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Home My WebLink About2009-00776 - plumbing ` CITY OF ORONO PERMIT NO.: 2009-00776 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1UO2/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : ll 0 CREEK RIDGE PASS PI N : 03-ll 7-23-12-0015 LEGAL DESC : CREEKSIDE IN ORONO : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 3 WAT�R CLOSETS,5 LAVATORY,2 BATHTUBS, I SHOWER, 1 KITCHEN SINK, 1 DISYOSAL, 1 DISI�{WASHER. 4 SILLCOCKS,3 FLOOR DRAINS, 1 SEWER EJEC"I'OR, 1 LAUNDRY TUB, 1 WASHER,IRRIGATION VALUATION OF PLUMBING 5670 APPLICANT PLUMBING F[XTURE FEE 70.88 SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 2.84 3062 RANCHVIEW LN N TOTAL 73.72 PLYMOUTH, MN 55447 (763)473-2267 OWNER JOHNSON, ANDREW 4215 TRILLIUM LN E MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if cons[ruction authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commcnced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked aCan�; ime for d c�use. � ^��` � %/ � -2 � �'7 <--�; ; �` .� �� > >�-� -� J �- «�� flpplicant Permitee Si ture Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , FOR CITY USE ONLl' �,,��, CityofOrono \ P.O.Box 66 Date Received: Yermit# ',��e ��;� 2750 Kelley Parkway a �, �r � Crystal Bay,MN 55323 Approved By: Amount$: �;�.�t�A�}�:,�,0'�1' (952)249-4600 �,�t;SdRpv�!,%� CITY OF ORONO—PLUMBING PERMIT (All Commeroial 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 retum 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 (Cheek All That A 1 ) ❑✓ Residential ❑Commercial(Approval Required) ❑� New ❑ Additional ❑Repairs ❑Replace � In Accessory Structure? *You will need prior aunroval and may need CliP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 110 Creek Ridge Pass Owner: Home Time Mailing Address: � �� '7� ��{� �� c�ty: �l'�� z�p: �'��31 D � Home Phone��_� �S'� Alternate Phone: Contractor Information: Sabre Plumbin Heatin & Courtney or Collin Contractor: 9' g � Contact Person: Address: 3062 Ranchview Lane State Bond#: 62180PM City: Plymouth Z�p.55447 Expiration Date: 12/31/�R(Oq Phone: (763)473-2267 Alternate Phone: �✓ Insurance—Current: 1 PLUMBING FLXT[.TRES BETNG INSTALLED ' FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet ^� Floor Drains U�, ( � �=� � Lavatory � � Sewer Ejector r � Bathtub 1 I Laundry Tray � � Shower I Washer � Kitchen Sink i Water Heater Disposal i Water Softener Dishwasher I Wet Bar Sil Icocks Miscellaneous � �r, , PERMIT FE� 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. !s imp:oved, iastzlled cr repluc�d by t��cm�e:��7e:c:licer.sed co�tracter. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CA�,,CULATI(3I� S --JOBS OVER�5�0:00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 5,670.00 x.0125$ ��•$8 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) 5,670.00 x.0005 $ 2•$4 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ . 0 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 73.�2 ■ * CONTRACT PR10E 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. ■ ** 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. PLUMBING PEIZiVI1T"APPLI�A'T�IOI*tAGREEMENT 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. � � 11/02/09 Applicant's Signature:. ,.�� Date: Reset Form 3 � ✓ C l n f j �l:/� D E TIME CITY OF ORO O CALLED IN � � � INSPECTIONN TIC /� �jSCHEDULED /oZ /D: Od PERMIT NO. � '�v `� COMPLETED ADDRESS ��0 OWNER EPHONE NO. � - ��3t�� CONTRACTOR G�- >; DESCRIPTION T � � ❑ FOOTING ❑ P MB NG FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M NICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PL BING Rt� ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � O NE i�ICONTRACTOR TO M�ET YOU:�YES_NO � COMM S: � W a o `}-C �� 13��-l�� V �='x-�-= r�= ��-� 0 � Q Q � ;- �� t1'►� c ��5. ;� i ��-�. � z �� Pr f-cJ— ('4 c r}�� w � � �'`J +^� �- 7` ��l��1 a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CO RECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. l� �� White Copyllnspector's File Canary CopylSite Notice �� / T TIME � ITY OF ORONO �D'7��CALLED IN L� � �/9� INSPECTION IC CHEDULED d�/ PERMIT NO � COMPLETED � ADDRESS ��0 ' OWNER CONT �� TELEPHONE NO. — �� 7 � DESCRIPTION ��'/ ��' ry � ❑ FOOTING ❑ MECHANI RI ❑ EXCAV/GR I /FILLING Q ❑ FRAMING ❑ MECHANI AL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 v � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J o -� -- - �3 � � 0 � W � Q � z w � w � � a W� i WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �1-; ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. iJ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 2Q9-46QQ OwnerlContractor on site: � Inspector. � �� / ,� � White Copyllnspector's File Canary CopylSite Notice