HomeMy WebLinkAbout2008-00156 - plumbing , CITY OF ORONO PERMIT NO.: 2oos-oo�s6
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 08/20/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1199 ELMWOOD AVE
PIN : 07-117-23-14-0059
LEGAL DESC : SKARP&LINDQU[STS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE:
KITCHEN SINK,DISPOSAL,DISHWASHER,LAUNDRY TRAY-ALL ON 1ST FLOOR
VALUATION OF PLUMBING 2500
APPLICANT PLUMBING FIXTURE FEE 35.00
BERG PLUMBING& HEATING INC.
648 SECOND AVE STATE SURCHARGE PLBG(VALUATION) 1.25
MENDOTA HEIGHTS, MN 55118 MAIL-IN FEE 1.50
() TOTAL 37.75
Minnesota State License#: 60384-PM
OWNER
HARVEY, MR. &MRS.
1199 ELMWOOD AVE
MOUND, MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permi[will
expire and become null and void if construction authorized is not
commenced within 180 days of the da[e of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with[he State Building Code.This permit may be
revoked at any time for d�e cause.
�y►�.&�c�E � l l l �l �
Applicant Permitee Signature Date Issued By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE.
FOR CITY USE ONLY
=�"��` City of Orono
l��� �'Y j P.O.Box 66 Date Received: Permit#
�.;;. ��''3' 2750 Kelley Parkway
� �t�� ��' Crystal Bay,MN 55323 Approved By: Amount$:
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�t� � �� �g•.��:%� (952)249-4600
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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 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 seUarate 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 Drior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: � � ��� �- � � �U�`-' ���
Owner: Mailing Address:
City: L 12��1�.�1� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contact Person: l'����`
B[?RGPLiIM[i1NG&HEA'I'ING,INC. � � r-, . —,
�,�as�;�:oNnnvENUE State Bond#: �J`�� � J—(' '� ! �.
V1EVUC�"i',a HEIGHTS M��,t7R
�..�,. �,�,. Expiration Date: 12 '� � ���
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Phone: ����� " �� �� �����✓�� Alternate Phone: �� �� ��� ����
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Insurance—Curr nt: �l�(� ���.���'�
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 T 2ND OTHER FIXTURE BSMT 1 r 2"D OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray �
Shower Washer
Kitchen Sink y' Water Heater
/`
Disposal x� Water Softener
Dishwasher X Wet Bar
Sillcocks Miscellaneous
j
I
� � �� �� PERMIT FEE CALCULATIO�tT(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;excludinQ 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(]f Applicable) $ 1.50
Total Permit Fee $
i
(Permit Fees Continued On Next Page)
2
PERMTT FEE CALCULATION S —JOBS O�ER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
, dt�' • )
2�jL��� X .oi2s$ ��Gj l�
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
�l�
�.��1:,i� -� 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. 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 APPLICATI�N AGREEMENT �
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accardance 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.
A licant's Si nature: ��2. �� U �' ` Date: � ( � � �
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ACURD 25(2(101i76} � � �9 A�ORD CORPORATION 1988
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CITY OF ORONO CALLED IN ==c�
INSPECTION TGICE L, SGHEDULED
PERMIT N . a �D d COMPLETED
ADDRESS l �ID
OWNER I�TR —
TELEPHONE NO. �a -���'
� DESCRIPTION /� U �"�
� ❑ FOOTING ❑ MECHANI RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANI AL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
=�?LUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W� ,�GYORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W r�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on site:
Inspector. f . ( "►��l�,s
White Copy/l�spector's File Canary CopylSite Notice