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Home My WebLink About2009-00169 - plumbing ' ' CITY OF ORONO PERMIT NO.: 2009-00169 2750 KELLEY PARKWAY ORONO, MN 5535C- DATE ISSUED: 04/2U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2623 CASCO POINT RD PIN : 20-117-23-24-0032 LEGAL DESC : SPRING PARK : LOT 141 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES INCLUDE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS,(2)FLOORS DRAINS,(1)LAUNDRY TUB,(1)WAHSER,(1)WATER HEATER,AND(1)WATGR SOFTENER VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 RICK'S PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 6.00 1701 221ST AVE.NW TOTAL 156.00 CEDAR, MN 55011-4232 (763)753-1935 OWNER KUBALAK,THOMAS& PATRICIA 2623 CASCO PO1NT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work Yor which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenccd within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an time for due'�r =� ' / � 2j �� / / plicafiF� ermitee Signature Date Issued By Signature Date % SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � � FOR CITY L'SE ONLY 0,��0 City of Orono P.O.Box 66 Date Received: Permit# �;,, , 2750 Kelley Parkway a � ��r,�- �. Crystal Bay,MN 55323 Approved By: Amount$: ��.�o'` (952)249-4600 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 pemuts by mai]ar 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 Apply) � Residential ❑ Commercial(Approval Required) 0 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: Site Address: �—��i 3 ��SL�� , �>:�� Owner: ��-�'�' ��•-v� k c�� i�k Mailing Address: City: �Q/I�L�� Zip: Home Phone: �� D - (.��f�)� Alternate Phone: Contractor Information: Contractor: �,C�5 �lJ��i; �-�L Contact Person: �'�'1� Address: �7�� '}�q✓�, ��,� State Bond#: �oc/%�5 ��; 7 Z- City: CE��qI Zip:��(� Expiration Date: l ��3� y ��cl Phone: �L-� --�5-3-/`l 3 S� Alternate Phone: lo�z' z Z� -�C� � � Insurance-Current: 1 � • . PLUMBING FIXTURES BEING'INSTALLED FIXTURE BSMT l� � 2` OTHER FIXTURE �� BSMT 1 ' 2� OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains •� o� Lavatory % � Sewer Ejector Bathtub i r Laundry Tray { Shower Washer � f Kitchen Sink � � Water Heater / / Disposal � Water Softener / l Dishwasher � Wet Bar Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) BASED 4FF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap lip �ance 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; excludinQ 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) 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$50.00) �, i <!�� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE .**Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contracf price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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 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 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 valuarions over$1,000,000 call the Building Depariment at(952) 249-4600 for the price. °� ��'�� "� �� PLUMBING PERMIT APPLICATION AGREEMENT �� x'� { 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. , � �� C� . r�� Applicant's Signature: �� Date. � � � 3 � ATE TIME � CITY OF ORONO CALLED IN �s°�r INSPECTION NOTIC SCHEDULED -� /3 D� �: � PERMIT NO. �� COMPLETED ADDRESS��.3 �� OWNER CONTR. C� P��i1'1�� TELEPHONE NO. 7P� 7�3 1�.7�J � DESCRIPTION ___ i`-�-r �`��+'�L�-�'1 � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 i ❑ PLUMBING RI ❑ SEPTIC FINAI. ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a 0 .� � � 1 � /�.l N A : f-� ST Q/�� a � 0 � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnedContracto on site: Inspector. �� "�) �� White Copyllnspector's File Canary Copy/Site Notice DATE TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED — PERMIT NO.oZdO`I-�� COMPLETED '' ADDRESS �� '� �f OWNER CONTR. l�-� TELEPHONENO. �.�� 7�� 9�— � DESCRIPTION �/`�-a� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EX AV/GRADING/FILUNG Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ 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 e � J O o ��-/�.�,�.�..2��f � ��" �� W � Q � Z W � W � j W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site: Inspector. ( l /"7 c� White Copy/lnspector's File Canary CopylSite Notice