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HomeMy WebLinkAbout2010-00188 - plumbing CITY OF ORONO PERMIT NO.: 2010-oolgg 2750 KELLEY PARKWAY _ ORONO, MN 55356- DATE IssuEn: 04/06/2010 , 952 249-4600 FAX: 952 249-4616 ADDRESS : 2835 CASCO POINT RD PIN : 20-117-23-31-0057 LEGAL DESC : SPRING PARK : LOT 114 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 1ST FLOOR: WATER CLOSGT, LAV,2 KITCHEN SINKS, 1 DISPOSAL, 1 DISHWASHER, 1 WA"fER IiEA`I'ER, 1 WET BAR 2 ND FLOOR: I WATER CLOSET, 1 LAV, 1 BATHTUB, 1 SHOWER VALUATION OF PLUMBING 3400 APPLICANT PLUMBING FIXTURE FEE 50.00 JOHN MYERS PLUMBING INC STATE SURCHARGE PLBG (VALUAT[ON) 1.70 10090 75TH ST N STILLWATER, MN 55082- MAIL-IN FEE 2.00 (612)723-6930 TOTAL 53.70 Minnesota State License#: 6168:rPM PAID WITH CC# 2820 OWNER IVERSEN, ROSEMARY C 2835 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may be revoked at any time for due use. , f� , � , , , ,� � , � � , � . � c � i� ; �' ,,,,:� .�l l � � � �. �`-� ��i ��',tiJ7 � � �� ��� l�� Applicant Permitee Sign ture Date Issued By Signaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. APR-5-201� 02:�6P FROM:JOHN MYERS PLUMBIN� 6514397764 T0:9522494616 P.3�3 �`J� —� l� r ��I V , �pR CITY U.S�pNL O$p�O City of Urono P O 13ox 66 �ate Receiyed: „_,^ PenniCq .,�, 2750 K�Iluy Parkway � t ;ti.� Crysml Hay,MN 55323 Appravc�By; ___�,_,__q�nouqt$�. �'� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Cnmmerclal permits must be approved by the Building Oflicinl or Inspector) GENERAL 1NFORMATION 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 d�ys. 2. Permit cards will be sent by return mail ofter a review is completed. PERMITS ARI:NOT VALID UNTfL YOU RECEIVE A AERMIT. WORK MUST NOT BEGIN UNTIL THE PFRMIT CARD IS POSTFD ON TWE,106 SITF. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors�nd to properly owners residing in the dwelling. 4. When any new construction or remodeling is involved,a seporate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected nnd air tested before it is covered. Call(952)249-4G00. (24-48 hour notice required) TYP�OF PERMIT Check Al l That A I �Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑ Repairs (�Replace ❑ In Accessory Structure? "You will need nrior anarovel and may need CUP.(Per Orono City Code,Chapter 78,Article I V) Job Site/Qwner information: Site Address: 2835 Casco Point Road Owner: Rosie Iverson Mailing Address: same C� : Orono Zi 55391 h' P� Home Phone: Alternate Phone: Contractor Information: Contractor: �ohn Myers Plumbing Inc. Contact Person; �ohn Address: 10090 75th St. North State Bond #: 93 J4 8054 0 City: Stillwater ��r:55082 Expiration Date: 01/01h 1 Phone: (612)723-6930 Alternate Phone: � Insurance—Current: 1 APR-5-2010 02:07P FROM:JOHN MYERS PLUMBING 6514397764 T0:9522494616 P. 1�1 AI�UM�TNG F'[�7'URES D�T1�fG 1:1�1�aTA'I,[,�1� > FIXTURG BSMT 1 2 OTHER FIXTURE BSMT I 2 OTFIER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory � � Sewer Ejector Bathtub � Laundry Tray Shower � Washer Kitchen Sink 2 Wa[er Heater � Disposal � Water Softener Dishwasher � Wet Bar � Sillcocks Miscella�ieous 1�f�RM�T FTC CAL;CUI.ATI�.1N(�) ' AAS�A OFF-2;002 �aTATG ST'AT�1� ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. 2. Has a ota cos 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 contraetor. Skip next section,if this applies: Cost of Permit $ 15.00 State Surcharge $ .SO Mail-In Fee(If Applicable) $ 2.00 TotAI Permlt Fee $ (Permit Fees Continued On Next Page) 2 APR-5-2�1� 02:�5P FROM:JOHN MYERS PLUMBING 6514397764 T0:9522494616 P.2�3 I'L�RMIT FC�CAI,CUL-ATT01V S —rORS OV�R �SQa:.40 If above does nol apply; follow guidelines below: 1. CONTRACT PRICC '"is 1.25%of contract price with a(Minimum Fee of 550.00) 3,400.00 x ,0125$ 50.00 (contruct price) (minimum$50.00) 2. STATE SURCHARG� ** Add the Sl�le Bldg Code Div. Surcharge(Minimum�ee of$.90) x.0005 $ 0.50 (contract pncel (mimmum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S • * CONTRACT' PRICE or JOB COST means the actual or estimated dollar Amount charged for the permitted work including materinls, lebor, profit,and other fixed costs. (t is the nmount to be charged to the customer for the work done. If any material, equipment, labor or installations ara fiimished by the owner,tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract qrice for permit fee purposes. In the event that there is � dispute on rhe 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—wllichever is greater. For valuations over$I,000,000 call the Building Department at(952)249-4600 for the price. PI�[1MRT,NG A�RM]�'APPi,[CATION At3�ECM�N'f The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinanees 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. Applicant's Signature: Qate:_����� �__ L, _ ._ ..,.� � R����Fo�m �� 3 , ( � ' ` � � L�D T� TIME �ITY OF ORONO �� � cA��Eo iN /� �`-�' ���� INSPECTION NOTICE �.(�SCHEDULED -T •7� � 'C,<"� PERMIT NO. -'� C�� C�C���JCOMPLETED _ .:�, �_- � - 7C� ADDRESS � �� �� � � ' � ` �� - OWNER TELEPHONE NO.�� ^ , _ � � � ,- �-�C.��-n� � CONTRACTOR �' � -� �� �� ���' ' �; DESCRIPTION - �`"���'�r ,` � � lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q O ❑ 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 J ❑ PLUMBING RI ❑ SEP, IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�.YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � GW/ - WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ ORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. f � ' ` White Copyllnspector's File Canary CopylSite Notice