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Home My WebLink About2010-00255 - plumbing CITY OF ORONO PERMIT NO.: 2010-00255 r ~ 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssUEn: 04/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3205 CRYSTAL BAY RD PIN : 17-117-23-41-0011 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 001 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: ADDITIONAL PLUMBING BEING ADDED:3 WATER CLOSETS,4 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 LAUNDRY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER VALUAT[ON OF PLUMBING 6000 APPLICANT PLUMBING F[XTURE FEE 75.00 BEN SCHORER PLUMBING& HVAC INC. STATE SURCHARGE PLBG (VALUATION) 3.00 4520 85TH STREET SE DELANO, MN 55328- TOTAL 78.00 (763)972-8137 OWNER ANDERSON, RICHARD 3205 CRYSTAL BAY RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT I�hc work for which this permit is issued shall be perfonned according to the approvcd plans and specifications,applicable City approvals,and the Statc 13uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall bc compied with whether or not specified herein.This permi[will expire and become nuli and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� i y� � ��3� � �� `" �'3 < Applica�itee Signature Date �J,Z�%2�l�1 / l [ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r � FOR CITY L'SE ONLY 1 O r b��r � ,�p� City of Orono ry � J r � P.O.Box 6G Date Received: Permit# �/ �" � 27j0 Kelle Parkwa p �.;�,H.,�. Y Y � a ��?�l;r��. �.�� Crystal Bay,MN 55323 Approved By: Amount$:_�_ ��'',?��;i;�$o� (952)249-4600 �EBR� 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 iINTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 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-�t8 hour notice required) TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Arricle IV) Job Site/ Owner Information: Site Address: �3�OS �s�5�-h•-� (�, .�,y/ ��,�,� Owner: �i� �� ►�iS� Mailing Address: � City: �J f� '�c� Zi p� Home Phone: Alternate Phone: Contractor Information: Contractar:�.-► �k=�«" I��t=��.bi�rJ- � ��,� Contact Person: `� �cy'�t� Address: USZ� �S� s'ii�Sc� State Bond #: ��' � � �M ��(c.V,� 553� City: Zip: Expiration Date: �� .3�- �� j C�J Phone: 7�.3'`��-z- �� Alternate Phone: �'�'- `�3�� %> - �-'� � Insurance—Current: i 1 � . � � I PLUMBING FIXTURES BEING 1NSTALLED FI�TURE BSMT 1 2' OTHER F1XTliRE BSMT 1 2' 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 r � 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 a pliance 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 $ .50 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 1.25%of contract price with a(Minimum Fee of$50.00) lL��%�C� x .0125 � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) 4��Q x.0005 $ (contract price) (minimum� .50) 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 flie customer for the work done. If any material, equipment, labor or installations are furnished by tbe owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated 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. PLLTMBING PERMIT APPLICATION AGREEMENT � The undersig-ned 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\��' " —�G^�� Date: � �a3"" � 3 / � - c� ��t-� DAT� TIME CITY OF ORONO _/� � CALLED IN —� � � INSPECTION NOTICE y �/�� 6CHEDULED .`� �' /U• U PERMIT NO._�+L�I� ��J �� AMPLETED . ADDRESS � , '%Z = I � -, / ,.� OWNER EPHONE N�� "�� '1SF CONTRACTOR �� 4 � = L- ��- �� - '��—�' >; DESCRIPTION �� %�� G' � � �-'� `- � � ❑ FOOTING ❑ �P MBWG FINAL ❑ EXCA ADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ SEP_TI�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO AA�ET YOU:x YES_NO � COMMENTS: /�� 1 � ��=�L' •—G'C'��' � W � � J � �e��,�l.. c� -�-c�- �..� `� � !'��_� �1 ��e?'-t..�' W Q /�lA_��! � �. � Z W � W � � �a K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. ❑ 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. �95Z� Z49-4600 OwnerlContractor site Inspector. White Copyllnspector's File Canary CopylSite Notice Y�� :T` DATE TIME � CITY OF ORONO �X.�' CALLED IN �v INSPECTION NOTICE T SCHEDULED � • � � PERMIT N0. ��1I�`! �;��j�OMPLETED ADDRESS ��.� C�_� C-l�L��f C1' L I�2�iT=�- OWNER TELEPHONE NO. �l� �=�� 9�� CONTRACTOR j.��Yl �VK�'f'�r � � � DESCRIPTION �L�-�'�' �'��.P:1 P � ❑ FOOTING ❑ PLUMBING FINAL`T�� f�f`� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI �L �lVv�❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � ��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor o ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice �� AT / TIME; V CITY OF ORONO CALLED IN � � . �, INSPECTION NOTI E SCHEDULED �-vv PERMIT NO.O�D/� '�D�✓�COMPLETED ADDRESS D OWNER TEL HONE NO. / � ��" CONTRACTOR � >; DESCRIPTION �� —b�� Ll� ❑ FOOTING ❑ PLUMBING F AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIJ�INT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J�P111MBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ��OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � �-�-�5 f-- p i� � � � ��^ .�1 n P ✓/� �l 1 � O � � � W � Q ti 2 W � W � � � GW,�WORK SATISFACTORY:PROCEED 1-1 PROJECT COMPLETE W� ❑CORRECT WORK 8 PROCEED r, ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALI TO ARRANGE ACCESS. Cat1 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site. Inspector. ` White Copyllnspector's File Canary CopylSite Notice