HomeMy WebLinkAbout2011-01481 - plumbing � CITY OF ORONO PERMIT NO.: 20��-o�4s�
' 2750 KELLEY PARKWAY
/ ORONO, MN 55356- DATE IssUEn: 1U28/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2320 GLENDALE COVE LA
PIN : 34-118-23-33-0064
LEGAL DESC : GLENDALE COVE
: LOT 005 BLOCK OOl
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(4)WA"CER CLOSETS,(6)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)D[SPOSAL,(1)DISHWASHER
(2)SILLCOCKS,(1)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER AND(1)WATER HEATER
VALUATION OF PLUMB[NG 13000
APPLICANT PLUMBING FIXTURE FEE 162.50
KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 6.50
1 1681FFERT AVE SE
BUFFALO, MN 55313- TOTAL 169.00
(612)282-5041
Minnesota State License#: 609777
OWNER
Bohland Development
825 WAYZATA BLVD E
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
thc approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission Yor additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This pennit wiil
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the S[ate Building Code.This permit may be
revoked at any time for ue cau .
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Applicant ermitee Signature Date Issued By Sig ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
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� FO CIT USE ONLY
A� City of Orono � p� (�
4O`�' P.O.Box 66 Date Received: 6 Permit# ����/ ,��
� ���,,y � 2750 Kelley Parkway
a ��'���. +. Crystal Bay,MN 55323 Approved By: Amount$:_l��
� ���'�i-�.o`� (952)249-4600—Main
�a�so�� (952)249-4616—Fax
CITY OF ORONO - PLUMBING PERMIT
(All Commercia] Permits Must be Approved by the State Prior to City Approval)
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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 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 wark 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 IV)
Job Site/ Owner Information:
Site Address: ,� �U ��-�t��i,�(� �.�.�� L-.��
Owner:__l�jC��.�r�n�� �w�c., Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �.'�Z v �l� �h��� I.� Contact Person: ��,��- �o���>�
Address: � �(�� ��-�--1- �,�- S�= State Bond #: �oU`��r'`'�t
City: ��,5-�.c,�J Zip:�t. n Expiration Date: ��-�1�-��
Phone: ���� �� Alternate Phone:
❑ Insurance—Current:
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1' 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains (
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Lavatory I ' � Sewer Ejector
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Bathtub � Laundry Tray t
1
Shower I Washer �
Kitchen Sink 1 Water Heater I
Disposal I Water Softener
Dishwasher ` Wet Bar
Sillcocks Z Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE I
❑ Yes,this section applies
The replacement of onlv one 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 plumbing contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ 5.00
Mail-In Fee (If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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,� . PERMIT FEE CALCULATION(S)-70BS OVER$500.00 � zj" ` I
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�/ �,OJv x .0125 $
�(c�act price) (minimum$50.00)
2. STATE SURCHARGE
x .000� $
(contract price)
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 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 far 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.
.:������ �-'' �;�LL]MBING PERMIT APRLICATT�� GRE � T'� ���
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: �/-Z��l �
3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONNOTICE SCHEDULED --3G_l� �:�U
PERMIT NO. ab��"U��`�� COMPLETED
ADDRESS a3 ao �l����Q � �-�
OWNER TELEPHONE NO.��Z Z �Z SU�/
CONTRACTOR /`�� �
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
u CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. � � /'�l�
White Copyllnspector's File Canary CopylSite Notice
�� � �A� TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE �/ SCHEDULED � ��
PERMIT NOa�/ 1 — D COMPLETED
ADDRESS� ������-�1 �JC a--L�F �—/l��P ���
OWNER ELEPHONE NO. 7�P3-���-y7�3
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CONTRACTOR �'
>; DESCRIPTION �
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
L CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 2a hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
Gr� DATE TIME �
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CITY OF ORONO a� �^D��LLED IN ����,�
INSPECTION NOTIC SCHEDULED � �-
PERMIT N0. ���� COMPLETED
ADDRESS �.� �/X� �� ��� C���t�
OWNER EPHONE NO. ��??��"y7�
CONTRACTOR � /' �
>; DESCRIPTION � �
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECF1�ANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOU 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAFiY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. � a/ '
White Copyllnspector's File Canary CopylSite Notice