HomeMy WebLinkAbout2010-00806 - plumbing CITY OF ORONO PERMIT NO.: 2010-00806
� 2750 KELLEY PARKWAY
' ORONO, MN 55356- �ATE [SSUEn: 09/07/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3025 CASCO PO[NT RD
PIN : 20-117-23-34-0002
LEGAL DESC : REG. LAND SURVEY NO. 0394
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: 1ST FLOOR:
1 KITCHEN SINK
1 DISPOSAL
1 DISHWASHER
VALUATION OF PLUMBING 1040
APPLICANT
PLUMBING FIXTURE FEE 50.00
SOWADA& BARNA PLUMBING LLC STATE SURCHARGE PLBG (VALUATION) 5.00
P.O. BOX 188
CEDAR, MN 55011- MISC FEE 0.00
(763)444-0292 TOTAL 55.00
OWNER
STANDA, SCOTT& IRENE
3025 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMEIVT AIVD SWORN STATEMENT
'1'he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This pennit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this typc of work
shall be compied with whe[her or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
"I'he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
.'\��—�� �—�-, l / � / /O / /
Applicant Permitee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
FOR CITY L`SE ONLY
• . O,�p�O City of Orono
P.O.Box 66 Date Received: Permit#
' �"3, 2750 Kelley Parkway
� '��? '' Crystal Bay,MN 55323 A roved B Amount$:
��o� 952)249-4600 pp y�
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CITY OF ORONO-PLUMBING PERMIT
(All 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 pemut will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
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 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 ly)
�Residential ❑ Conunercial(Approval Required)
i
❑ New ❑Addirional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need prior appro��al and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: ��o�S � q� �o ��,_`..�� �
Owner:�s'e.� s�e�,y�� Mailing Address: 3✓aS �����,/'�. .��j�
City: t�ro� Zip. s5�� �
Home Phone: ���-�7/-�� �/? � Alternate Phone: --
Contractor Information:
Contractor:��,�r�� �(3�,,.;-y1� t�(�.,,�b:�_Contact Person: ��
Address: T �� (��� I �3�, State Bond #:
City: Z-eClw-�- Zip�'�-� i � Expiration Date:
Phone: �7b3-y�y�/-ao�9� Alternate Phone:
� Insurance-Current:
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FIXTLJRE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal I Water Softener
Dishwasher � Wet Bar
Silicocks Miscellaneous
� � PERMIT FEE CALCULATION(S) � , ;;
} BASED OFF - 200? STATE STATUE i
❑ Yes,this section applies
The replacement of a Residential fixture 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; 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 Pernut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
/039'• SZ� X.oi2s $
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00)
x .0005 $
(contract pnce) (minimum S 5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * COI�TTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 pnce 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 coniract price under$1,000,000 or$5.00-whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the pnce.
,�,� .. , , � -u
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: �,.,� �t------ Date: ���-/U
3
C� I D � � D E TIME �
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CITY OF ORONO CALLED IN ��,.*
INSPECTION 0 ICE SCHEDULED - ' l���
PERMIT NO. 'd�g�� COMPLETED
ADDRESS 30�5 �-S� �t ��
OWNER TEL PHONE NO.z�03 �����'/Z
CONTRACTOR S�W Q�a � ���Q. ���
>; DESCRIPTION �
�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
��O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �~ ' � �
White Copyllnspector's File Canary CopylSite Notice