HomeMy WebLinkAbout2009-00733 - plumbing � , CITY OF ORONO PERMIT 1�0.: 2009-00733
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/20/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2933 CASCO POINT RD
PIN : 20-117-23-31-0048
LEGAL DESC : SPRING PARK
: LOT 094 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMBING FIXTURES:
(4)WATER CLOSETS,(6)LAVATORIES,(3)BATHTUB,(1)SHOWER,KITCHEN SINK,DISPOSAL,DISHWASHER,LAUNDRY TRAY,
WATER HEATER, WET BAR,(2)SILLCOCKS,(4)FLOOR DRAINS
VALUATION OF PLUMBING 14900
APPLICANT PLUMBING FIXTURE FEE 186.25
2-GUYS PLUMBING& HEATING INC STATE SURCHARGE PLBG(VALUATION) 7.45
208 CAPITAL DR TOTAL 193.70
BUFFALO, MN 55313-
(763)498-8019
OWNER
FARWELL, HEATH&JULIE
2933 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
thc approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the da[e of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applican[is responsible for assuring all required inspections are
requeste in conformance wi[h the State Building Code.This permit may be
revoke at ny time r e cause.
. . /Dl � lD l l
Applicant P rm� ' ature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB�)VE.
FO CITY USE ONLY
p�` City of Orono f(� ' �� 3
O¢ `rO P.O.Box 66 Date Received: �Permit#�� 7 �
2750 Kelley Parkway 'l
.+ - '°- � Crystal Bay,MN 55323 Approved By: Amount$: 193, �J
�e ' � " . o` (952)249-4600
t,��o�s�
CITY OF ORONO—PLUMBING PERMIT
(Ali Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION �
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 T}iE
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 bc;
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)
❑Q Residential ❑Commercial(Approval Required)
�✓ New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior auproval and may need CUP.(Per Orono City Code,Chapter 78,Article N)
Job Site/Owner lnformation:
Site Address: 2933 Casco Point Road
Owner: Farwell Mailing Address:
City: Orono Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 2 Guys P/H Inc Contact Person: Andy
Address: 208 Capital Dr State Bond#: 6622462
City: Buffalo ZIP:55313 Expiration Date: 12/31/09
Phone: (763)498-8019 Alternate Phone: (612)267-0621
�✓ Insurance—Current:
1
PLUMBING FIXTURES BEING INSTALLED �
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � � 2 Floor Drains � 3
Lavatory � � 4 Sewer Ejector
Bathtub � 2 Laundry Tray �
Shower � Washer
Kitchen Sink � Water Heater �
Disposal � Water Softener
Dishwasher � Wet Bar �
Sillcocks 2 Miscellaneous
PERMIT FEE CALCULATION(S) �
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Dces not require modification to electrical or gas service.
2. Has a total cost 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 contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .51:1
Mail-In Fee(If Applicable) $ 2A0
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:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
14,900.00 x.0125$ 186.25
(co�tract price) (mi�imum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
14,900.00 x.0005 $ ��45
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 190J0
■ * 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 fumished 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 valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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.
Applicant's Signature: Date: (� p� �
Reset Form
3
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CITY OF ORONO CALLED IN I�J�1
INSPECTION NOTI SCHEDULED � "Z"b A?:3O
PERMIT NO.�DO7 COMPL ED
ADDRESS a9.3� �-r� �
OWNER CONTR. Tu�V(�-��ln ��
TELEPHONE NO. 6l a ah7 � �_
� DESCRIPTION 1���-��1' ����,Ur'�-�-'
� ❑ FOOTING ❑ MECHANICA I ❑ EXCAV/GRADING/FI G
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL � FOUNDATION,%REMOVP,L
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CAI.L TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
Owner►Contracto on site: �
Inspector. �,� _^ � � � 1
White Copyllnspector's Fiie Canary CopylSite Notice
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/�AT� TIME
CITY OF ORONO �6 CALLED IN Z d
INSPECTION NOTIC�7� SCHEDULED � 3:30
PERMIT NO. COMPLETED
ADDRESS �-� � �
OWNER CONTR
TELEPHONE NO.�/1/I —101/�' a�7' d�O � �
� DESCRIPTION ��'�'-�✓ / ����=u� ' �` � -�-�D'�-� �������
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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
_ �`�PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (J52� 24J-46��
OwnerlContractor on site:
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Inspector. i�f ; � ^ � /� � �� ..-�
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White Copylinspector's File Canary Copy/Site Notice
� �� ���� ATE TIME �
CITY OF ORONO CALLED IN � /7
INSPECTION N T E EDULED _��3�_
PERMIT NO. " �� ���7� LETED
ADDRESS � � �
OWNER CONTR. UG
TELEPHONE NO. Q ` �� ��'
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� DESCRIPTION L�(. ��
� ❑ FOOTWG ❑ MECHANICAL RI ❑ EXCAV/GRADING/RLLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREiWETLANDS
O ❑ 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
Q ❑ DEMO—FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G IfVSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site:
Inspector. ✓o � �
White Copyllnspector's File Canary Copy/Site Notice