HomeMy WebLinkAbout2014-00772 - plumbing � CITY OF ORONO * 2 0 1 4 - 0 0 7 7 2 *
2750 KELLEY PARKWAY DATE ISSUED: 07/22/2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 440 BIG ISLAND
PIN : 23-117-23-32-0078
LEGAL DESC : BIG ISLAND
: LOT MB BLOCK MB
PERMIT TYPE : PLUMBING (> $500)
YROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NO"I�E: 3 WC,� LAV,2"fU13. I S}{OWER, 1 K1TC131?N S[NK, 1 DISPOSnI„ 1 DIS[iWASH1�:R, 1 I�LOOR DRAINS, 1 I,nUNDRY"I'RAY, 1
WA'IER 1Il�A"I'GR
VALUATION OF PLUMBING 7000
APPLICANT PLUMBING FIXTURE FEE 87.50
STATE SURCHARGE PLBG (VALUATION) 3.50
TONKA PLUMBING HEATING& COOL INC. TOTAL 91.00
265 CTY RD 110 NORTH
MOUND, MN 55364 Payment(s)
(952)472-9200 ��VlSQ+ 4708 91.00
Minnesota State License#: plbg-060524-PM
OWNER
REIMANN, JOHN & ALICE
21957 MINNETONKA BLVD #12
EXCELSIOR, MN 55331-
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only thc work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void iY construction authorized is not
commenced within I AO days of the date of issuance,or if construclion is
suspended for a period of 180 days at any time after���ork has commenced.
I�he applicant is responsible 1�or assuring all required inspections are
requested in conformance with the State[3uilding Code.This permit may bc
revoked at any time for due cause.
��1� t�' i i
plicant er itee i ature Date Issued B , ignature � Date
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^ FOR CITY USE ONLY
'�' City of Orono
� �ONO P.O.I3ox 66 Date Received: Peimit#
' / 2750 Kclley Parkway
( C'rystal[3ay,MN 55323 Approved By: Amount$:
�� (952)249-4600—Main
� -� �. (952)249-4616—Fax
yF � CITY OF ORONO-PLUMBING PERMIT
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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. PERMTTS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TNE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractars 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 prior approval and may need CUP.(Per Orono City Code,Chapter 78,Artic(e IV)
Job Site/Owner Information:
Site Address: �-i'�l7 �j��� �Gt, �[���
Owner:�J��1v1 �Q i Yr�.✓1�1` Mailing Address:
City: Zip:
Home Phone: Alternate Phone: ����,cn��-r�s, l��ys -"
��✓� ✓1,�— (�j�-a-D q—S��J�c%
Contractor Information:
Contractor: �c�,��I�II��i !�(�C.�:r�I��Zoritact Person: ��� �'N��-�
Address: ��S Gc�• �� ���� State Bond#: �C (p'�-�� /
City: M�W�e� Zip:�,f�l( Expiration Date: ����3 f �Zo l�
Phone: `�`,SL-4�l 2-�Z�•� Alternate�one� ct S�' 2�'�J- �j21 y-
❑ Insurance-Current: \(
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1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 T 2"o OTHER FIXTURE BSMT 1 T 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains �
Lavatory � Sewer Ejector
Bathtub � Laundry Tray i
Shower Washer
Kitchen Sink Water Heater
� � � i I
Disposal � Water Softener
Dishwasher I 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 app(iance 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;excludin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the 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 Continued On Next Page)
2
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. 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)
��(�� x .0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE ;�,
7��� x.0005 $
contract price)
3. POSTAGE&IIANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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.
Applicant's Signature: Date: / Z
3
DATE TIME �'
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED — — '�
PERMIT NO. �\y —'17� COMPLETED
ADDRESS �'I"1,t� (�i�. �tS�nr�
OWNER ELEPHONE NO. 9s�� �-9�LS
CONTRACTOR
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� DESCRIPTION 1�M����-��Y'/�
� ❑ FOOTING P MBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FIN ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ D O-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? 0 EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
� O ERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W ORKSATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho in a nd�ce. ' 249-46��
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice
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p TIME
CITY OF ORONO CALLED IN 7 �
INSPECTION NOTICE SCHEDULED � ��
PERMIT NO.����—�7 7Z COMPLETED
ADDRESS '
OWNER TELEPHONE NO��Z- �D �f Z�S
CONTRACTOR �__�� >
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FI ❑ AV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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 O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS_ p pHOTOTAKEN
INSPECTOR WILL RETURN
O CITATION ISSUED
❑STOP ORDER P05TED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 h in advan . 49-46��
OwnerlContractor on site:
�
Inspector.
White Copyflnspector's File Canary CopyfSite Notice