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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(>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIX'I'URES (1)WA'I'ER CLOSGT,(1)LAVATORY,(I)WLT BAR AND(3)FLOOR DRA[NS VALUATION OF PLUMB[NG 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 EASCO PLUMBING &HEATING 1NC. STATE SURCHARGE PLBG (VALUATION) 2.50 7965 PIONEER TR LORETTO, MN 55357 TOTAL 65.00 (612)369-5486 PAID WITH CC# 3443 OWNER SOWADA, MICHEAL& MARGARET 725 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AIVD SWORN STATEMENT 'rhe work for which this permit is issued shall be perfonned according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformanc e State Building Code.This permit may be revo� t any tim r due cause. ' _ �---��� � / S / �� �� GL!� /� � / i Appli�:a �ermi ee Signature Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � , ' FOR C�L'SE ONLY � � City of Orono ./ /� 4 � P.O.Box 66 Date Receivedt a ` permit# ����U � � ��;� � 2750 Kelley Parkway � � �'�;�E�`-- � Crystal Bay,MN 55323 Approved By: Amount$:��' � �����.�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) htt ://ww��.dli.mn.aovlCCI�D/PDF/ e lumb lanreva . df 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: � 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: 1 � � . ` 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. � � G Applicant's Signature: ' / � Date: S / 3 � D T TIME ✓ CITY OF ORONO CALLED IN �O � -;�:� INSPECTION NOTICE G� SCHEDULED l PERMIT NO. � / COMPLETED / � ADDRESS � � � OWNER �Y�,L�PHONE NO. a -3 —5 �� CONTRACTOR CL S�� ��` ` �; DESCRIPTION �` � 0""��� � � ❑ FOOTING ❑ PLUMB FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA CALRI ❑ LAKESHORENVETLANDS 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � � O '� �, 1 !/1 �j �.�c,,l� ; �l) o ,, � W � Q � Z W � W � � d W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE . W ❑CORRECT WORK 8 PROCEED L�' ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. , � �-i�� White Copylinspector's File Canary CopylSite Notice �J � �c�� ATE TIA�IE � CITY OF ORONO --- CALLED IN � �l `� �-�-- INSPECTIONNOTICE_ /�,/SCHEDULED / -<'• �� PERMIT NO. �L! Ol `�`�COMPLETED ADDRESS /� ���� ���A - �GC /�' OWNER LEPHONE NO.�l� �l���� CONTRACTO � DESCRIPTION � �� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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 � /�� �� J-��° �C'�� rC � (�2=.� �,;���. 0 � W � Q ti Z W � W � � d W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑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 ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on sit�e: - Inspector. '�.l White Copyllnspector's File Canary CopylSite Notice L � (� D TIME `� CITY OF ORONO CALLED IN �� 7 � INSPECTION NOTICE SCHEDULED /� _ •'� PERMIT NO��/�- ��«� COMPLETED ADDRESS �� �✓�- OWNER TELEPHONE NO.�I�-�� � � CONTRACTOR QS c�U �u.� � � DESCRIPTION ��/� � � ❑ FOOTING ❑ PLUMBING F L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANIC 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � j d W� �+lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED l� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 �� � ADDRESS �ZS �����Q � � - OWNER TELEPHONE NO. ��z 3(�`J 5��� CONTRACTOR ��SG� �: DESCRIPTION / ` �'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PIUMBI L ❑ FOUNDATION/REMOVAL � OWNER/ NTRACTOR TO MEET YOU:�YES NO � COMMENTS: � W a oGP�r±��P ��,oh Gz�`i � n�� �z �s , TvQ_,Q.v, � 0 � W � Q � z W � W � � d W RKSATISFACTORY:PROCEED [-� PROJECTCOMPLETE � CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN 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 Inspector. White Copy/lnspector's File Canary CopylSite Notice �� � Gj`� " DA TIME ✓ CITY OF ORONO CALL� l Z � � INSPECTIO NOTIC�/l� ,/ SCHEDULED � PERMIT N Y COMPLETED ADDRESS OWNER �ELEPHONE N ��� '�/ `5 CONTRACTOR � u/ >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBI G INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA IC L RI 0 LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHAN AL 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 MEEf YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q ti Z w � W � � GW ❑WORKSATISFACTORY:PROCEED �RROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION W�THIN HOURS. ❑ PHOTO TAKEN INSPECTOR W4LL RETURN ❑ 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