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Home My WebLink About2009-00279 - plumbing CITY OF ORONO PERMIT IVO.: 2009-00279 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 06/03/2009 - 952 249-4600 FAX: 952 249-4616 ADDRESS : 4355 CHIPPEWA LA PIN : 31-118-23-42-0020 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 FLOOR DRAIN, 1 WATER HEATER, 1 WATER SOFTNER,WET BAR-RI 1S7'FLOOR:2 WC,3 LAV, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WASHER VALUATION OF PLUMBING 7000 APPLICANT PLUMBING FIXTURE FEE 87.50 UP NORTH MECHANICAL STATE SURCHARGE PLBG (VALUATION) 3.50 P.O. BOX 35 TOTAL 91.00 HARRIS, MN 55032 (651)277-0515 Minnesota State License#: 006006PM OWNER YOUNG,JOHN& LYNN � 4355 CHIPPEWA LA MAPLE PLAIN,MN 55359- � AGREEMENT AND SWORN STATEMENT I ,,' GV"J The work for which this permit is issued shall be performed according to ��/11//�1 the approved plans and specifications,applicable City approvals,and the �C�� "' State Building Code. This permit is for only the work described and does not grant permission Yor additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work I/� shall be compied with whether or not specified herein.This permit will � L expire and become null and void if construction authorized is not ,/�Q/� commenced within 180 days of the date of issuance,or if construction is ��l//L%� suspended for a period of 180 days at any time afrer 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 rev ed�at any time for due cause. . i' i`�;ii�., c��L,� � ';��%� ��l/�r l� �� l / l �� Applicant Per � Signafure Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Feb.l� 04:00 PAGE. 1/ 4 ��5� � � c.-2�f-2- ��j � �--Pil .-►-.� > 1 S S v �� `�� n9 U w N-'� /�� S S-� � N'�-�✓ � � 7` � T'/I�fi-�S r-�✓�- /--e-� Fax Cav�r Sl��t ��G 5 v � � Fr�m: Up Ndrth M�ch�nlcal, Inc Attn:/ Lyle, Bidg Inspector/ Permits �j� � -,� ��j - �/(.�/G-� Pages including Cdver she�t: 5 Corrtm�r�t�; Here is the requested information in order to get the permit pulled. As per our convereetion earlier today you etated thet the permit we� already paid for. Thank You, D�rtlse Up North Mechanical, Inc. Secretary 651-746-4460 Feb.l�.�OC� 04:01 PAGE. 3/ 4 ' �p� C'ity of Orouo ` ,0 O I'.t 1 14n�nh I�du 12ucoivwl: Ibnnii N 27SI1 F;cll�y I'urkwuy -..__ _,_ �,� n;.�„ C ryslyl fjRy,MN 5$323 A oval R j / r ��I Pln Y� — Amoiu�l S: , �r� 1952)24')-4h(Nl ,,....,._.�._,.,,....._ �— Cl'I'Y ON'URONp—PLl1N1BING PERMIT (All(:ummcrcuil pvrmii�mu�l bc up�ii'iw�xl hy lbo li�.iildiu�(lll'ioinl�a Inspcclui l GE.N ' AL ! ' IdN I. You muy apply for plumbin�permils b,y m�il or in porsc�n al Ihe(.'ily ot�ices. Applleation5 will be reviewed and e permit will be issued within two working days. 2. Permit cer�.q will he sant hy r�turn rr�il afi�e►a review i,y complvFed VRRMI'1'� Al�ib NnT VAI,ID lJN'T'11.YUU RH;CtiIVf:A 1�1'?RMI'I�, WURkMUS'I'NU"I' HN:(�!N IN"I'll '�IIE ��RMIT C RD IS QUSTN;ll ON'1'_ HE JQH SITF 3, Plumhing permits may be Issued ONLY to licen5ed plumbing conlrbctors�nd to p�operly c�v�mers re.vidi�tg in the dwelling, 4. WNeii Ntiy ndw aun�truc;tiun��r remcsdcling �s�fivolval,u s�s�rate building pctrnit�nust bc oblAined. � All wark must he done in ecuordnn�i�wi�h Slz�te C'ndu requirumenls. G, All wt�rk n�ust he inypected Hnd air luatcul bel�ore it is cuvered, Cell (9S2)249-46U0. (24-48 huur no�ice required) �rY�� oF� NE�Mrr Check All That A 1 �Rcyidt�nlial ❑(:omrnuci�il (Approval Reyuuutl) ❑ Ncw ❑ Addiliunal ❑Itcpuirw ❑ H�pIA�� ❑ 1n Accessa,ry 4treieture? 'You will need urioranoroval Hnd mnY need�'I.I'. (Pur Orano('ity CbdC. ('hepltlr 78, Articla IV) Job Site/Owner information: Site Addresti: �355 Chlpp�w�Lan� Ownur: Jeck Young Muiling Address; City; d��° ��: 55323 Home Phone: Alternate Ph�ne: Cbntractor lnf'onnation: �,��i��,��.; Up North Mechanical, �nc, �:�i�tact I�ersun; Dele Duval Address; P��'� Boz 35 Slatc Rcmd N; 39200 C� : Harris 55032 � 12/31/09 �Y 7.,ip: __.. F.xpiration Date: Yl�ane: (651� 277-0515 Alternate f'hone: �851) 779-7894 Q Insuran�c .Gurrent; I Feb.l�.•20C� 04:01 PAGE. 4/ 4 P�, �1�NG IXTURES BEiN NSTALLED FIXTURE t3SMT 1` 2 OTHF.R FIXTU.Ft�i BSMT 1� 2 UTH�R TYPF FL FL TYPG FI. f�l. Water C'loset z Floor Drains � I.avniary 3 Stlwnr ls,jector Bath�ub � I,�undry, 'I'ray Shower � V WAsher 1 Kitchmn Sink � Watmr Flea�ter � Disposal Water Softcner � 1)iahwashar � Wet Har J �. � � 1 Sillcockg 2 Miwcellxnoc�uv F��.f�vl �B�tALCULATiC�iV(S) BASED OFF - 2002 STATE STATUE ❑ Yus,this sticl�un epplicy 7'ha repl�cert+cr+1�f a Rasider�ltal fixturo�r�{ypliunce iNH�meets E�II tMree u�'ttic f�sll�swin�rcyuiromoNts I. es not require m�difiication to electrical or gas service. 2. Has n Iott�l 4osc or$500 00 nr Iess;�ju�the cosr of Ihe fixture or Wpplinnco: and 3. Iy improvefd, insU1110d or repl�IC�(1 hy Ih�hp�tlWwner pr Ilwnstxl W111faclor. Skip next seclion, if this spplies; Cost of Pcrmit $_��5.00 SIpfCS�ll'{;Ilflfj{C �_ Sq Mail-In 1'c�e(If Applic:xble) $ 2.00 7'utal Permit Fee � (PCI'ttlll I�rEb(�u�ui�ur.0 on nr.��Pn�r� Z Feb.l.^,..2D�9 04:02 PAGE. 1/ 1 PEFtM1T FEE CALCLILAT'ION S -JOBS OVER$SOO,Op lf ttbove does nol Rpply;follow guidelines below. I. CUNT�tACT PRIC�: * is 1.25%of contract price with a(Minimum Fee of 550.00) x .(1125 � (cun(ruct priccl � �mmw�Wn SuI.IN1j _...._.. 2. �TA'1'E S�IRCHAItGE *• Add tl�t titate Rldy('ucle Div. Sur�l�arge(Mlni�tium F��c uf��ill) ._... . ..x .0005 �.. (co�ihucl pnccl (nnnitnum S SU) 3. PUS'i'AGIs t�c f IANULIN(y(Only un Mail-In Appl��ations) $ 2,pp 4. '1'U'f AL 1'N:RMI'1' FE�:(Add Lin� I-.i Abov�) � • "` C'ON'1'I2A(.'T PRIC'['s w JO[3 ('OST niuins thc uclual ur cvtimutc�! dullnr amuuut char�wJ fur (hc permitted work includmg mHturiels, IslUp�, prolit, end olhur tixnd cosls. It is the amount to he charged to the custamer for tha work done. lf any ma[erial, eyuipment, labor �r instxllations are furnished by the qwner, lenAnt or any olllor �xtrt,y, the rc+�aonable mArk�l value oP such items must be nddcd tu the e9iinwWd u�st ar contru�l price For pornlit Icu purpu��s. Iri the dvtlnl lhnt there is n dispulC on �he amount. ol'the aob cost, the City may request the submission qf a s�gned copy oC the actual contract. ' "* 'fhc STA'1'l's S1lRC'HARCiI�. is .0005 of tl��cunlrnc�pnw �mder $I,UUO,(1l)p vr S.Sp . whichev�� is greutler. F�r valuati�ns over�I,ODU,ODU cnll thc�13wldmg C)epartment at(952)249•4GUU for the price. PLUNiBING PERMiT APPL[CAT10N AGREEMENT _ � '1'he �u�dc:�si�ntxi h�rchy upplies tu �liu City 1'or istiva.nce of a Plunibing Permil, ��rees lc� do all work in st.nct Accordance with tlie ordinances ol' t.he City and the regulations of the State of' Minnetiatn, und certifics that All statements madc cm this �pplicution ar� �pmnlete, true And currcct ApE�licanl's Si�,nalur�. / �/ t , v' �LC.�.. --c � .. . . I)ate: �i'.."�LC.�' j, Reset Form 3 ,' .� CITY OF ORONO PERMIT NO.: 2009-00279 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 06/03/2009 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 4355 CHIPPEWA LA PIN : 31-118-23-42-0020 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 FLOOR DRAIN, 1 WATER HEATER, 1 WATER SOFTNER,WET BAR-RI 1 ST FLOOR:2 WC,3 LAV, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WASHER VALUATION OF PLUMBING 7000 APPLICANT PLUMBING FIXTURE FEE 87.50 YOUNG,JOHN& LYNN STATE SURCHARGE PLBG(VALUATION) 3.50 4355 CHIPPEWA LA MAPLE PLAIN, MN 55359- TOTAL 91.00 OWNER � /e YOUNG,JOHN& LYNN 4355 CHIPPEWA LA b� -� ()'l,�JYLILL. � MAPLE PLAIN, MN 55359- �u,e,� �`.° `�� AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does � � not grant permission for additional or related work which requires separate /��.(� permits. All provisions of laws and ordinances governing this type of work o shall be compied with whether or not specified herein.This permit will � � ��. expire and become null and void if construction authorized is not � � r�� commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applican[is responsible for assuring all required inspections are requested in co mance with the S te Building Code.This permit may be revoked at tim for due ca se. ��/ �/� /� � / / Applicant e itee igna re — Date Issued By Si ature Date S A E PERl\�IITS REQUIRED FOR WORK OTHER AN DESCRIBED A O E. , � a � FOR CTI'Y USE ONLY , O,¢��O City of Orono P.O.Box 66 Date Received: Pertnit# � � 2750 Kelley Parkway ' � r�' �' Crystai Bay,MN 55323 Approved By: Amount$: , � r �"-' s �*,} � � (952)249-4600 > � �. bu�_. CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Oflicial or Inspector) GENERAL TNFORMATION 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 j�,Residential ❑Commercial(Approval Required) i � ❑New ❑Additional ❑Repairs ❑Replace � In Accessory Structure? *You will need nrior aoproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) � �J�-�-� Job Site!Owner Information: j ,.� C�� `' r (� Site Address: c "� `� `'� �� -f'i:�Gf � ( � i�'� r� c� Owner:� c � � � G� C ailing Address: City: f �/ Zip: � � :��`�' Home Phone: �% ' ` 4i. Alternate Phone: Contractor Informaf n: Contractor: �- �f,t=�,'�-(" Contact Person: � l�l� � �''� �� ✓1 Address: State Bond#: �. City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 PLUMBING FIXTETRES BEIt�t�I�STALLEI} FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � ,..� Floor Drains j i � Lavatory .�/ ;� Sewer Ejector /` ,.� Bathtub � � Laundry Tray Shower � i Washer I Kitchen Sink I Water Heater � Disposal Water Softener Dishwasher Wet Bar �' i =� �_.. Sillcocks "� Miscellaneous , , � PERMI`I'FEE CAL�ULATi4N(S) BASED OFF -2042 STATE STATUE ❑ 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,ifthis applies; Cost ofPermit $ 15A0 Staie Surchazge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit F'ees Continued On Next Page) 2 rE�rrr��caLcvia�� -=aoss c��c�:� 4 �; If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fce of$50.0t1) ��=� x.0125$ �� `� L) (contract price) (min� um$50.00) 2. STATE SURCHARGE '�*Add the State Bldg Code Div.Surcharge(Minimum Fce of$.50) ��(�� Y` x.0005 $ ;j.,�_�j�. (contract price) (minimam$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �?�— • * CONTRACT PWCE or JOB COST means the actual or estimated dol(ar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged 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. ln 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. / / ,f Applicant's Signature: '-;,� (� t+��' Date: �� Res�t Form � ( 3 � �r._ �^� C� ; ;�.DATE ,. TIME i/ CITY OF ORONO c,n��E�iN �� 'f" INSPECTION N, HEDULED .D9 .� PERMIT NO. �-L'��7�MPLET ADDRESS � '� �L,��C OWNER CONTR. Op'" TELEPHONE NO. �O/ ` � � � DESCRIPTION � � ❑ FOOTING M ANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ HANICAL FINAL ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ LUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J �IUMBING FINAL ❑ FOUNDAT�ON/REMOVAL � �OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4 o , r�s S � �� I F� � - �� c� A --�cf �-�- e ,g-� ° �/��' S `. T� =n �� W . � ��t�v.�-� ' �l i�� c� ,/� ��- �� Q - z �('Q_/-� �� O� tP S �. e..� A -�--er ).�� w � W � j d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W D�CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on site: Inspector. � �j, White Copyllnspector's File Canary CopylSite Notice �� ✓ DATE TIME CITY OF ORONO CALIED IN � G� INSPECTION NOTICE SCHEDULED �o /f`U'D PERMIT NO.ov20l��"'/-�OrZ�"1 coMP E �� ADDRESS OWNER CONT . TELEPHONE NO. — -�D � 3 � DESCRIPTION �I � ❑ FOOTING ❑ ANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 ? S�J'PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL �3 J LJ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � d . _ W��WORK SATISFACTORY:PROCEED ❑ PROJECT COMR�.EIE--- W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING �pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTO�AKEN INSPECTOR WILL RETUFN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContracto o i . Inspector. White Copyllnspector's File Canary CopylSite Notice