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Home My WebLink About2009-00467 - plumbing • i CITY OF ORONO PERM[T NO.: 2009-00467 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/10/2009 952 249-4600 FAX: 952 249-4616 � ADDRESS : 2565 DUNWOODY AVE PIN : 20-117-23-21-0031 LEGAL DESC : TOWNS[TE OF LANGDON PARK : LOT 000 BLOCK 008 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES INCLUDE: (2)WATER CLOSETS,(2)LAVATORIES,AND(2)SHOWERS VALUATION OF PLUMBING 4727 APPLICANT PLUMBING FIXTURE FEE 59.09 CITY VIEW PLUMBING& HEAT[NG STATE SURCHARGE PLBG(VALUATION) 2.36 1880 WAYZATA BLVD W P.O. BOX 150 TOTAL 61.45 LONG LAKE,MN 55356 (952)473-8793 OWNER WELLS, ELLEN 2565 DUNWOODY AVE P.O.BOX 351 WAYZATA, MN 5539]- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok at any time for due cause. � � �------�---- -�, ia ��'��,�; �, �v, a g Applicant Permitee Signature Date Is e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �. � CIT USE ONLY ,t_ City of Orono c�� 7 O¢�`rO P.O.Box 66 Date Received: �� D�I Permit# �� • 2750 Kelley Parkway � � ,,'�'�- � Crystal Bay,MN 55323 Approved By: Amount$: l• � ' � yo` (952)249-4600 ��o�:-" 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 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 STTE. 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 l �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aparoval and may need< l_f'.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: SiteAddress: ��5 G�✓�wo��y �U�h�I �Q- Owner: L' II�c?� � 'E-- � I ; Mailing Address: P,�� J x�5 � c�ty: ��/A��z a-}�o� z�p: ��3`'I � Home Phone: ��`'� �� Alternate Phone: Contractor Information: Contractor: �� e� ��=,`� T�' Contact Person: �v��✓�N ��' �Y��I��/v� Address: )`a$0 .� t�e5+�a1n a�a �� State Bond#: P'ilo 335� 1 City: �-4✓��-��e- Zip:5�35.�Expiration Date: Io'�' 3 J �'��` Phone: ��,�-�-1 13��-� Alternate Phone: �I�- ��j .��I�-I ❑ Insurance—Current: �z 5 1 . . . PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL T'YPE 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) 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 S (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 1.25%of contract pric�with a(Minimum Fee of$50.00) i) �. �� —� x.o125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee ofS.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) $ ■ * 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. Applicant's Signature: �� Date: D 3 J Reset Form 3 �' - ! b �� Q //DQI� � TIME CITY OF ORONO CALLED IN �� J INSPECTION NOTICE SCHEDULED �• � PERMIT NO.a�U� GYJ�(�7 COMPLETED ADDRESS � f GfJOG� Gt, OWNER CONTR. TELEPHONE NO. � � ' $S' � � DESCRIPTION �!J � ❑ FOOTING ❑ tv1E ICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ ME ANICAL 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 J ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � 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 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site• Inspector. ��' ,�r� �� —� White Copyllnspector's File Canary CopylSite Notice �� (`�� DAT'E//�,� TIME V C _��4L�L CiTY OF ORONO CALLED IN INSPECTION NOTICE �'�c�EDULED -�� PERMIT NO. `-��i J COMPLETED ADDRESS ��/JC,�� c� C'cr'�_c� /�L�= OWNER TELEPHONE NO. �5� —p7 7.3 " CONTRACTOR L� ( �rT� �,T��L�� . o �� J ' ` /� � DESCRIPTION � -'�-t�h �l�`-�" �u`��S � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 ❑ SEP�INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL 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� 249-46�� OwnerlContractor on site: Inspector. �,� White Copylinspector's File Canary CopylSite Notice