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Home My WebLink About2013-00304 - plumbing a CITY OF ORONO * 2 0 1 3 - 0 0 3 P1 4 * 2750 KELLEY PARKWAY DATE ISSUED: OS/O1/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1520 BOHNS POINT RD PIN : 09-117-23-33-0006 LEGAL DESC : UNPLATTED 09 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: (2)WATER HEATER CONNF.C'I'IONS VALUATION OF PLUMBING 750 APPLICANT PLUMBING FIXTURE FEE 50.00 SELECT MECHANICAL SERVICES INC. STATE SURCHARGE PLBG(VALUATION) 0.38 6219 CAMBRIDGE ST ST. LOUIS PARK, MN 55416- MAIL-IN FEE 2.00 (952)926-4488 TOTAL 52.38 OWNER ABOOD,THOMAS&AMARA 1520 BOHNS POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein."I'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuancc,or if consUuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � �d l � � lQ � l �� Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FO CITY USE ONLY O City of Orono � � P.O.Box 66 Date Receive : �Permit# ��- �� 27�0 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:� (952)249-4600-Main � ,s (952)249-4616-Faa �' c,` CITY OF ORONO—PLUMBING PERMIT ��'rfSH�4� (All Commercial Permits Must be Approved by the State Prior to City Approvaf) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 1. You may apply for plumbing perrnits 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 VAL[D UNTIL YOU RECEIVE A PERMIT. WORK iVIUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITF,. 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 �Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � s� ��`�� N'�� E'� Owner: 1 �M �L''� Mailing Address: s��= City: Zip: Home Phone: Alternate Phone: ��a -�y�—d j�"� Contractor Information: Contractor: ��Z��"/��lf�� Contact Person: `�� c{{P+� Address: ��`j�'�"��'�`� ��' State Bond#: .s�' ��5 City: ��U'S�/�'� Zip:f�l�h Expiration Date: ��—�� Phone: �� Alternate Phone: /S�- ��'�� ❑ Insurance—Cunent: S�— f�u=�r- -� vl= 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT l r 2�D OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater rZ N .,�..� S Disposal Water Softener Dishwasher 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 anpliance 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 PERIINIIT FEE CALCULATION S —JOBS UVER$SOQ.00 lf above does not apply; follow guidelines below: 1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$50.00) r� � /�� ` x .0125 $ �� (contract price) (minimum�50.00) 2. STATE SURCHARGE �� x.000_5 $ , -�� (contract price) 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 actual or estimated dollar amount charged for 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 AGI�EEIVI�I'�IT 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. , � _ O�f l3 �� y App �cant s S gnature: Date: 3 p� ��I�—�O� J �C"�� DATE TIME � CITY OF ORONO CALLED I ' INSPECTION NOTICE SCHED LED S -Z�'l-/3 / -'�b PERMIT NO � — 03D p.� LETED ADDRESS I r7Z� �D�1 �7C' �� _ OWNER TELEPHONE NO. ��Z z�S g/S9 CONTRACTOR S�� ; DESCRIPTION ��'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. f� / � � ( ,� White Copyllnspector's File Canary CopylSite Notice