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Home My WebLink About2010-00659 - plumbing CITY OF ORONO PERMIT NO.: 2010-00659 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE �SSVEn: 08/03/2010 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 511 FERNDALE RD N PIN : 36-118-23-13-0012 LEGAL DESC : FAIRWAY VIEW : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 -WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 SIGNATURE MECHANICAL INC. STATE SURCHARGE PLBG(VALUATION) 5.00 8260 ARTHUR STREET NE SUITE A TOTAL 80.00 SPRING LAKE PARK, MN 55432- PAID WITH CC# 0300 (763)788-9844 OWNER CAPECE, BARBARA& MARK 511 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additionai or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I80 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance wi[h the Stat Iding Code.This permit may be revoked a any time for e use. �/i, G C�3J � � / C� �� (/`�- 1�-�-C C'Yy-��.c-2 6 / / App i nt Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � FOR CITY GSE ONLY � 0,��0 City of Orono P.O.Box 66 Date Received: Permit# �,, 2750 Kelley Parkway `- a � ��- �. Crystal Bay,MN 55323 Approved By: Amount$: � ' " .��d` (952)249-4600 � lMg�ApB 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 pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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 UNTTL 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 Ap ly) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ,�]Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� < < t-��-�-•,�,��c- t�L Owner: ��;��c' Mailing Address: �� 6`r==vz�i��`-�: 'Zc� City: t.,;w�_�z ��r,� Zip: � 5 3`'t 1 Home Phone: Alternate Phone: �- t Z - � �-� - ��3�( Contractor Information: Contractor: `��:c,��:,.� �/1��,+ (�.�_ Contact Person: .._.�,�.--� G—:zcc�- Address: ��`��-� ��T��;` 5- �� State Bond #: `�� d 3 � ��^� .>.,:r-e._ i!-� City: L titi'� > Zip:=i��(3 L_Expiration Date: �Z I3 i � �� Phone: ��'�='�'� "� �-c- `�'��`��1 Alternate Phone: i�, �'L-- Z.`�-�-�l'`7 �� 7 ❑ Insurance—Current: ��s� ;�,��:�� t,,��;-.�:,�� 1 � , �: *, PLUMBING FI��i:�RES BEING INST.ALLED` � � g,�. � a.x ��`�� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Z Sewer Ejector Bathtub I Laundry Tray l Shower Washer � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) i, BASED OFF — 2002 STATE STATLTE ❑ 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 or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 e . ' Y � ._..n...3 .3., .,. '`: t. t. ''c C F,�.2 , ` , m.:°. :�.� .� �'° PERMIT FEE� : . �.�ULATIO �� 5.�� R$500 0'.��,��, � ��,, .� �� If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25°/o of contract price with a(Minimum Fee of$50.00) Cs2 C�X=��-% x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract pnce) (minimum$ 5.00) 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 pernutted 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLIC' ,�, �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: �� Date: � � �-- 3 �� D TIME V CITY OF ORONO CALLED IN '� INSPECTION NOTICE /�� SCHEDULED .�- d �4 PERMIT NO.o�I D '��07� COMPLETED ADDRESS 5�� `-'Q� OWNER G _ TELEPHO�N�E �.��L �ZO �l�✓ CONTRACTOR K Z�� ; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � e � �, �' � � �. � .'L . �v�- 0 � � � 0 � W � Q � z W � W � � GW �VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR W{LL RETURN C]CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOfV REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. _ ( a-�� White Copy/inspector's File Canary CopylSite Notice � � C�� TE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTIC/�'J `/� SCHEDULED � �� PERMIT NO. �vl�/ V'�� COMPLETED ADDRESS J�`� � /�/� OWNER TELEPH NE NO. � 8�8i3J CONTRACTOR ' ��C�vt�— �: DESCRIPTION /�"�/ /!��"`'� � � ❑ FOOTING ❑ PLU I G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME ICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ 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: � W a � CJ l`� C'�'r� �' .� o �' a � o �^ , /� p W �vL�l � � �i � /`r i"1 I � Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED f7 PROJECT COMPLETE � �60RRECT WORK�RqA6EEB-� ❑ ISSUE CERTIFICATE OF OCCUPANCY �u O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WfTHIN HOURS. u PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. l .,�//`�,�5 /.� � White Copyllnspector's File Canary Copy/Site Notice