HomeMy WebLinkAbout2012-00432 - plumbing � CITY OF ORONO * Z 0 1 2 — 0 0 4 3 Z *
� 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3925 CHERRY AVE
PIN : 08-117-23-33-0086
LEGAL DESC : HICKORY HILL
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: BASEMENT:2 WC,2 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 FLOOR DRAIN, 1 WATEK HEATER, 1 WET BAR
1 ST FLOOR: l WC, 1 LAV,2 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY
2ND FLOOR:3 WC,5 LAV, 1 TUB,3 SHOWER,
2 SILLCOCKS
VALUATION OF PLUMBING 16200
APPLICANT PLUMBING FIXTURE FEE 202.50
AIR MECHANICAL, INC. STATE SURCHARGE PLBG (VALUATION) 8.10
16411 ABERDEEN ST NE
HAM LAKE, MN 55304 MAIL-IN FEE 2.00
(763)434-7747 TOTAL 212.60
OWNER
Real Assets LLC
550 25TH AVE N
ST CLOUD, MN 56301-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or no[specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if cons[ruction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.`
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Applicant Permitee Signature Date Issued By Si n ture Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E.
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FOR CITY USE ONLY
¢�� City of Orono
O O, P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
r 'y- t� Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
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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 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 1
❑■ Residential ❑ Commercial(Approval Required)
❑■ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need nrior aauroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
siteAddress: 3925 CHERRY AVENUE
DEAN JOHNSON CONSTRUCITON 4700 COUNTY ROAD 19
Owner: Mailing Address:
MEDINA, MN 55357
City: Zip:
Home Phone: Alternate Phone: (763� 479-4820
Contractor Information:
AIR MECHANICAL BETTY
Contractor: Contact Person:
16411 ABERDEEN STREET NE PC645558
Address: State Bond#:
City: HAM LAKE, MN Zlp.55304 Expiration Date: � 2�3��� 3
Phone: (763) 746-3752 Alternate Phone: �763) 746-3763
� Insurance—Current: WCP7490311
1
PLUMBiNG FIXTURES BEING INSTALLED
F[XTURE BSMT 1 2N OTHER FIXTURE BSMT 1 2�D OTHER
TYPE FL FL TYPE FL FL
Water Closet 2 ,� 3 Floor Drains ,�
Lavatory 2 ,� 5 Sewer Ejector
Bathtub ,� Laundry Tray 1
Shower ,� 3 Washer
Kitchen Sink ,� 2 Water Heater ,�
Disposal ,� Water Softener
Dishwasher ,� Wet Bar ,�
Sillcocks � Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one 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,instailed or replaced by ihe homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Coatinued On Next Page)
2
PERMIT FEE CALCULATION S -JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
16,200.00 X.o12s $ 202.50
(contract price) (minimum S50.00)
2. STATE SURCHARGE 16,2��.�0 8.��
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $212.60
■ * 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 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 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.
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. 7
� 05/14/12
Applicant's Signa re: � �. ' "Date:
Reset Form
3
DA E TIME ✓
CITY OF ORONO CALLED IN �'� _����
INSPECTION NOTICE (1 SCHEDULED
PERMIT NOdD/o? '��D 7� COMPLETED
ADDRESS 3925
OWNER T EPHONE NO.Io/� 36.3 7�/
CONTRACTOR ��L�
�: DESCRIPTION C�•'`��
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ 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
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INSPECTOR WILL RETURN
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❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. l.� rl ; �
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTtON REQUIRED.CAL�TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. / . �� - 1
White Copyllnspector's File Canary Copy/Site Notice
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector. ,/''�r ��
White Copyllnspector's File Canary CopylSite Notice
�� � ATE TIME V
CITY OF ORONO CALLED IN �� 'L
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Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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V BEFORECOVERING PERMANENT
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INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�� DATE TIME V
CITY OF ORONO CALLED IN —8` �-
INSPECTION NOTICE SCHEDULED t�l—Z
PERMIT NO. � 32- COMP�ETED
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice