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Home My WebLink About2009-00170 - plumbing � .� CITY OF ORONO PERMIT NO.: 2009-00170 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 04/2U2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2640 FOX ST PIN : 04-117-23-42-0008 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES -MULT[PLE NOTE: PLUMBING FIXTURES INCLUDE: (4)WATER CLOSETS,(l)ROUGHED IN; (6)LAVA'1'ORIES(1)ROUGHED IN;(2)BATHTUBS,(2)SHOWERS,(1)ROUGHED IN; (1 EACH)KITCHEN SINK, DISPOSAL, DISHWASHER; (3)SILLCOCKS;91)ELOOR DRAIN,(1)LAUNDRY TRAY(1)ROUGH IN;(1) WASHER,(1)ROUGHED IN;(1)WET QAR ROUGH IN VALUATION OF PLUMB[NG 18400 APPLICANT PLUMBING FIXTURE FEE 230.00 STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 9.20 13025 GEORGE WEBER DR TOTAL 239.20 SUITE#I ROGERS, MN 55374 (763)428-1833 OWNER WESTLING, TOM 2640 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� Y � �� Q Applicant Permitee Signature Date Issued By. ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR C TY SE ONLY � O,�D�,O City of Orono �} ��Q , P.O.Box 66 Date Received: �� P'ermit# �� ,, 2750 Kelley Parkway /� a �� r- � Crystal Bay,MN 55323 Approved By: Amount$: CJ � ,�'��t� (952)249-4600 �e��08�' CITY OF ORONO —PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pemuts 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 UI�TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Piumbing 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 Apply) `� 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 N) Job Site/ Owner Information: Site Address: �� /U f v,� -S 1`r�=c f ��::;�o Owner: �'e.�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: S��`��-�� u�^^�-�� Contact Person: 1�e�1 � Address: ��>�l5- �c : r - c- w�� State Bond #: City: �o� c,�� Zip: �N Expiration Date: Phone: 7�j - `�'��=-�c��s Alternate Phone: �l� �J�'�6 -��/�/ ❑ Insurance—Current: 1 , � � PLUMBING FIXTURES BElNG INSTALLED FIXTURE BSMT 1' 2'� OTHER FIXTURE �� BSMT ' 1 2 � OTHER � TYPE FL FL TYPE FL FL Water Closet (�� 3 Floor Drains � IS.� Lavatory �� ' � SewerEjector Bathtub � Laundry Tray �� f Shower �`^ � Washer �� I +- Kitchen Sink � Water Heater � 4�-t,�;� r Disposal ' Water Softener � 0}�`er� Dishwasher ' Wet Bar p� r� Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) I 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; excludin�the cost of the fixture 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 - y . PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 , lf above does not apply; follow guidelines below: 1. COPTRACT PRICE *is 1.25%of contract price with a (Minimum Fee of$50.00) l� 7�UU, �U x.0125 $ (contractprice) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Di��. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * COI�'TRACT 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. ■ ** 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, acrees 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. Applicant's Signature: ��`� Date: � �� G 3 �� D'AT E TIME �/ CITY OF ORONO " cALLED IN `��' INSPECTION NOTICE SCHEDULED ',� _'�3Z� PERMIT NO. COMPLETED ADDRESS �Z Lo �� C �{- � OWNER CONTR. TELEPHONE NO. � DESCRIPTION i �— ��S ' � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FI LING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 Q ❑ DEMO-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: i,� Zt I �1,,n (�1(1:1.�L � � (Yl • � • W � � � O � :� I �� -' �� Y�-f�I , a � w Q � � � � � � z W � W � � d � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REOUIRED.CAII TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on s te: _ Inspector. �✓(/� � �?�!J S White Copyllnspector's File Canary CopylSite Notice Ci� DA TIME � CITY OF ORONO CALLED W �/ INSPECTION OTI E SCHEDULED -1�-Q� a-�� PERMIT NO. 1�Y9 —�� COMPLETED ADDRESS a� D � OWNER CONTR.U��i�� _ n. _ TELEPHONE NO. �O�Z .:3��LG�OJ�� DESCRIPTION `�� ❑ FOOTING ❑ MECHANIC ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � �3 �C�SS � � ° ,� .� �' � � � ��-�-� — �? � �►,.�� Q � C� P� c7 � � t �' � Q� �q c� z W � � �-, 1 �— -- � ,�v� ( a W ❑WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE ��RECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (J52� 249-4600 OwnerlContractor o s�te: Inspector. � l` k White Copy/lnspector's File Canary CopylSite Notice