HomeMy WebLinkAbout2010-00283 - plumbing CITY OF ORONO PERMIT NO.: 2010-00283
'' 2750 KELLEY PARKWAY
Y
ORONO, MN 55356- �ATE IssuEn: 04/29/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2525 DUNWOODY AVE
PIN : 20-117-23-22-0018
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 009 BLOCK 008
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : FIXTURES - MULTIPLE
NOTE: 2NU FLOOR: I WC. 1 LAV, 1 TUB, 1 SHOWER
VALUATION OF PLUMBING 4433
APPLICANT PLUMBING FIXTURE FEE 55.41
NOWTHEN PLUMBING STATE SURCHARGE PLBG (VALUATION) 2.22
19960 FERRET ST.
ELK RIVER, MN 55330 MAIL-IN FEE 2.00
(763)753-5216 MISC FEE 0.00
TOTAL 59.63
OWNER
PEEL, MICHAEL
2525 DUNWOODY AVE
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied wi[h whether or not specitied herein.This permit will
expire and become null and void if consVuction authorized is not
commenced wi[hin l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued B ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
FOK crrv usE oN�.,v
. /����A'��_� City of Orono
4 `�' P.O.E3ox 66 Date Received: Permit#
���; � 2750 Kclley Parkway
� ��j�'��!'= � Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO —PLUMBING PERMIT
(All Commercial permits must be approved by the L3uilding Official or Inspector)
GENERAL INFORMATION
I. 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 RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pennits 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 1
❑✓ Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
� In Accessory Structure?
*You will need prior apnroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 2525 Dunwoody Avenue, Orono
Owner: Cathy Peel Mailing Address: 2525 Dunwoody Avenue
Cit Orono 7i 55391
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Home Phone: Alternate Phone:
Contractor Information:
Nowthen Plumbing, Inc. Tammy
Contractor: Contact Person:
Address: 19960 Ferret Street NW State Bond #: W150043989
City: Elk River Z�p:55330 Expiration Date: 12/31/10
Phone: (763) 753-5216 Alternate Phone:
�✓ Insurance—Current: Q��,�,��i 5 yV,s. ( �'. t'�f��f� il-%�-ti��1�
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1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1��� 2��° OTHER FIXTURE BSMT l�� 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:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved, installed ar replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee([f Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATION S -JOBS OVER $500.00
, lf above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
4,433.00 x .0125 $ 55.41
(contract price) (minimum$�0.00)
2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.SO)
4,433.00 x .0005 $ 2.22
(contract pricc) (minimum$ .>0)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 59.63
• * 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$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
"I'he undersigned hereby applies to the City for issuance of a Plumbii�g Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulatioi�s of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant�s Signature: .�� Date: �1-Z7�f 0
Reset Form
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ad/D-DOQZ g,� COMPLETED '
ADDRESS � ,S ��� �����`� ' /���
OWNER TELEPHONE NO.
CONTRACTOR .d�;� ,� L� � S �0 %^ �
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW,/�V�IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �,4� ,,� /
White Copyllnspector's File Canary CopylSite Notice