alternate Phone: �� Z, q��, Contractor Information: Contractor: ��t1Y11� �WhZ'� Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 . � � j PLUMBING FIXTURES BEING 1NSTALLED FIXTURE BSMT I 1 ' 2' OTHER FIXTURE BSMT 1 ' 2 OTHER TYPE FL FL TYPE FL FL Vl'ater Closet Floor Drains 1� , 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 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; excludinE 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) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) � � ' PERMIT FE� C�CUL�.�'�Q�1` : '=rOBS OVER $540:00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) �5�� 0• x.012� $ (contract pnce) (minimum$50.00) 2. STATE SURCH.ARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract pnce) (minimum� .SOj 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) � $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer far 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 pnce 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. — PLUIVTBIIVG PERi'v1IT APFLICATION AGREE�MEI�TT�:' ' The undersib ed 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 � Applicant's Signature: �_ Date: � � � 3 � D T�J TIME V CITY OF ORONO��j�C�_��7�ALLED IN ~ v INSPECTION NO i iCE ` SCHEDULED � � PERMIT NO. COMPLETED ADDRESS GL�y��3 C � OWNER CONTR. J�-e � TELEPHONE NO. � DESCRIPTION P/�Qbin q ,�� ❑ FOOTING ❑ MECHANICAL ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK R PROCEED r; ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pHOTO TAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-46�� OwnerlContractor on s' e: Inspector. � � White Copyllnspector's File Ca�ary CopylSite Notice