HomeMy WebLinkAbout2008-00216 - water heater/water softner « CITY OF ORONO PERMIT NO.: 2oos-oo2�6
� 2750 KELLEY PARKWAY
. ORONO, MN 55356- DATE IssuEn: 09/12/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2811 CASCO POINT RD
PIN : 20-117-23-32-0013
LEGAL DESC : SPRING PARK
: LOT 122 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE:
WATER HEA"1'ER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50
2905 GARFIELD AVENUE S.
MINNEAPOLIS, MN 55408 MAIL-IN FEE 1.50
(612)827-4033 TOTAL 17.00
Minnesota State License#: 061521-PM
OWNER
NORSTED,THERESA
2811 CASCO PT RD
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 goveming this type of work
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 date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible far assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.�
<
`�� � � � (�yr2.�,2 y , ��,o�
Applicant Permitee Signature Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE.
C� '
��
��Fy,/D� TIME
CITY OF ORONO CALLED IN �� G
INSPECTION NOTIC ���� SCHEDULED �c5 -Q�
PERMIT NO. COMPLETED
ADDRESS a�1 ����� d`�t � �
OWNER CONTR. ��>r,���Y,l� IL(/h��
TELEPHONE NO. �o( �' � l� �- � �` �
� ,( � -�
� DESCRIPTION __ �/`'�-'�-'��'��' ���f� ' �7�/��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��0 (�13P�Z� � � �C'�- � ��1
a Gr:�- �-�—�-t,;S -� ,,11� , .
� ,_
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE�
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46�0
Owner/Contractor on s� e:
Inspector. � .� ��-- - -----
White Copyll�spector's File Canary CopylSite Notice
. .
FOR CITY'USE,ONLY
� �/''p�'�",'►�`.� City of Orono '
1��� `��, P.O.Box 66 Date Receroed. Peimit#
. � �5 2750 Kelley Parkway
!a ��'r� ;: �'i Crystal Bay,MN 55323 A rovedB/
t�^� ��,it � ��• PP Y AiriounY$, -
�\`\��Q�$�l (952)249-4600
_ .
� ����
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORNLATIQN . �
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. Permit 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
PERMTT 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. A�work must be inspected and air tested before it is covered. Call(952)249-4600.-
(24-48 hour notice required) -
, ; T�'PE;O�PERMIT.�-�
.: ,
. -
, .
` Check A11 That A l ; •- �
Residential ❑ Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need nrior anaroval and may need CUI?.(Per Orono City Code,Chapter 78,Article I�
"Job Site:,/-:Owrier Information:
Site Address: _ Theresa Norsted
Owner: 2811 Casco Point Road lress:
Orono MN 55391
City: 9524719073
Home Phone: Alternate Phone:
Contractor Infoxmatiori: ^ �;�
Contractor: I��bl�, I'I l�l,�l YJ J�� Contact Person: (�.�-� {�
Address: ��� C�� �fV S. State Bond#: ��I�I ��► � 1
City: �-�,E,V1� �VW Zip:�LO Expiration Date: � (�
Phone: � �I`�) ���^�'�U3� Alternate Phone:
❑ Insurance-Current:`
1
� , ,
�
�Y:-d 8�1 �P� �r � �:.._��.��'� a,,� _
:�� ���,��.�����������, .E�"��VTBII�'G����T�J:�S�:B'ET�TG;IN��. ��1� �� ��-���
- -- �_��_.� ����
FIXTURE BSMT I 2N OTT3EK FIXTURE BSMT 1 T 2'''D OTF�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
r
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposa] Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
�
` � P�R'�IIT EEC C 1LGCIL� FIC)�(5}
� � .: r , _
_ :` _ 1_ . , - �
' _ . ,�;�.., .' `� B�SCI��(�I l�_2�(�`' S (��1 I L,5 L�1 I E�E. - . �
� Yes,this section applies i
/ �
The replacement of a Residentia(fixture or appliance that meets all three ofthe following requirements:
1. Uoes not require modificarion to electrical or gas secvice.
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 Permit $ 15.00
State Surcharge $ .50
, Mail-In Fee(If Applicable) $ 1.�0
Total Permit Fee $' � +(�
(Permit Fees Coniinued 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$35.00)
x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State B(dg Code Div. Surcharge(Min;mum Fee of$.50)
x.0005 $
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ F CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
. permitted 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.
■ x'� The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuation5 over$1,000,000 call the Building Deparhnent at(952)249-4600 for the price. �
PLUMBING PERMIT APPLICATION AGREEIVIENT
The undersigned hereby applies to the Ciiy for issuance of a Plumbing Permit, agrees to do all
� work in strict accordance with-the ordinances of the City ana the regulations of tne State of - -
Minnesota, and certifies that all statements made on this applicaticn are complete, true and
correct.
Applicant's Signatur : Date: � � ��
Reset Form
�
�