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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 (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NOTE: 1ST FLOOR: 1 WC, 1 LAV, 1 KI1'CHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER 2ND FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER BASEMENT:2 SILLCOCKS, 1 FLOOR DRAINS, 1 WATER HEATER VALUATION OF PLUMBING 9500 APPLICANT PLUMBING FIXTURE FEE 1]8.75 AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 4.75 7120 71ST AVE.N. MAIL-IN FEE 2.00 PO BOX 205 MISC FEE 0.00 LORETTO, MN 55357- TOTAL 125.50 (612)750-0278 PAID WITH CHECK# 13113 Minnesota State License#: 065381 PM OWNER RHOADS,NICK&JENNY 140 CARLSON PKWY#308 MINNETONKA, MN 55345- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to: (1)the conditions ofthis permit;(2)the approval plans and specifications; (3)the applicable City approvals,Ordinances and Codes; and(4)the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. This permit will expire and become null and void if construction authorized is not commenced within 60 days,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONI.Y City of Orono 1 ��"���, p p,g��(6 Date Received: Permit# � 2750 Kelle��Park�vay �.� �• �.; Crystal Bay,MN 55323 Approved By: Amount$'. ��'P �:�� +�o` (952)249-4600—Main �Ksexo`� �`� (952)249-4616—Pax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approvai) €�e� ��:��'�������,s'IE�.r�����e$���ae�1�.E.`L.��,'�'1�F`,''��e= ��I�sra�h r(:����aer�<r���. ����3` 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: � W � � � O � i� � O � � ���i-� �` L � � n , ,� -�' „ � , f �� W � ,� � W � � 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� W C o �� � A Cce SS v ���ef' � 0 � � Q�A � � � ��' � s J�`� P W � Q Z 1.- f�! �Q l /� � S� aC�!(�'C � ,q N c-' � �i�,9- . a 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