The URL can be used to link to this page

Home My WebLink About2009-00493 - plumbing CITY OF ORONO PERMIT NO.: 2009-00493 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/17/2009 ` 952 249-4600 FAX: 952 249-4616 ADDRESS : 1981 FAGERNESS POINT RD PIN : 18-117-23-14-0005 LEGAL DESC : FAGERNESS : LOT 004 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 4 WATER CLOSET,5 LAVATORY, 1 BATHTUB,3 SHOWER,2 KITCHEN SINK, 1 DISHWASHER, 2 SILLCOCKS, ] FLOOR DRAIN,2 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 GARAGE SINK VALUATION OF PLUMBING 9000 APPLICANT PLUMBING FIXTURE FEE 112.50 BEN SCHORER PLUMBING& HVAC INC. STATE SURCHARGE PLBG(VALUAT[ON) 4.50 4520 85TH STREET SE TOTAL 117.00 DELANO, MN 55328- (763)972-8137 OWNER WHITTINGTON-GGROENKE, MICHEAL&JULIE 1981 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIYT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions oY laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be � re at any time for due cause. ` � � /7 � G ��C c�� , �S ,-17�7 A licant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � FOR CITY USE ONLY � ,¢ City of Orono �� P.O.Box 66 Date Received: Permit# �.,t,;,,ti � 2750 Kelley Parkway �� '��" F-f Crystai Bay,MN 55323 Approved By: Amount$: <'��r��o� (952)249-4600 �o$ CITY OF ORONO —PLUMBING PERMIT (All Commcrcial permits mus[be approved by tl�e Building Official or Inspector) � GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applicarions will be reviewed and a permit will be issued within two working days. 2. Perniit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UI�TTIL 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 ❑ Additional ❑Repairs ❑ Replace 4 ❑ 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: �%�'� �� f +�-ss �} �,1.� �2� Owner: f�1��1� �-�?�'��th�c�� Mailing Address: '" ��"� City: �� w Zip: Home Phone: Alternate Phone: Contractor Information: �f�`.;��.�: Contractor:� ��°� i�l,,��►5,►�, Col�tact Person: �� c%ti,-�f� Address: `�SZr' d' s�"sk<�' SG State Bond #: �L�1 -S� 30 3� SS3� City: �l�"� Zip: Expiration Date: / a"��J I` 0 5' Phone: 7� 3" `��3-8i3� Alternate Phone: ��-��3�-� `15;�' ❑ Insurance—Current: 1 ''� � � PLUMBING FIXTURES BEING 1NSTALLED. FIXTURE � BSMT ' 1 2' OTHER FIXTURE BSMT 1 2' OTHER T1'PE I FL FL TYPE FL FL Water Closet � � � Floor Drains � Lavatory � � � Sewer Ejector Bathtub � / Laundry Tray � Shower / Washer � Kitchen Sink � Water Heater / l Disposal Water Softener � Dishwasher I Wet Bar Sillcocks � Miscellaneous � � �� 5�� PERMIT FEE CALCULATION(S) --� BASED OFF -'2002 STATE STATUE � ❑ Yes,this section applies The replacement of a Residential fixture or ap liance 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; excludintr 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 Surcharae $ .50 Mail-In Fee(If Applicable) $ 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. CONTRACT PWCE * is 1.25% of contract price with a(Minimum Fee of�50.00) ��U x.0125 $ (contract price) (minimum 550.00) 2. STATE SLTRCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � J, �� a .000s � (contract price) (minimum$ .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 perrriitted work including materials, ]abor, profit, and other fixed costs. It is the amount to be charged to tbe 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��aluations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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: <�x!'�' Date: � � ` / '��,� 3 � Q DA TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED d-/9-O � F; PERMIT NO.d/,t�G�9�..� COMPLETED "�� r� ADDRESS f��J �17�� OWNER CONTR. � G��(,�� TELEPHONE NO. ��`�� a�c� 7�( � DESCRIPTION �� /`��*'� � ❑ FOOTING ❑ MECHANICAL 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 ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL � SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O W '` � � Q ti 2 W � W � � d W��'ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor n ite:� Inspector.- ._..,.. ,._ {--�4_� "�„ � White Copyllnspector's File Canary CopylSite Notice