HomeMy WebLinkAbout2011-01194 - mechanical " �' CITY OF ORONO PERMIT NO.: 2011-01194
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: 10/OS/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 725 FERNDALE RD N
PIN : 36-118-23-12-0002
LEGAL DESC : UNPLATTED 36 1 18 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
COI�ISTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMBING FIX'I'URES
(1)WA'I'ER CLOSGT,(1)LAVATORY,(I)WLT BAR AND(3)FLOOR DRA[NS
VALUATION OF PLUMB[NG 5000
APPLICANT PLUMBING FIXTURE FEE 62.50
EASCO PLUMBING &HEATING 1NC. STATE SURCHARGE PLBG (VALUATION) 2.50
7965 PIONEER TR
LORETTO, MN 55357 TOTAL 65.00
(612)369-5486 PAID WITH CC# 3443
OWNER
SOWADA, MICHEAL& MARGARET
725 FERNDALE RD N
WAYZATA, MN 55391
AGREEMENT AIVD SWORN STATEMENT
'rhe work for which this permit is issued shall be perfonned according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformanc e State Building Code.This permit may be
revo� t any tim r due cause.
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Appli�:a �ermi ee Signature Date Iss e y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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, ' FOR C�L'SE ONLY �
� City of Orono ./ /�
4 � P.O.Box 66 Date Receivedt a ` permit# ����U � �
��;� � 2750 Kelley Parkway
� � �'�;�E�`-- � Crystal Bay,MN 55323 Approved By: Amount$:��' �
�����.�t` (952)249-4600—Main ��
(952)249-4616—Fax
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
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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 UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dweiling.
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)
�'�iew ❑ 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: � �Z 5 �� ��� ���a�--L I� �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: � �S C. a t� ��� E`�"" Contact Person: (j i L� c�
Address: � �( (� j �� ����r (� State Bond #: `�� � �"�`'j� (�, l �
City: v � Zip:jS3S�7 Expiration Date: I � 3 I � 1
Phone: (� �� ���- ���� (o Alternate Phone:
❑ Insurance—Current:
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j PLUNIBING FIXTURES BElNG INSTALLED"
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar �
Sillcocks Miscellaneous
- -
PERMIT FEE CALCULATION(S) �
j BASED OFF - 200? STATE STATUE ;, �
❑ Yes,this section applies
The replacement of only one 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 plumbing 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
, �
PERMIT FEE CALCULATIQN(S -JOBS OVER$500.00 :
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of�50.00)
x .0125$
(con ract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract pnce)
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 actuai 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.
�` ���� �„*�:��-�`� .��S�ING PERMI ,�P �C.ATIQI�Tj`�,�`�y�`l��� � ::,�
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 Signature: ' / � Date: S /
3
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CITY OF ORONO CALLED IN �O � -;�:�
INSPECTION NOTICE G� SCHEDULED l
PERMIT NO. � / COMPLETED / �
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Q ❑ POURED WALL ❑ MECHA CALRI ❑ LAKESHORENVETLANDS
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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
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
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Inspector. , � �-i��
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� Z49-46QQ
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Inspector. '�.l
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INSPECTION NOTICE SCHEDULED /� _ •'�
PERMIT NO��/�- ��«� COMPLETED
ADDRESS �� �✓�-
OWNER TELEPHONE NO.�I�-�� � �
CONTRACTOR QS c�U �u.� �
� DESCRIPTION ��/�
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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
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INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
� INSPECTIOtJ REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
5� DATE TIME �
CITY OF ORONO CALLED IN �b��
INSPECTION NOTICE /9 / SCHEDULED /D/ // .D a
PERMIT N0.���/�v/` �� COMPLETED �� �
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Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContract
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White Copy/lnspector's File Canary CopylSite Notice
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INSPECTIO NOTIC�/l� ,/ SCHEDULED �
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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
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❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. `� �
White Copyllnspector's File Canary Copy/Site Notice