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Home My WebLink About2009-00878 - plumbing � �` CITY OF ORONO PERMIT NO.: 20o9-oos�s 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUEu: 12/04/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1880 FOX ST PIN : 03-117-23-42-0015 LEGAL DESC : WALDRON WOODS : LOT 1 BLOCK 1 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURGS: (6)WATER CLOSETS (8)LAVATORIES (4)BA"CHTUBS (3)SHOWERS (2)KI"I'CHEN SINKS (2)SILLCOCKS AND(2)WASHGRS (1)EACH: DISPOSAL,DISHWASHER, WE"I'BAR VALUATION OF PLUMBING 15850 APPLICANT PLUMBING FIXTURE FEE 198.13 GENZ-RYAN PLUMBING& HEAT STATE SURCHARGE PLBG (VALUATION) 7.93 2200 HIGHWAY 13 TOTAL 206.06 BURNSVILLE, MN 55337 (952)767-1000 OWNER BLUM, STEVEN& DEBORAH 1880 FOX STREET WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work Cor which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvais,and the State Buiiding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revok at any time for�cause. � , y , o � ,�- ,� � p e nt Permitee � ure Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. � i s �a ��/ FO�--�E ONLY - g0A' City of Orono / �,. a 8��7 `r P.O.Box 66 Date Rcccivcd: crmit# ddG � � �� 2750 Kcllcy Parkway a "r� F Crystal Bay,MN 55323 Approvcd By: Amount$: ��' � ;�i ' + " . E, (952)249-4600 � ��-�Knxoe.,. CITY OF ORONO—PLUMBING PERMIT (All Cummcrcial permits must bc approvcd by thc Building Official or Inspcctor) GENERAL INFORMATION l. 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 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 owncrs 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 (�Additional ❑Repairs ❑Replace ❑ In nccessory Stnicture? *You will need prior approval and may need CCiP.(Per Orono Ciry Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �`r� L r�� —S��`�� Owner: I��iL°f7�� '�lj1C�.k; "i_�1,��L. Mailing Address: �-�v t�;;>< �_-lG��-�: ��C rl City: ;' �� _'t- Zip: `-�`�>�� Home Phone: Alternate Phone: Contractor Information: Contractor: �"h��'�r �'t' � �'�� Contact Person: �.� ��'�. ��,'i�I�(;-��J„d.��:=r -�� , -� �;_=,��:�l� �1'Y� Address: �� -� T�L� �� -`� �� [��L, State Bond#: � �.,��, r ±� City: r`��Y��'v'i 1tt..- Zip:S��' Expiration Date: , ��s� Phone: ` '�` �' ` `1''f t Alternate Phone: ❑ Insurance—Current: `�.�;��jU''�-�' �-��,�'jn7!-� =k i,('r��;;!;1.=�� 1 i � PLUMBING FIXTURES BEING INSTALLED FIXTURG BSM'I' 1'r 2�D OTHER FIXTURE BSMT I r 2�D OTHGR TYPE FL FL TYPE FL FL Water Closet � Floor Drains S �`:� Lavatory � --, , Sewer Ejector y � ��, Bathtub ,� ,� Laundry Tray Shower Washer i ,? 1 1 Kitchen Sink � Water Heater Disposal � Water Softener Dishwasher I Wet Bar Sillcocks � Miscellaneous 1 t� PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this scction 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 thc homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit S 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: 1. CONTRACT PRICE * is L25%of contract price with a(Minimum Fee of$50.00) `=�IF� �`,�l i:� x.0125 $ `i� �`'�� ;� (contract pricc) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of�.50) ; �� I�.�U`_�l � � x.0005 $ -� ::_� '�� (conhactpricc) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Appiications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� %�' L� ■ * 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 furnished by the owner, tenant or any other party, the reasonablc 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 S 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 striet 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 Signaturc: _ ��-' �� ' � Date: I��l 8� Reset Form 3 � aoo�'-006� � �!�`�' _ _ �� -- DAT� TIME CITY OF ORONO �,p �aLLED IN - Z-�� INSPECTION NOTICE I"�� SCHEDULED /2 � PERMIT NO.��L��Z-�COMPLETED ADDRESS /��O �T� Y � - OWNER CONTR. �-2_��Z _�'� TELEPHONE NO. C�`�� Ci' � � f OOC� � DESCRIPTION �LECr I f/ �/l� rr��_�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � C7 � 5 .1 ;r�J 0 o T (� �1'�S-�-- �!� � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED C; PROJECT COMPLETE W ❑ RECT WORK&PROCEED I- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOl/RS. ❑ pH0T0 TAKEN INSPECTOR WlLL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit . Inspector. White Copylinspector's File Canary CopylSite Notice