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Home My WebLink About2011-01494 - plumbing CITY OF ORONO PERMIT 1Y0.: 2011-01494 ' 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE 1SSUE�: 1U30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2470 COBBLESTONE CT PIN : 33-118-23-11-0080 LEGAL DESC : STONEBAY SIXTH ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES -MULTIPLE NOTL': 3 WATER CLOSETS, �LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WATER HGATER,3 MISCELLANEOUS(WASHER BOX&LAUNDRY TUB) VALUATION OF PLUMBING 8700 APPLICANT PLUMBING F[XTURE FEE ]08.75 K& S PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 4.35 9572 KNOX AVE.N. BROOKLYN PARK, MN 55444- TOTAL 113.10 (763)425-8760 Minnesota State License#: 065380-PM OWNER O.T. Development, LLC 10300 IOTH AVE N PLYMOUTH,MN 55441- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of worh shall be compied wilh whether or not specified hereia This permit will eapire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of I 80 days at any time afrer work has commenced. The applican is responsible for assuring all required inspections are req�icsted' co formance w' the State Building Code.This permit may be C�� revoke at a time 1�r se ��`�c.� i/'l �� , �,m�rr�J � /� — ,�, Applic,t Permit e Signature � Date Issued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' FOR CITY USE ONI.Y � O¢��O City of Orono P_O.Box 66 Date Received: Permit# 2750 Kelley Parkway ,,� i 'x• � Crystal Bay,MN 55323 Approved By: Amount$: '' '� � o` (952)249-4600—Main \��oe� (952)249-4616—Fax CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�:Uww�w.dli.mn.v��•/CCLll/PDF/ c lumb lanreva . df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Appiications 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 ) �Residential ❑Commercial (Approval Required) �� ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will ueed prior approval and may need t_l_P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner [nformation: Site Address: ,75 �� ✓�l..c J��P✓ (�i� � � � 1�:�� i�� . Owner: D. � ��✓.e�f5�111`�C%"� Mailing Address: City: �� '�' Zip: �� Home Phone: Alternate Phone: Contractor Information: ' �t,wn.l�i S � �y��L�s��-i Contractor: �' � Contact Person: C�4 Address: _+ �� f1►�� 71�� State Bond#: I�� 7��(J� � City: ��IC u�Zi . � ,��xpiration Date: � Phone: �� "1�4��✓'� � Alternate Phone: ��O�� ❑ Insurance—Current: ' � ��L 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT (sr 2ND OT`HER FIXTURE BSMT 1S'1' 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � I � Floor Drains Lavatory ( i Sewer Ejector t Bathtub Laundry Tray Shower I Washer Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher Wet Bar Sil lcocks M iscellaneous 2 1 c� � v I I�U,Y1 A, �l-� PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of only one 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;excluding 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 $ I 5.00 State Surcharge $ 5.00 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 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$50.00) � ��bb �� X .�125 $lD�. 7� (contract price) (minimum$50.00) 2. STATE SURCHARGE � � �,�)� ,� � � U�� x .0005 $ ��__ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 / /�j, L 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ( /O ■ * 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. [t 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. � i Applicant's Signature: Date: /� �� Reset Form 3 �� o� �1 J7/ � .� V .i DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO�ICE, , SCHEDULED -?- ' �� PERMIT NO. ��:-� ' COMPI„�TED ADDRESS �' -�� !� � �.� ��/=,j c' �> 7 �,�� .� i� 7� ,� ' � �,.-; �'� ��, ?s`�—,� . OWNER TELEPHQNE NO. `�- - :�� : �, ��.i�;�,� i%� CONTRACTOR �,� �-� � � '' " `� ,-__ � DESCRIPTION --'' �` ��'��'' %�� j i � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GaADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT�IC INAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRAGTOR TO MEETYOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � j d �1��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � DAT TIME CITY OF ORONO CALLED IN � Z �/ � INSPECTION NOTICE SCHEDULED / � ' PERMIT NO��-(�/ � COMPL TED —�-- �, ADDRESS a �{"�D + �� OWNER T LEPHONE NO. 'a3�57 � CONTRACTOR I�� >; DESCRIPTION 7 l � lt� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � QS �' f r-c�S-�- � o �` 11�Iy) � b�`P O � �' �z� ;I G�6r� � Q � z W � W � � a W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. /`1�� White Copyflnspector's File Canary CopylSite Notice