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Home My WebLink About2009-00125 - plumbing CITY OF ORONO PERMIT NO.: 2009-00125 ' 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE ISSUEu: 03/27/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2240 BAYVIEW PL PIN : 17-117-23-44-0042 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 039 BLOCK 000 PERMIT TYPE : PLUMB[NG (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NOTE: 1 LAVATORY, 1 SI IOWGR, I FLOOR DRAIN, I LAUNDRY TRAY APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 DESIGN MATTERS STATE SURCHARGE PLBG (<$500) 0.50 945 FOREST ARMS LANE TOTAL I5.50 MOUND, MN 55364 (952)270-6434 Minnesota State License#: 20484102 OWNER BRASSINGTON, MICHELLE 2240 BAYVIEW PL WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali be perfonned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if con ction authorized is not commenced within 180 days of the of issuance,or if construction is suspended for a period of I 80 day any time after work has commenced. The applicant is responsib�e fo ring all required inspections are requested in conformance 'tate E3uilding Code.This permit may be revoked any ti or due �+7 -� ,�-� � � �� !� Ci�� _C C C�'F'1C��--� � � �- �� "' C�� I � / / Applicant Perm' e ignature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. `� �. FOR CITY USE ONLY , 0,��0 City of Orono P.O.Box 66 Date Received: Permit# q�y,� 2750 Kelley Parkway ' � ��,�� Crystal Bay,MN 55323 Approved By: Amount$: � ;� °�;:� �' � '�„��r��o (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must bc 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 pernut 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new consri-uction 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 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) Job Site/ Owner Information: Site Address: �Z� Z�� 1�� -' Owner: /�( �C�f�2� �/,��ti��/UMailing Address: City: �-Z�''1� Zip: �5.3� ( Home Phone: �� 7� j��' Alternate Phone: ��- Z`�l�'' ��%��- Contractor Information: Contractor: �� ''�7�� Contact Person: 5�� S��`� � Address: �� 2�3T /��S ��SY'e Bond #: �-��C'� City: /"�� Zip: ��E piration Date: Phone: ��Z Z?0 � �3� Alternate Phone: ❑ Insurance- Current: 1 ' PLUMBING FIXTURES BElNG INSTALLED � FI�iTURE BSMT 1 2 � OTHER FI?:TURE ' 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 Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERPvIIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes, this section applies The replacement of a Residential fixture or a�pliance 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; excluding 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 Permit $ 15.00 State Surcharge $ .SO Mail-In Fee(If Applicable) $ �2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 I If above does not apply, follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contractprice) (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 or JOB COST means the actuai 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 fumished 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50—whichever is greater. For valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLTCATION AGREEMENT The undersigned hereby applies to the City far issuance of a Plumbing Permit, agrees to do all wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements de on this application are complete, true and correct. Applicant's Signature: �"( ' Date: � �Z� �� 3 �— � <�� E Q� TIME CITY OF ORONO CALLED IN INSPECTION 11IQT C �l� SCHEDULED � 0 9 �'�� PERMIT NO��J COMPL TED ADDRESS aa d / �� OWNER CON . TELEPHONE NO.S � — ;��1 '� 7� r �`�� 7` � DESCRIPTION /C"� —�- T �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GR ING ILLtNG Q ❑ FRAMING � MECHANICAL FINAL ❑ LAKESHOR ETLANDS y ❑ 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 � ❑ D O-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 w � w � � a � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITH�N HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cat1 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. „ �S White Copyllnspector's File Canary CopylSite Notice