HomeMy WebLinkAbout2007-P10801 - plumbing - sump and sprinkler line � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10801
Crystal•Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2/28/2007
SITE ADDRESS: 1225 Dickenson St Unit#
Wayzata,MN 55391
PID: 02-117-23-31-0048
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Also Sump and Sprinkler Line
FEE SUMMARY: PernutFee: $ 200.00 Valuation: $ 16,000.00
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 208.00
APPLICANT: AB&B Plumbing Inc. OWNER: Mathew&Michelle Hofmann
25593 109th St. SW 15472 Fillmore St.NW
Zimmerman,MN 55398 Elk River, MN 55330
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING_G06��E-QUIREMENTS.
___
� /
i
t /— -
APPLICA T P RMIT E SIG URE ISS D BY SIGNATURE
-�
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, �,
FOR CITY USE ONLY
//O;¢p�O City of Orono
P.O.Box 66 Date Received: Permit#
, �: 2750 Kelley Parkway
�,� n"'��� � Crysta(Ba}',MN 55323 Approved By: Amount$:
, �, s;t�, i,��' (952)249-4600
��ssKos�
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pe�mits must be approved by the Building Officiai or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical 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 UNT1L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
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 the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A I
,�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �,'��5 �;��[sz_�1��� �� •
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��j�c,�a�►nr�-(1CContact Person: ���Q�,r�vs�-���SC" 1
�
Address: ���� ���l�:�l�� State Bond#: ��,`j\ (L,��
City: �,r�Yv�S:.fYrtln—� Zip:��Expiration Date: �o L . �\�`'� ��0�
Phone: �Ip�r-�'���,C��� Alternate Phone:
� Insurance—Current: `��� i ,���.��v��,.(t��_;1(,�j
1
� . .
MECHANICAL SYSTEMS BEING INSTALLED
, HEATING SYSTEMS
Quantity:
Make: '�_ �'�L � ('
�—
Modei:
Fuel: �'��
Flue Size:
- G �'``,
input BTUs: — '
�% �'.',
output BTus: `Z -- � .
CFM: ���
COOLING SYSTEMS
Quantity:
Make:
Model:
��
Tons: � � "—
H.Power ,.
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
--�,�.,��L,
❑ No. Kitchen Exhaust � � duct recirculating �t.m
❑ No. Bath Exhaust(must have duct outside) �fm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuei Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: allons
Other: �2�,�� �'�.,�
GAS L1NE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
L!.'� ���� �,�L�
2 �j��•
���"t
� - � ��.� /c�
�
� 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 foliowing 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 fi�cture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip ne�ct section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ I.50
Total Permit Fee $
PERMIT FEE CALCULATION S -JOBS OVER$SOOAO
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with�(�j�u�imum Fee of$35.00)
�Z ���C,-'�--' C` x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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. tt 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 ofthe Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical 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 plication are complete, true and
correct. �
- I
/ � /+ —7 �ji
Applicant's Signature:✓ Date: � ~ G D — ��
Reset Form
3
�� �_D�AT,�/ TIME "
CITY OF ORONO ca��E�iN �
INSPECTION N TICE SCHEDULED 5-7-07 %
PERMIT NO. COMPLETED
ADDRESS a S l 05�
OWNER CONTR. �"c�
TELEPHONE N0. l0l o� c3� 7 .� 7� 7
� DESCRIPTION ' — b �'l — 6 b�Y-
lL 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a V,, � L�.
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED fi PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. �952� 249-46QQ
OwnerlContr r i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
���tYJ D TE TIME ✓
�C�OF ORONO CALLED IN �
INSPECTION NOT�C�pg�� SCHEDULED Cv � �
PERMIT N0. COMPLETED
ADDRESS � a� � � iC �Q.f'1 SC7'1 �T
OWNER CONTR. � B� � ��1�J1�b
TELEPHONE N0. l� � � �a� � � ���-1 .
� DESCRIPTION t �,C�-���'�"� �r n 1 �
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: � r 1
�
W
a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED CI PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-46��
OwnerlContr r n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�,/ �/ V�/ � I� f � DATE TIME ✓
l �CITY OF ORONO CALLED IN 3-7-��
INSPECTION NO CE SCHEDULED •�J'�>07 C %� � n/L•
PERMIT NO. V L' / COMPLETED
ADDRESS .� � � ;' ��' ' " c��� =�
OWNER CONTR. � ��" f /' �/`(,��•
TELEPHONE NO. C:%�� � ,�7 3 7.3�7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPtAINT
v 07 D - L 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 9 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v �����' 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� 5 � �� r P 1 �-� S .�(�(��c� f c�
0
� �� -1/t,�S hC c�
0
�
� �, l � �l� St- o �
�
Q
�
z
W
�
W
�
�
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� �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 ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor on sit ' .
Inspector. /'��
White Copyllnspector's File Canary CopylSite Notice
W`�L�� ✓
�D�E TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED -7-� - _ f�,'�
PERMIT NO. D I COMPLETED
ADDRESS l a°z S �Q< SZ`"•
OWNER CONTR. /T��� P��'���
TELEPHONE NO. �P�a �� 7 lPc� 7`�
� DESCRIPTION ���� ���M '6��t -�1
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
Q ❑ DEMO-FINAI. ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� . i v � 1� � �S S t> �Qe�' C3.�}-�
0
a
�
� :� � �X ,�-��� 7�s !� �
W � vc..� 7—
�
Q
� � - ] 6� �7 ; s ;;����1 �ti i�Q� � --r �-� �
z
� i�(. � S P c-��e Jv /h j� (., : �
� � n�.A �o,�c �e�'� t�ST �
�
d
W ❑WORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED l l ISSUE CERTIFICATE OF OCCUPANCY
W
O��CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner►Contractor on site:
Inspector. 1 �..,�' �'� � ���
White Copyllnspector's File Canary Copy/Site Notice