HomeMy WebLinkAbout2011-01540 - plumbing CITY OF ORONO PERMIT NO.: 2011-01540
, 2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE IssuE�: 12/09/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3095 CASCO POINT RD
PIN : 20-117-23-34-0005
LEGAL DESC : REG. LAND SURVEY NO. 131 1
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER,3 SILLCOCKS,2 FLOOR DRAINS, 1 WATER HEATER, 1 WATER SOFTNER
1 S1'FLOOR: I WC, I LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,4 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER
2ND FLOOR:2 WC, 3 LAV, 1 TUB, 1 SHOWER
VALUATION OF PLUMBING 30250
APPLICANT PLUMBING FIXTURE FEE 378.]3
SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 15.13
1 1473 KENYON COURT
BLAINE, MN 55449- MAIL-IN FEE 2.00
(763)614-7963 MISC FEE 0.00
Minnesota State License#: 066807 PM TOTAL 395.26
OWNER
WH[PPLE, PHILLIP
3095 CASCO PT RD
WAYZATA, MN 55391-
AGREEMEI�T AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approved pians and specifications,applicable City approvals,and [he
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expirc and become null and void if construc[ion authorized is not
commenced within 180 days of[he da[e of issuance,or if construction is
suspended for a period of 180 days a[any[ime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conYormance•with the State Building Code.This permit may be
revoked at any time foF due cause.
�_�y��-� �/Il ; � � ' l l
Applicant Permitee Signature Date
[ssued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E.
FOR CITY USE ONLY
A� City of Orono
O¢O`rO P.O.Box 66 Date Received: Pemiit#
, 2750 Kelley Pazkway
� 'i ?'' F: Crystal Bay,MN 55323 Approved F3y: Amount$:
� � ; o` (952)249-4600—Main
��ra�s�" (952)249-4616—Faa
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Pennits Must be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City off�ices. 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 UIVTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN C1N'TIL THE
PERMIT CARD 1S 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 1
�Residential ❑Commercial (Approval Required)
0 New ❑ Additional ❑Repairs ❑Replace
' ❑ In Accessory Structure?
*You will need nrior anproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
s;te Address: 3095 CaSCO ROad
Kyle Hunt & Partners 18324 Minnetonka Blvd
Owner: Mailing Address:
city: Deephaven Zlp: 5391
Home P11one: Alternate Phone:
Contractor Information:
cont,-actor: Spring Plumbing conta�t PerSon: Theresa Bialon
Address: 11473 Kenyon Court State Bond#: 66057� ZO
Blaine 55449 12/31/11
City: Zip: Expira�ion Date:
Phone: (763) 614-7963 qlternate Phone: (763) 229-1265
❑ Insurance—Current: YeS
1
�
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT lsi 2'�D OT�IER FIXTURE BSMT 1sT 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ,� ,� � Floor Drains � 4
Lavatory 1 1 3 Sewer Ejector
Bathtub ,) Laundry Tray 1
Shower � � Washer 1
Kitchen�ink ,� Water Heater ,�
Disposal ,� Water Softener ,�
Dishwasher ,� Wet Bar
Sillcocks 3 Miscellaneous
( PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residential fi�ure 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 plumbing contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
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
lf above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
30,250.00 .�.o,2s$ 378.13
(contract price) (minimum$50.00)
2. STATE SURCHARGE 30,250.00 15.13
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $395.26
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work dane. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonabie market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
Ff,�.,tl�$�fiF PER�fIT�PPLICAT�E}I�AGREEItf1E�T
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 certi�es that all statements made on this application are complete, true and
correct.
A licant's Si nature: � ����� Date: � � � l
rr �
i�esef Form
3
S l/� DAT TIME �
CITY OF ORONO CALLED IN ��`��
INSPECTION NOTIC SCHEDULED ��'/`t-// �
PERMIT NO. � �d �� COMPLETED
ADDRESS l�� ��'SC�
OWNER T HONE NO. �/��Z' �o D7�
CONTRACTOR
�; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CA�I TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerfContractor on site
Inspector. �J�_a h o �
White Copyllnspector's File Canary Copy/Site Notice
Z A � TIME �
CITY OF ORONO ALLED IN = ��
INSPECTION N'QT�.'� _��r�� SCHEDULED �
PERMIT NO. ��� J MPLETED
ADDRESS
OWNER ELEPHONE NO. �J w
CONTRACT� �
>: DESCRIPTION � �
�
� ❑ FOOTING ❑ PLUMBI FI AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECH I L RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECH CAL FINAL
O ❑ 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. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 2Q9-46��
�erlContractor on ite:
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White Copyllnspector's File Canary CopylSite Notice