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Home My WebLink About2011-00068 - plumbing CITY OF ORONO PERMIT NO.: 2011-00068 ` 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUED: 02/03/20ll 9�2 249-4600 FAX: 952 249-4616 ADDRESS : 1925 CONCORDIA ST PIN : 18-117-23-14-0014 LF,CAL DESC : FAGERNESS : I,OT 013 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: l WC. 1 LAV, 1 I3ATHTUC3. I hITC11F,N SINK. 1 LAUNDRY TU[3, 1 WA'I�ER HGATL:R.2 OUTSIDE FAUCL;�I'S VALUATION OF PLUMBING 7000 APPLICANT PLUMBING FIXTURE FEE 87.50 TONKA PLUMBING HEATING &:COOL INC. STATE SURCHARGE PLBG (VALUATION) 5.00 265 CTY RD 1 ]0 NORTH MOUND, MN 55364 MAIL-IN FEE 0.00 (952)472-9200 MISC FEE 0.00 Minnesota State License#: 060524-PM TOTAL 92.50 OWNER I<ONAT, THOMAS 1925 CONCORDIA ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT I�hc��ork f��r�chich this permit i,usucd Shall bc per�brmcd according lu lhc approvcd plans and spccilicatiuns,applicablc Cit��approvals,and thc Sltric l3uilding Codc. �I�his pcnnit is t�ir onl��thc��ork dcscrihcd and docs not grant permission lor additional or rclatcd�vork which rcquires scparalc permits. All provisions o�la�cs and ordinances�ovcrning this typc of work shall be compied��ith�chether or not specitied hcrein.This permil will ezpire and become null and void if construction authorized is not commenced within 180 days of thc date of issuance,or if construction is suspended for a period of 180 da�s at an�-time after work has commcnccd. The applicant is responsible for assuring aIl required inspections are requested in conformance�vith the State Building Code.'I�his permit may bc revoked at any time f�r due cause. �. ,�� , , Applicant Pern rt ,g u Date Issued I3�� gnature Date S A ERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO E. . ! , FOR CITY USE ONLY City of Orono O¢O�O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � ,i"'�� R C stal Ba ,MN 55323 Approved By: Amount$: ;.� ,, � �Y Y ��c (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be 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 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 uotice required) TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional �Repairs �eplace ❑ In Accessory Structure? *You will need prior approval and may need( l_ I'.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��l o�`�� ssV�(-�%YC��<<- �}" � Owner:"��Y�nc�o IL�'Y1.�4� Mailing Address: a-�-�S ?�7��-k'.� 1"�. City: �X��-��b� Zip: �.��:''7 � Home Phone: ��..- �'-5��' � v�`0 Alternate Phone: Contractor Information: Contractor: �b � � < ��nfact Person: ,�[-t'� �Yu�/c�c.✓ � p , � Address: Z�S CU �iZ� l��!L' State Bond#: ��"�!��7� City: �� - � Zip:�� Expiration Date: ��1 � I 1 Phone: �iS��'�3-a u�(� Alternate Phone: �=�'fi� ��SZ z-L�C.% �r�-�� ❑ Insurance—Current: �� . � 1 j t PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER F[XTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet ( Floor Drains Lavatory � Sewer Ejector Bathtub I Laundry Tray Shower Washer Kitchen Sink Water Heater i Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous O w ��-� �� PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies T'he 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;excludine 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 1 ! 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) c ��Cy�` x.0125 $ (contract pnce) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee ofS5.00) x.0005 $ (contract price) (minimum$ 5.00) 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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: r Date: _�� < < Reset Form 3 ao�/- DoQ 69 �� D TIME ,� CITY OF ORONO CALLEO IN �D- INSPECTION OTI E y SCHEDULED "' —�� PERMIT NO.��`� �DO"� COMPLETED ADDRESS �gzS aS�' OWNER TELEPHONE NO.�5Z �� z�S CONTRACTOR �LT/�-`� � DESCRIPTION /"I(�� /�� / `�"—"' t� ❑ 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 ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46�0 Owner/Contractor on s te: Inspector. � /l , v� White Copyllnspector's File Canary CopylSite Notice �CJ� G_ �V✓�/ �e�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE sc o PERMIT NO. ��ll"'ODO6� c M ETED ADDRESS /�ZS � C�O��=��c- �� OWNER TELEPHONE NO.QSZ �� Q L l,� CONTRACTOR �6k``� ��-6 >; DESCRIPTION �` �'�l � � ��-S � l� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j /'� /' O � � � � O ` , W � Q � Z W � W � � a tt� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CAI.ITOARRANGEACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on s�ite: ? Inspector_ White Copyllnspector's File Canary CopylSite Notice