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Home My WebLink About2010-01204 - plumbing CITY OF ORONO PERMIT NO.: 2010-01204 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE tssuEn: 12/22/2010 ' 952 249-4600 FAX: 952 249-4616 A�DRESS : 2195 BAYVIEW PL PIN : 17-117-23-43-0001 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : WATER HEATER APPL[CANT PLUMBING FIXTURE FEE(<$500) 15.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 5.00 2905 GARFIELD AVENUE S. MINNEAPOLIS, MN 55408- MAIL-IN FEE 2.00 (612)827-4033 MISC FEE 0.00 TOTAL 22.00 OWNER MEYERS, RICHARD&JANICE 2195 BAYVIEW PL WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be pertormed according to the approved plans and specitications,applicable City approvals,�nd the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whedier or no[specified herein.This permit will expire and become null and void if construction authorized is no[ commenced�vithin I 80 days of the date o1'issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance�vith the State Building Code.This permit may be revoked at any time for duc cause. ��'�,u„'l tr7� � � ��-,µ'Y' l l Applicant Permitee Signature Date Issued By i nature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV FOR C1TY US�ONLY � ,�p�, City of Orono r O O P•O.Box 66 Date Received: Permit# �,,�,� 2750 Kelley Parkway a �1�yr� �• Crysta]Bay,MN 55323 Approved By: Amount$: ��o� (952)249-4600 � � � � � � � ssxo$ CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORIVIATION _ - 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a perniit will be issued within two working days. 2. Permit cards will be sent by reriun mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CAI2.D IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to propercy owners residing in the dwelling. 4. When any new construction or reinodeling 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. Cail(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) � Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) 7ob.'Site/ Owner Information: Site Address: Richard Meyers 2195 Bayview Place Owner: Orono, MN 55391 Address: 9524718288 City: Home Phone: Alternate Phone: Contractor Information: Contractor: N�r�CO�Y}� �I�(,4,�� Contact Person: � Address: 2�� d '� 5�. State Bond#: �U(' f�� City: � �S Zip��b� Expiration Date: � � �� Phone: ��2`��2'7� �a��3 Alternate Phone: M� .�] Insurance—Current: 1 , �''��x��`.��`� �'�"� °��1' � �;" BING�FIXTURES BE1NG INSTALLED.7=. ' r�;� � �,��t`.� � ' - ,• f��.i1�,"��I t h�,i��lu"_.��U JaA ��i x ..a ,, -*� FIXTURE BSMT 1 2 OTHER PIXTURE 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 I Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FE� CAI;CULATION(S) . BASED Ol�'F - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a� lip �ance 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�f the�ixture�r appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ , r' r (Permit Fees Continued On Next Page) 2 , • ' PERMIT FEE CALCULt1TION(S -JOBS OVER $500.00 � � If above does not apply; follow guidelincs below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ?/�•�� • * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the pemutted 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 funiished 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 pernut 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 contract price under$1,000,000 or $.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ,:,� .��ay�,r� iY's u ,� @ ��/'*+ T�r�+ vd /'''�'�j�y'��ia r e{p�, � ,�, �5�,., .^SyY .�r.��!'a$� .� �� °..1.1?1,�47��1-.1 �Pi�r��," �,.��A�,V`�I.l;1=+'.l':+��4�a�fAP'I��+'��ay L�i�;ut�ts� 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: Date: V 3 �—� C� DA E TIME �/ CITY OF ORONO ALLED IN L I INSPECTION NOTI SCHEDULED � PERMIT NO. �� d`� OMPLETED ADDRESS lcs �/� � OWNER PHONE NO��°��`� 7�- �°20 " CONTRACTOR � � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � � d W ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O 0 CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice