The URL can be used to link to this page

Home My WebLink About2008- - plumbing n CITY OF ORONO PERMIT NO.: 2008-00427 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 12/03/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1500 BRACKETTS POINT RD PIN : 11-117-23-34-0001 LEGAL DESC : BRACKETTS POINT 2ND ADDIT[ON : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIXTURES- MULT[PLE NOTF,: (2)WATER SOFTENERS AND(2)IRON FILTI�RS VALUATION OF PLUMBING 10500 APPLICANT PLUMBING FIXTURE FEE 13125 CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 5.25 1519 148TH AVE NW ANDOVER, MN 55304 TOTAL 136.50 (763)434-0445 Minnesota State License#: 000373WC OWNER PADDOCK, BRUCE 920 SHADY LA WAYZATA, AGREEMENT AND SWORN STATEMENT "1'he work for which this pennit is issucd shall be performed according to lhe approved plans and specifications,applicable Ciry approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested� confor ce with the State Building Code.This pennit may be rev at any � e f d cause. 10�� 3 � �Z� 3 � �� plica e itee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. � � FOR TT USE ONLY � �� City of Orono �/ 7 �� P.O.Box 66 Date Receive�� / Permit�_� � + �,;,.,,,,,, 27501kelley Parkway /�, O ` ��j�`r�s;` �I Crystal Bay,MN 55323 App�oved By: Amounf$: !3(L�, ��,�� (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or lnspector) 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. PERMITS ARE NOT VALID UNTIL YOU RECENE 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(Approva]ReGuired) `�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: /v1 /�J� --7 • Site Address: �5�� -['�-G-?7� �-� / ____ _ Owner: . .L�C'�� /�C��X?�^ Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ' Contractor: � . � � 7 2 Contact Person: � Address: I�S��7 ��f�r4v �� State Bond#: L�� D L�� City: /,�y��.�c>c��'�.- Zip:S�y pc, Expiration Date: IZ 3 p�; Phone: ��3'-�y-�i�y-�� Alternate Phone: ❑ Insurance-Current: 1 f7 7 � �, �.."��" P��;"," '��`��' '. � ��`��"r S BEING INSTALLED ., '��q ,� �' , '3 � ' FIXTURE BSMT 1 2 OTHER FIXTURE BSMT l 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � �� '� �� PERMIT FEE CALCULATION(S j � �� BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a 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; excludin�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 $ I5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ �(�� g� 3�► (Permit Fees Continued On Next Page) ��+ � r � � 2 �-E'� r • -� PERMIT FEE CAL�ULATI�N S -JOBS OVER$500.00 '`��' ' � � �� a .�� If above does not apply; follow buidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) pG /G�aE� — X .ol?s $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual ar 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 wark 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. ■ ** 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. PLUMBTT*�,�".��''��IT=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 staterr�rtts made on this application are complete, true and COri'OCt. r�� / �� Applicant's Signature• Date: Reset Form 3 '" '� � DA TIME �/ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED v �3 :.3U PERMIT NO.�� —DU COMPLETED �� ADDRESS �D � �� OWNER CONTR. TELEPHONE N0.��J �l V� - �� a- ��'.3�v� � DESCRIPTION �� S (� � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING � ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �� /1�a�^- - �',�al�'� a � J O �. � O � W � Q � Z W � W � � d W�L�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W(O CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (J52� 249-4600 Owner/Contracto n i : Inspector. White Copyllnspector's File Canary CopylSite Notice