HomeMy WebLinkAbout2011-00740 - plumbing CITY OF ORONO PERMIT (�0.: 2011-00740
2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISSUED: 07/27/2011
t 952 249-4600 FAX: 952 249-4616
ADDRESS : 2330 GLENDALE COVE LA
PIN : 34-118-23-33-0063
LEGAL DESC : GLENDALE COVE
: LOT 004 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES - MULTIPLE
NOTE: 1ST FLOOR: 1 WC, 1 LAV, 1 KI1'CHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER
2ND FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER
BASEMENT:2 SILLCOCKS, 1 FLOOR DRAINS, 1 WATER HEATER
VALUATION OF PLUMBING 9500
APPLICANT PLUMBING FIXTURE FEE 1]8.75
AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 4.75
7120 71ST AVE.N. MAIL-IN FEE 2.00
PO BOX 205 MISC FEE 0.00
LORETTO, MN 55357- TOTAL 125.50
(612)750-0278 PAID WITH CHECK# 13113
Minnesota State License#: 065381 PM
OWNER
RHOADS,NICK&JENNY
140 CARLSON PKWY#308
MINNETONKA, MN 55345-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions ofthis permit;(2)the
approval plans and specifications; (3)the applicable City
approvals,Ordinances and Codes; and(4)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.
This permit will expire and become null and void if
construction authorized is not commenced within 60 days,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.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CITY USE ONI.Y
City of Orono
1 ��"���, p p,g��(6 Date Received: Permit#
� 2750 Kelle��Park�vay
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CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approvai)
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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 permiCs 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 a�id air testcd before��is ccvcred. Cal! (952?249-460Q
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That A 1
�esidential ❑ Commercial(Approval Required)
New ❑ Additional ❑ Repairs ❑ Replace
❑ ln Accessory Structure?
*You will need prior aauroval and may need C'(7P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
. n /
Site Address: ��b�_�P�'/!;A/ � �(/ l.[/�'L�/
Owner:�V10�� Mailing Address:
City: Zip:
Home Phone: Aite�nate rnone:
Contractor Information:
Contractoi-: � ' � � gh,�Contact Person: ����CC��
Address: ��7 Q� �C' � State Bond #: � �'�/y��_
� ��' �
City: Zip���� Expiration Date: �v
Phone: � �" � � Alternate Phone: l a��- 7�" ���
� Insurance—Current:
1
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT I�� 2�D OTHER FI?�TURE BSMT I� � ��D OTHER
TYPE FL FL TYPE FL FL
Water Closet '� Floor Drains ' i
f�
Lavatory � � Sewer Ejector
Bathtub .� Laundry Tray '
Shower ( W asher �
Kitchen Sink � Water Heater (
Disposal ( Water Softener
Dishwasher � Wet Bar
Sillcocks � Miscellaneous
� PERMIT FEE CALCULATION(S)
BASED OFF - 2002 S'T'ATE STATUE
� Yes,this section applies
The replacement of only one Residential fixture or a�pliance 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 Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Ncxt Page)
2
'' � �— PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
If above does not apply; tollow guidelines below:
1. CONTRACT PRICE * is 1.25�of�ntract price with a(Minimum Fee of$50.00) �
S7� J
�� x .0125 $ �
(contract price) (minim m�50.00)
2. STATE SURCHARCE � ��fj� �Ij
J�� x.0005 $�
(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 amo�mt charged for the
permitted work including materials, labor, profit, and other fixed costs. [t is the amount to be charged
to tne customer for the work done. If any inaterial, 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.
PLUMQING PERM1�' 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 nade on this application are coinplete, true and
correct.
Applicant's Signatur • Date: � ��
Reset Form
3
- DATE TIME �
CITY OF ORONO CALLED IN �7� �
INSPECTION NOTICE t, SCHEDULED � ��(L.JJ_ �
PERMIT NO.�`(J /� "C��D 7TO COMPLETED
ADDRESS ��3� �v��?Z/.E/� C� L/L�
OWNER TELEPHONE NO.lnl.�7 SO 0:�7�
CONTRACTOR fCz-�� ����'��-
�: DESCRIPTION /��
�
lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor o�f site:
Inspector.
White Copylinspector's File Canary CopylSite Notice
�� � D�F� TIME �
CITY OF ORONO CALLED IN �J
INSPECTION NOTI E [/ SCHEDULED — 'l� �
PERMIT NO. O 'DD�TD COMPLETED
ADDRESS c�.3�D � C�G� G�/C/
OWNER TELEPHONE NO.��a �5d DZZb
CONTRACTOR �vn-�-<<'�'K �P�—
�; DESCRIPTION / ���
�
� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� � FRAMING ❑ MECHANICAL FINAL
O ❑ 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 FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:_��/9/l�.t�-L"E+e� � �'�` d�
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ RRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46Q�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice