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Home My WebLink About2009-00009 - plumbing � � CITY OF ORONO PERMIT NO.: 2009-00009 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU13/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : l 0-ll 7-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : PLUMB[NG (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTG: YLUMBING I;IXTIRLS INCLUDE: (2)LAVATORIES,(1)WA"CE?R CLOSET,(1)SHOWER AND(1)KITCHEN SINK VALUATION OF PLUMBING 6500 APPLICANT PLUMBING FIXTURE FEE 81.25 RIDGELINE PLUMBING STATE SURCHARGE PLBG (VALUATION) 3.25 25976 14TH ST W TOTAL 84.50 ZIMMERMAN, NfN 55398- (612)327-6064 PAID WITH CASH 84.50 OWNER GEORGE, DEVEAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "fhc work for which this permit is issued shall be pertormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. "Che applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for duc cause. �•,,�;�--- d/ �/ 3 �D� �y?�_� D/�/� �D Applieant Permitee Signature Date ]s� cl By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . FOR CTTY'USE ONLY Cit�of Orono �O�—��O P.O,Box 66 Date Received: ��ermit# �� u� 2750 Ikelley Parkway � r s��. C stal Ba MN�53?3 Approved By: Amount$:� ��'!!��ra,�}�G� (952)249 4600 �� CITY OF ORONO—PLUMBING PERMIT (All Commercia]permits must be approved by the Building Official or Inspector) GENERAL 1NFORMATION 1. I'ou 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 ML'ST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONL,Y to licensed plumbing contractors and to properry 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 1 � ❑Residential ❑ Commercial(Approval Required) p 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: �v'��5 �j�.�;�vt-LL1 L'�'�C� �' 1��- Owner: �' Mailing Address: � f City: (tir'��r"�U Zip: .� S� Z� Home Phone: Alternate Phone: Contractor Inforrnation: Contractor: (�:l�,i�-- 1'�; �/�,�h,`r��ontact Person: ��-''�- l�. �.`i�e.r�,'��; Address: ,,75�7(� r�J�`�'/,t/ State Bond #: City: Z;►�tn�+cr'�vta� Zip:SS 3�� Expiration Date: ih�� n� Phone: �i2' �vZ7 ' G�U�"� Alternate Phone: (:��I :�y�s� L��`s 3 �� Insurance—Cunent: �►(.`� �� 1 PLUMBING F��"��S�BEING INSTALLED �� .' FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bathroom Laundry Tray Shower Washer � � Kitchen Sink � Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STAT`E STATLTE ❑ 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) $ l.50 Total Permit Fee $ (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 price with a(Minimum Fee of$35.00) �e j �D`� x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ __ 1.50 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 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. PLiJMBING PERMIT APPLICATIOI'+1 A�REEMENT 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: ��w� �� . Y�� Date: � ' l„� d� Reset Form 3 �� y ��,,p � DAT�E}—� TIME � CITY OF O �''(�,�JOb CALLED IN -�yZ r ��-'y' INSPECTIC�(�. �� SCHEDULED "��-v� � PERMIT NO. ` COMPLETED ADDRESS �a g � �r�-{�C-� � � . �� OWNER CONTR. � �� G ��L�►'lb TELEPHONE NO. �' `� � a � L- � -1�� DESCRIPTION � �l'Y1� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS:� 2 - (1�� 'Y� 1� W J I C o � _ � S 1 ; ( � � -� '' - T'� � r�'t I � 0 � W � Q � z W � W � j �WORK SATISFACTORY:PROCEED �PROJ ECT COM PLETE W ❑ CORRECT WORK 8 PROCEED _� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. � l � �� j , . � White Copyllnspector's File Canary CopylSite Notice �� - ✓ DATE TIME CITY OF ORONO CALLED IN �'�3 INSPECTION NOTICE SCHEDULED / 'a9 !:30 PERMIT NO. �a g J �O�D� COMPLETED ADDRESS ��g� ��'`L'� «l�.�li OWNER CONTR. ��c,C U�-Gi�� TELEPHONE NO. �`S�— Zl� � 779`3 /�-`"'� � DESCRIPTION 0�� ❑ FOOTING ❑ MECHANICAL ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � .� �C'S-� � � — o , � � 0 � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED f i PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ^_ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on s'�te:��`�� Inspector. � �"'� �J White Copyllnspector's File Canary CopylSite Notice