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HomeMy WebLinkAbout2008-00316 - plumbing � � CITY OF ORONO PERMIT NO.: 2008-00316 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/2U2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1470 CHERRY PL PIN : 08-117-23-33-0017 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 004 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WC3 LAV 1 TUB 4 SHOWER 2 KIT SINK 1 DISPOSAL 1 DISHWASHER 1 FLOOR DRAINS 1 LAUNDRY TRAY 1 WASHER 1 WATER SOFTENER 1 WATER HEATER 1 VALUATION OF PLUMBING 20000 APPLICANT PLUMBING FIXTURE FEE 250.00 LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 10.00 12469 ZINRAN AVE. SAVAGE,MN 55378 MAIL-IN FEE 1.50 (952)894-7600 TOTAL 261.50 OWNER Commercial Mortgage Fund COMMERCIAL MORTGAGE FUND 8300 NORMAN CENTER DR.#720 BLOOMINGTON,MN 55437- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance wi[h the State Building Code.This permit may be revoked at any time for due c�use. `�L.��,Q � i i i i Applicant Permitee Signature Date Issued By S� ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. FOR CITY USE ON1.1' O,�O�O City of Orono ---- . P O.Boa 66 Date Received: Permit I! 2750 Kelley Parkway .+ � �� Crystal Ba��,MN 55323 Approved By: Amount$� i , s.� > c` (952)249-4600 -- - <�K�xo��. CITY OF ORONO—I'LUMBING PERMI7' (i111 Commercial permits inust be approved by the Building Otticial ur Inspector) GENERAL INFORMATION _____ ___ l 1. You may apply for plumbing pennits by mail or in person at the City offices. npplications ���ill bc reviewed and a permit will be issued within two working days. 2. Permit cards will be sei�t by return mail atter a review is completed. PERMI"TS nR� NO"I� VALID UN"1�1L YOU RECI?IVI?A PERM1"I'. WORK MUS"I' NO"I' BEG1� UN"I'll.'I'lll�: PERMIT CARD IS POSTED ON"171E JOB SI'1'F,. 3. Plumbing permits may bc issucd ONI,I' to liccnsed plumbing coniractors and to property ���vncrs 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 ii� accordance with State Codc requiremenis. 6. All work must be inspected and air tested before it is covered. Call (952)249-4C00. (24-48 hour noticc requircd) TYPE OF PERMIT i (Check All That Apply) � � Residential ❑ Commercial (npproval Rcquired) [�New ❑ Additional ❑ Repairs ❑ Replacc ❑ In Accessory Structure'? *You will need prior�►pproval and may need C_t��P. (Per Orono City Code,Chapter 7S, -lrticle IV) Job Site /Owner Information: Site Address: ly�o C�err� Q�wci_ _ Owner: do�4n��. l�u:ldert Mailing Address: __ _ _�'i0�__�� ��ac� City: �c�¢,� �ra.��� /ip: S�j4'1 _ Flome Phone: niternatc Phone: Contractor Information: Contractor: ,� Contact Person: �e.�e. Address: �.y(„� Z,:,�rc,.,, A�-- State Bond #: 0�o� (09-�M _ City: "l,ip:�'$��� F;xpication Date: _ Phone: �1Sd_$q.�_ �(o� nitcrnate Phone: ❑ Insurancc - C�irrent: �GS 1 PLUMBING FIXTURES BEING INSTALLED � FIXTliRE BSM"I' I�� 2ND OTI If:R I'IXTURF. [3SM'I' 1'� 2"D O"fl II?R TYPE I�L FI, 'I'YPE FL I�I. Water Closet � �loor Drains � Lavatory � Sewer Ejector --- ______ [3athroom � Laundry"1'ray � — —�--_ ...--- _---- _ -—_ -- -- Shower � W asher � Kitchen Sink � Water Heater � � .:is���a{ Watc:r Soitener �� � Uishwasher � Wet Bar Sillcocks Miscellaneous -- --- ��•�5�� — ----- ---- - —_ _ __ I PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replaccment of a Residential fixture or appliance that meets all thrcc of the following rcquircments: I. Does not require modification to electrical or gas service. 2. lias a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: ��nd 3. Is improved, installed or replaced by the homeowner or liccnsed conU-actor. Skip next section, if this applies; Cost of Permit $ I 5.00 State Surcharge $ .50 Mail-[n F�ee(lf�pplicablc) $ 1.50 "I�otal Pcr�nit Fcc $ (Permit Fees Continued On Next Page) 2 S PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 ___ � lf above does not apply; follow guidelines bclow: 1. CON'1'RACT PRICE * is I.25%of contract price with a(Minimum Fcc of$3�.00) �p�gu o x .o i 25 $ a So (contract pricc) -- (minimuni$ii UU) 2. S'fATE SURCHARGE ** Add the State Bldg Codc Div. Surcharge(��linimum Fec of ti.;0) a2� �u� _ ___x .0005 $ �� -- __� __- - -_ (coniract price) Iininimum$ >i)I 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ � , 0 ■ * CONI'RACT PRICE or JOB COST means the actual or estimated dollar amount char��cd for thc pennitted work including materials, labor, profit, and other fixed costs. It is the amount to be char��cd to the customer for the work done. If any material, equipment, labor or installations are fw•nishcd b�' the owner, tenant or any other party, the reasonable market value of such items must bc <iddcd t�� thc estimated cost or contract price for permit fee purposes. In the event that there is a dispute �m thc amount of the job cost, the City may request the submission of a signed copy of the actual contrict. ■ ** The S"I'ATE SURCFIARGE is .0005 of the contract price undcr$1,000,000 or$.50 whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4C00 li�r thc price. PLUMBING PERMIT APPLICATION AGREEMENT The undcrsigned hereby applies to the City for issuance of a Plumbin� Permit, agrecs tu �tu all work in strict accordance with the ordii�ances of the City and the reg�ilations of� the St��tc ��I� Minnesota, a��d certifes that all statements made on this application are complete, true an�l correct. ' 7 � �� _ �O npplicant's Si�nature: �_ _ f�atc: ��_ d Reset Form , � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. dt? �l(r� COMPLETED � � � � ADDRESS l`l�� ���E�`� ��I�l�f% OWNER CONTR.__�!�l�'S�� c�� �l�� TELEPHONE NO. � DESCRIPTION � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 J ❑ DEMO-FINAL ❑ SEPTIC iNSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J �UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C j o /1i� /'�n Q /�..t�— �t����- C�K a � o �_� � � ;7°�: l E� A-,�cl � ����-c�� �'� �� � �C� S S Q � z ^ � �W�; i I /�-�T i—���- 1 W � � a W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: � Inspector. � - White Copyllnspector's File Canary CopylSite Notice