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Home My WebLink About2010-01103 - plumbing CITY OF ORONO PERMIT NO.: 2010-01103 � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE IssuED: 1U09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3565 FREDERICK ST PIN : 20-117-23-12-0018 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 PRIORITY PLUMBING STATE SURCHARGE PLBG (VALUATION) 5.00 17325 EUCLID AVE FARMINGTON, MN 55024- TOTAL 55.00 (763)292-1615 OWI�ER REGER, MICHAEL L& BRITTANY L 3565 FREDERICK ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uildine Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. �111 provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not conunenccd within 180 days of thc date of issuance,or if construction is suspended for a period of 180 days at any time after work has conunenced. The applicant is responsible for assuring all required inspections are requested in con mance with the State Building Code.'I�his permit may be revoke y � e for due cause. �//,� � � (� �� ' ' � � � � ��1. � �1,�,.G�'�/ / Appli nt � rmitee Si -� Date Issued By Signat �re � Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � C.IL �-�� FOR CITY C`SE ONLY � � �� . , � O,�p�O City of Orono P.O.Box 66 Date Received: Permit# �*. 2750 Kelley Parkway I a � �' Crystal Bay,MN 55323 A roved B Amount$: � ��,. ;:f' ,�' PP Y� �� ,� �o (952)249-4600 �8�0$ 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 permits 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 1'OU 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 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 ly) � �``�= 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 IV) Job Site/ Owner Information; ' Site Address: �S C�� i�c o�-c r,��i� �-tre �1 .,� Owner. � -P /'� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: �'- ,l i �, Contractor: ►o �V L,��ry�„r� �/�ContactPerson: �✓�t�NS Of Address: � e' State Bond #: ��nQ 7 � City: �j�iyv_ ��J_ Zip:��xpiration Date: �O � � �-- � / � Phone: �� '��,/y Alternate Phone: 9s� �� Insurance—Current: � 1 � r � a —_ : ,.'..._�,. . �� :' P�.,'�>��,.��c,��,µ�`".nr�`,F�IXT�URES BEING�INS TALLED�� ' "� ', FIXT'iIRE 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 VVater Softener Dishwasher Wet Bar Sillcocks Miscellaneous __ __ - �' � ". PERMIT FEE CALCULATION(S) T', B�SED OFF — 2002 STATE STATUE — ' ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the foilowing requirements: 1. Does not requue 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 Pemut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � , � � . �.��. :� �,..:� ° �.T FEE�CALCULATION(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) ��a �— x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) .!�� _ x .0005 $ � contract nce � P ) (minimum� 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ • * COI�TTRACT PRICE or JOB COST means the actual 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 pernut 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 coniz-act. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or�5.00–whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. � ,ACYR.�EMENT �' 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. �� Applicant's Signature: Date: '� Q 3 � � �� " l � DATE TIME � � CITY OF ORONO CALLED IN � INSPECTION NOTICE 7� SCHEDULED t � �� /� f'� /�?_ PERMIT NO.�t` I("'' r�I I `�� COMPLETED ADDRESS _��5 �c � `�"-f E C�/`/�'�f . OWNER TELEP ONE NO. �� ` IS CONTRACTOR �/ l C'� I ft / >: DESCRIPTION �� -� � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI FfLLiNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � � �� Z/�'` � I�C'. (< � 0 � � 0 � w � Q � z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �/�'�ORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner►Contractor on site: Inspector. � �� White Copyllnspector's File Canary CopylSite Notice