HomeMy WebLinkAbout2009-00165 - plumbing CITY OF ORONO PERMIT NO.: 2009-00165
2750 KELLEY PARKWAY
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ORONO, MN 55356- DATE ISSUED: 04/17/2009
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(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1700 FOX ST
PIN : 03-117-23-41-0003
LEGAL DESC : UNPLATTED 03 1 17 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES - MULT[PLE
NOTE: 3 -KITCHEN SINK. 1 DISHWASHER, 1 MISCELLANEOUS
VALUATION OF PLUMBING 6000
APPLICANT PLUMBING FIXTURE FEE 75.00
HOVDE PLUMBING& HEATING INC STATE SURCHARGE PLBG (VALUATION) 3.00
2222 EDGEWOOD AVENUE TOTAL 78.00
MINNEAPOLIS, MN 55426-
(612)545-8881 PAID WITH CC# 2077
OWNER
MACMILLAN
1700 FOX ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvais,and thc
State Quilding Code. This permit is for only thc work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall bc compied with whether or not specitied herein.This permi[will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 1 0 days at any time after work has commenced.
applicant is responsibl for assuring all required inspections are
reques d in conformance �ith the State Building Code.This permit may be
tevoked t any for du cause.
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Applicant Permitee Signature Date Issued By Signa ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CITY USE ONLY bC�f ��
- � O,¢p�O City of Orono Z�(�
^ P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway N�/ �C ��5�
.� r'''- � Crystal Bay,MN 55323 Approved By: Amount$:�
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
I. You may apply for plumbing permits by mail or in person at the City offices. 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
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BECIlV 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 A 1 )
�Residential ❑ Commercial(Approval Required)
�New ❑ Additionai ❑Repairs �Replace
❑ In Accessory Structure?
*You will need arior approval and may need( l_I'.(Per Orono City Code,Chapter 78, Article IV)
Job Site/Owner Information:
Site Address: '` � ��' � �'`-
Owner: �� �r (�c� v� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
,I ' c-
Contractor: �.,�r� �� � t�-�,j Contact Person: � ��y
Address: Z ZZ,. c� , • � H„� State Bond#: S �5 `�� � l�� q& ��j�
City: S l-� Zip:�71'Z� Expiration Date: ��'�2:> �
Phone: �� � �� �� Alternate Phone:
❑ Insurance—Current:
1
PLUMBING FIXTURES BEING 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 i Wet Bar
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Sillcocks Miscellaneous (
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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;excludine the cost of the fixture or appliance:and
3. [s improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
� PERMIT FEE CALCULATION S -JOBS OVER $500.00
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
T' � � ��L�
'l�^,r��' x.0125 $ �� �""
(�ontract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
C`ri
� �`� �� x.0005 $ �
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-[n Applications) $ 2.00
'j�C�`�_.
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��/�"�;z.,'
■ * 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. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumished 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 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.
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Applicant's Signature: Date:
Reset Form
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CITY OF ORONO 'D IN �/ A � TIME
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INSPECTION N TIC EDULED �Q�
PERMIT NO. � MPLETED
ADDRESS
OWNER CONTR.
TELEPHONE N0. � — � ���
� DESCRIPTION G � ' �L�
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� ❑ FOOTING ❑ MECHANICAL I ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v O-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� LUMBING RI ❑ SE TIC FINAL ❑ HARD COVER REMOVAL
_ ❑ PLUMBING FINAL
v ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YO : YES_NO
� COMMENTS:
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W ❑CORRECT WORK&PROCEED r_ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (Q52� 249-46��
Owner/Contractor on site• '
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Inspector.
White Copyllnspector's File Canary CopylSite Notice
D�/T TIME V
CITY OF ORONO CALLED IN ��`—�
INSPECTION NOTICE SCHEDULED ,�� �D: v
PERMIT NO. ��Y��l�s COMPLETED
ADDRESS �ZDa ���i ��
OWNER CONTR. lb�✓�� P�`�
TELEPHONE N0. <�z �S�5 c��C��
� DESCRIPTION ��
� ❑ FOOTING ❑ MECHANICAL ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAI. ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW�RKSATISFACTORY:PROCEED / i I ROJECTCOMPLETE
� ❑ CORRECT WORK R PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site: -
Inspector. (� �� . ���
White Copyllnspector's File Canary CopylSite Notice