Loading...
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� �4 �p84' � asu 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: 1 � � � �. , _. . .� ; _ . � �, �: � <.� w..w.'' ,.., . �� w..w:.. � � Wx �� 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) 2 . �, , _ .. .. . �� �. � �=°�o�s ovEx �sao.00 � 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 � � // 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: � W a o {��_ �-- A , '-�-e,�-�' � 1�� � 1�� �w'� S� (�,A ��-�- ,��T ° U �i c�� ��1 �� f-�.�,� � � .�,i s i�<�ct� QU-v� c , .� /�,��?�.�i �, � I�.�cJ�/ / � c` i� z W � W � � 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