HomeMy WebLinkAbout2015-00982 - plumbing CITY OF ORONO * Z 0 1 5 - PJ 0 9 8 2 *
2750 KELLEY PARKWAY DATE ISSUED: 08/03/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2735 DEER RUN TR E
PIN : 04-117-23-13-0013
LEGAL DESC : N/A
: LOT 006 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(2)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER,(2)SILLCOCKS,(1;
FLOOR DRAIN,(1)LAUNDRY TRAY,(I)WASHER,(1)WATER HEATER,(i)WET BAR.
VALUATION OF PLUMBING 16500
APPLICANT PLUMBING FIXTURE FEE 206.25
STATE SURCHARGE PLBG(VALUATION) 8.25
GRUPA MECHANICAL CONTRACTORS INC. TOTAL 214.50
12180 197TH COURT NW Payment(s)
ELK RIVER,MN 55330 CREDIT CARD 5918 214.50
(763)441-5360
OWIYER
NIH HOMES
6840 213TH AVE
ELK RIVER, MN 55330-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void ifconstruction authorized is not
commenced within 180 days of the date of issuance,or if construc[ion is
suspended for a period of 180 days at any t e after work has commenced.
The applicant is responsible for assurin required inspections aze
requested in conform e with the Sta u lding Code.This permit may be
revoked at fo d cause. �
� 3�/� J �' (, �/ c�-i
Applicant Permitee Signature Date Issu d By i nature Date
FOR CITY USE ONLY
�O� City of Orono ��qg�
P.O.Box 66 Date Received: �f�i�`F`�` Pertnit# ����
� 2750 Kelley Pazkway �
Crystal Bay,MN 55323 Approved By: n,� h%` Amount$:�5
(952)249-4600—Main ��TT
y� � (952)249-4616—Fa�c
� CITY OF ORONO-PLUMBING PERMIT
`�kESH��� (All Commercia]Permits Must be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
L 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 notice required)
TYPE OF PERMIT
(Check All That Appl )
esidential ❑ Commercial(Approval Required)
New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need arior aparoval and may need CUP. (Per Orono City Code,Chapter 78,Article N)
Job Site/Owner Information:
Site Address: �?3� ��� �U� ���1-
Owner: Y1.1• l-1. 1-�t�w��-5 Mailing Address:
City: Zip:
Home Phone: ��t 3-�s3� �7 S�D Alternate Phone:
Contractor Information:
Contractor: CJ�tJ►°A� (/Y1��1-I• Contact Person: ��� VC�V�A"
Address: 12l 8 b-14 7 T=��r �1•1,.� � State Bond #: PC 4�N�39
City: �L� ��� Zip:S'533� Expiration Date: S-/o-/�
Phone: �71�3-`a��'S3�fl Alternate Phone:
❑ Insurance-Current: /�Qu�T�
1
' PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet I I 3 Floor Drains l
Lavatory � � � Sewer Ejector
Bathtub z Laundry Tray 1
Shower � 1 Washer �
Kitchen Sink � Water Heater /
Disposal ' Water Softener
Dishwasher � Wet Bar ,
Sillcocks Z Miscellaneous
�PERI�IIT FEE CALCULATION�S) � � � ��
BASED OFF - 2002 STATE STATLTE
❑ Yes,this section applies
The 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; excludin�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 $ 1.00
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$50.00)
/4! SD o x .0125$
(contract price) (minimum$50.00)
2. STATESURCHARGE
/G, 5'00 ' X .000s $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� '�v
■ * CONTRACT PRICE ar 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.
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• Date: �—� � �
3
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TE TIME �
CITY O ORONO CALLED IN �
INSPECTION NOTI E � ��CHEDULED � O
PERMIT NO� OMPLETED
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OWNER ONE NO. " ��5
CONTRACTOR � � G�
� DESCRIPTION
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� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
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ractor on ��
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Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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2 OWNERICONTRACTOR TQ MEEI]�L:�YES_NO
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INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46��
OwnedContractor on site:
Inspector. � ��`" �
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