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 (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: 1ST FLOOR: WATER CLOSGT, LAV,2 KITCHEN SINKS, 1 DISPOSAL, 1 DISHWASHER, 1 WA"fER IiEA`I'ER, 1 WET BAR
2 ND FLOOR: I WATER CLOSET, 1 LAV, 1 BATHTUB, 1 SHOWER
VALUATION OF PLUMBING 3400
APPLICANT PLUMBING FIXTURE FEE 50.00
JOHN MYERS PLUMBING INC STATE SURCHARGE PLBG (VALUAT[ON) 1.70
10090 75TH ST N
STILLWATER, MN 55082- MAIL-IN FEE 2.00
(612)723-6930 TOTAL 53.70
Minnesota State License#: 6168:rPM PAID WITH CC# 2820
OWNER
IVERSEN, ROSEMARY C
2835 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State[3uilding Code.This permit may be
revoked at any time for due use. , f� ,
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Applicant Permitee Sign ture Date Issued By Signaturc Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
APR-5-201� 02:�6P FROM:JOHN MYERS PLUMBIN� 6514397764 T0:9522494616 P.3�3
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O$p�O City of Urono
P O 13ox 66 �ate Receiyed: „_,^ PenniCq
.,�, 2750 K�Iluy Parkway
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�'� (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:_����� �__
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�ITY OF ORONO �� � cA��Eo iN /� �`-�' ����
INSPECTION NOTICE �.(�SCHEDULED -T •7� � 'C,<"�
PERMIT NO. -'� C�� C�C���JCOMPLETED
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ADDRESS � �� �� � � ' � ` �� -
OWNER TELEPHONE NO.�� ^
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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:
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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