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Home My WebLink About2010-01022 - plumbing � CITY OF ORONO PERMIT NO.: 2010-01022 2750 KELLEY PARKWAY � ORONO, MN 55356- �AT� issuEn: 10/19/2010 952 249-4600 FAX: 952 249-4616 AUDRESS : 2515 COUNTRYSIDE DR PIN : 04-117-23-11-0007 LEGAL DESC : COUNTRYSIDE MANOR : LOT 003 BLOCK 002 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO�I�G: 1-WATI;R CLOSG"['. 1 Li1Vn"I'ORY, I SI IOWER 1 WATGR I[EATLR. 1 WET BAR VALUATION OF PLUMBING 3738 APPLICANT PLUMBING FIXTURE FEE 50.00 B &D PLUMBING& HEAT[NG INC. STATE SURCHARGE PLBG (VALUATION) 5.00 4145 MACKENZIE CT NE ST M[CHAEL, MN 55376- TOTAL 55.00 (76�)497-2290 OWNER KAHLER, CHRIS& DELPHINE 2515 COLINTRYSIDE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT "1'he�cork tor which this perniit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and thc State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pc;rmits. All provisions of laws and ordinances governing diis type of work shall be compied with whether or not spccitied herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspendcd for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all rcquired inspections are requested in contormance with the State I3uilding Code.'Chis permit may be revo� t any time for due cause ; ��i� , '�' Lt� � i . C � , Applican Yermi Signatur��— /Date //�—/ �� l � C1�� C l'�� C � /� Issued 13y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 6 , " FOR CITY USE ONLY � ' � � City of Orono ' �� P.O.Bo�66 Date Received: Permit# ��_, , �'`` 2750 Kelley Parkway <<� t�'"x� . � Crystal Bay,MN 55323 Approved By: Amount$: � "��j�o�r� (952)249-4600 ��og.,,� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or]nspector) 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 UNT[L 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 ly �Residential ❑Commercial (Approval Required) ❑New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior auuroval and may need Ct!P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: s�te aaaress: 2515 COuntrySide Dr oWner: Kahler Mailing Address: Same City: Zip: Home Phone: Alternate Phone: Contractor Information: B&D Plumbing,Heating&AC � Contractor: Contact Person: _ � � �� w 4145 Mackenzie Ct NE Address: State Bond #: St. Michael, MN 55376 C�ty: Zip: Expiration Date: Phone: (763� 497-2290 Alternate Phone: ❑ Insurance—Current: 1 . PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT 1 T 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 ,� Disposal Water Softener Dishwasher Wet Bar ,� Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) � 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 $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , Y � PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 � � If above does not apply; follow guidelines below: ,nL'- l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ,,,I�- '� � 3 �� =' � ' X.o�2s $ -� 7�� (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) S =J X.000s $ . (contract price) (minimum$ 5.00) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 ' C.. �' cjJ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� 2.�� ■ * 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. i/) /" �� l�� r Applicant's Signature: -C (�l �'L Date: f,�� Reset Form 3 ,�;�( C� f C, l . '�_�� A ,.� TIME CITY OF ORONO CALLED IN � j� ��' INSPECTION NQ�I/C-E SCHEDULED ' � ��,y PERMIT NO. i�?ti ( �n'"�� COMPLETED �T-N ADDRESS J `- <<L� ' � OWNER TELE�PHONE O. ��J 797-Z��'v CONTRACTOR `�f-'� ,U��L C��l`� �; DESCRIPTION C�- �i 17�� . � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES�fJO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�� OwnerlContractor on site: Inspector. � �� S White Copyllnspector's File Canary CopylSite Notice