HomeMy WebLinkAbout2009-00300 - plumbing CITY OF ORONO PERMIT NO.: 2009-00300
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 06/10/2009
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 1305 ELMWOOD AVE
PIN : 07-117-23-41-0030
LEGAL DESC : SAGA HILL REVISED
: LOT 001 BLOCK 007
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 1-WATER CLOSET, 1-LAVATORY, 1-KITCHEN SINK, 1-S[LICOCKS
VALUATION OF PLUMBING 1975
APPLICANT PLUMBING F[XTURE FEE 50.00
MQ,IESKI PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 0.99
4069 STARLING DR. TOTAL 50.99
HASTINGS, MN 55033-
(651)437-3823 PAID WITH CC# 4986
OWNER
KUHNE, SCOTT
5832 LINCOLN DR#124
EDINA, MN
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separa[e
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be �
revokecJ.a�ny time for due c se. � ��, .-J�1
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plicant Permite ignature Date I s s u e d B y S i g n a t u r e D a t e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. � " FOR CITY USE ONLY
,��� City of Orono
P.O.Box 66 Date Received: Permit#
��„ � 2750 Kelley Parkway
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' a }�� � �;�- Crystal Bay,MN 55323 Approved By: Amount$:
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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 ar in person at the City offices. Applications will be
reviewed and a pernut 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 UI�'TIL 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 Apply)
�] Residential ❑ Commercial(Approval Required)
❑ New ❑Addirional ,(�Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior appro��al and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �-�� (i�/�''��E�c�
Owner;�(j� ��-�!1�1� Mailing Address: S�J� �ih�o��'' �- ��ay
City: �����rJD�S Zip: Sv.�S!��
Home Phone: Alternate Phone: �/�� ��'/'��� ��
Contractor Information:
Contractor: ��(�/�,S>`i% ��� ..��C- Contact Person: �' � ��� �y("�
Address: ��� ���%/�9o'.� State Bond #:
City: �'����'qs Zip.����Expiration Date:
Phone: ���� �'/3�'- ��� Alternate Phone: �,�� �C�L� ��'��
❑ Insurance- urrent:`
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PLUMBTNG FIXTURES BE1NG INSTALLED
� FI?LTURE BSMT 1� 2 � OTHER FIXTtiRE BSMT 1 � 2� � OTHER
TYPE FL FL TYPE FL FL
Water Closet t/ Floor Drains
Lavatory , / Sewer Ej ector
X
Bathtub Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks � Miscellaneous
� PERMIT FEE CALCULATION(S)
BASED OFF - 200? 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; excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner ar licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicabie) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
�
�_ __ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
' If above does not apply; follow guidelines below:
1. CO�TRACT PRICE *is 1.25 of contract price with a(Minimum Fee of$50.00)
�%�7� v��
X.oi2s$
(contract price) (minimum$50.00)
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) $ 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 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 putposes. 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 j
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. _..,� .�
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Applicant's Si at e: `� ��� Dat • L/ /O �
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CITY OF ORONO LLED IN d
INSPECTION NOTICE SCHEDULED l-. 30
PERMIT NO.�v09—Ob,3oD COMPLETED
ADDRESS ! D (,(,pd
OWNER ONTR. � �
TELEPHONE NO. GU — ' — $ �
� DESCRIPTION I'�� e4�
� ❑ FOOTING ❑ M HANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAI. ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE � SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ P G FINA� ❑ FOUNDATION/REMOVAL
� RACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ 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.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on site:
��
Inspector. . ���
White Copyllnspector's File Canary CopylSite Notice
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�-- � /DAJT?E/� TIME
CITY OF ORONO CALLED IN l
INSPECTION NOTICE SCHEDULED /0.'3 C�
PERMIT N0. �U9-����a— COMPLETED
ADDRESS �-3DS Gl�� GI L�i
OWNER ��1J� �I/1 G CONTR.
TELEPHONE N0. ��D�! �`� " ����" 4��l 7�
� DESCRIPTIO��`�'� ���OL��— %� ,5��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL � LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
�LL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
AL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PL FINAL ❑ FOUNDATION/REMOVAL
� WNER/CO RACTOR TO MEET YOU• YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W CORRECT WORK 8 PROCEED G: I SUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
'7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0
OwnerlContractor on site:
Inspector. �,�.�����
White Copyllnspector's File Canary CopylSite Notice