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Home My WebLink About2008-00089 - plumbing CITY OF ORONO PERMIT NO.: 2008-00089 � ' 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 07/24/2008 (952) 249-4600 FAX: (952) 249-4616 ADDRESS • : 635 FERNDALE RD N PIN : 36-118-23-11-0009 LEGAL DESC : LJNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIV TYPE : FIXTURES-MULTIPLE VALUATION OF PLUMBING 5600 APPLICANT PLUMBING FIXTURE FEE 70.00 BREDAHL PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 2.80 7916 73RD AVE N BROOKLYN PARK, MN 55428- MAIL-IN FEE 1.50 (763)424-2646 TOTAL 74.30 OWNER O'NEILL-JACOBSEN, LARRY JACOBSON &VICTORIA 635 FERNDALE RD N WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc��ork for which this permit is issued shall be performed according to thc approvcd plans and specifications,applicable City approvals,and the Statc I3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be tevoked at any time for due cause. �� -, � � C�� -,,-�� -� � ��y � �:,� � Applicant Permrtee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. � . � R �� FOR CIT1'USE ONL1' f,,.;�� City of Orono ;t.� �;� P.Q Boa 66 Date Received: Permit# �, � �,� 2750 Kelley Parkway #�+ �}'' �' �� = Crystal Bay,MN 55323 Approved By: Amount$: ��^ "�zw d Y o`�%� (952)249-4600 � \,�kSA80P4r � CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Oflicial or Inspector) � GE�IERAL INFORMATiON � 1. You may apply for plumbing permits by mail or in person at the City oftices. 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 VAL[D 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. ��hen any new construction er remodelin;is involved.,a separate huilding 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 approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: b s�-� -{e v ��U-\ z V`� I� �U+-Y Y v� �:c�-C.G�[7 ��.�v h Owner: v� ��: e'�-,e;��-�a�r.i��S�;,; Mailing Address: �.o��„1�,�1 z ��1 (\j City: ��N(J _ Zin: � � �� l _ Home Phone: Alternate Phone: Contractor Information: Contractor: �"��c54�1r�\ �'��un��r��-1-ti�Contact Person: ��t) ,l� ��S Address: �C1 1 �c; ��f`� 'f�v e !.� State Bond #: ��r�-Y G�4'1 O`t City: �.�,�; \ ` Zip:�S� Expiration Date: I �. � �L 1��' Phone: � (�,3 `t Z�-}-�CD'=�Cp Alternate Phone: �1 �. �'11�1 - '��c Z� �] Insurance-Current: ' , b � �X� 1 ., � � � PLUNiBING FIXTURES BE1NG INSTALLED � �� -� FIXTURE BSMT 1 2�'' OTHER FIXTURE BSMT l 2"D 07�HER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bath�� Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � PERMIT F��CALCULATION(S) � � � � � � BASED OFF'�- 2002 STATE STATUE � � � �� ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;excluding the cost of the fixt�are 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 $ .�0 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 .. • � . , x.'�?��TT`�''�'�E CALCiTLfA'I'I+�1N S -dOBS t�V�R�S�U:(��? If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ,�; lW�.�� x.0125$��:s �{� (contract price) (mimmum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fce of$.50) J�_ ��'Q�(JD x.0005 $ 2- � O �(contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL YERMIT FEE(Add Lines I-s Above) $ ��- �3� ■ * 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. [t 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 APPLIGATION 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. C � Applicant's Signature: Date: � Reset Form 3 `� � � DATE TIME CITY OF ORONO CALLED IN � � �� INSPECTION NOTICE SCHEDULED 7 Z � .�'9,��3U PERMIT NO. �c/ COMPLETED � �� ADDRESS OWNER CONTR. TELEPHONE NO. � DESCRIPTION ` � -� � ❑ FOOTING ❑ MECHANICA I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANIC L INAI. ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. � COMPLAINT Q ❑ D -FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O �. � O � W � Q � Z W � W � j d � WORK SATISFACTORY:PROCEED C_i PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContr o o s' : Inspector. 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