HomeMy WebLinkAbout2009-00080 - plumbing , CITY OF ORONO PERMIT NO.: 2009-00080
. 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEv: 02/24/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1285 FRENCH CREEK DR
PIN : 10-117-23-32-0007
LEGAL DESC : FRENCH CREEK
: LOT 008 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULT[PLE
NOTE: iST FLOOR: 1 DISHWASHER.2 WATER�-IEATERS, 1 WET BAR
2ND FLOOOR: 1 WG 6tMT t D1Sf+WASfr�(t--
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
RIDGELINE PLUMBING STATE SURCHARGE PLBG (VALUATION) 2.00
25976 14TH ST W
ZIMMERMAN, MN 55398- TOTAL 52.00
(6l2)327-6064 PAID WITH CASH 52.00
OWNER
GEORGE, DEVEAN
1285 FRENCH CREEK DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
"1'he applicant is responsible Yor assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoke [ime for due ca s .
� 1 �����/� � � � �
Applicant Permitee Signature Date Issued By ' nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE.
� �
FOR CITY USF.ONLY
" ,�0� City of Orono
P.O.Box 66 Date Received: Permit#
��,y, � 2750 Kelley Parkway
a � ��,'�. � Crystal Bay,MN 55323 Approved By: Amount$:
� '�,,��.�o` (952)249-4600
�'gisao$
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 UI�'TIL 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 construcrion 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 Apply)
�Residential ❑ Commercial(Approval Required)
New ❑ Additional ❑ Repairs ❑Replace
❑ In Accessorv Structure?
*You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: j� ��� I"r�;��,�1 C.�►^c,2 � �Q, .
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �;����;',n.�. P)��.�;`�LCL-Contact Person: ��{o�✓� 1�ti�c►��;'w,
Address: �S C1 7� I Y r1��/ (� State Bond #:
City: ZivN�u✓'Wtuy Zip:S 5J'°j�Expiration Date:
Phone: Gz5 / a?`�� ��'�'3 Alternate Phone:
❑ Insurance—Current:
1
1 }
PLUMBING FIXTURES BEING INSTALLED
FI�TURE BSMT 1' 2 OTHER FI?�TLRE ' BSMT 1 ' 2 OTHER
TYPE FL FL TYPE 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 4FF - 2002 STATE STATtTE
❑ Yes, this section applies
The replacement of a Residential fixture or a� hp �ance that meets all three of the following requirements:
1. Does not require modification to electrica] or gas service.
2. Has a total cost of$500.00 or less; excludine 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 Pernvt $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
" t
' 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$50.00)
d7����D � x.0125$
(contract price) (minimum�50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.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 far 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 Deparnnent at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Yermit, 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: � ` �� ' �j
3
�s� -"��'-� ATE TIME r /
CITY OF ORONO �G�O CALLED IN �
b V
INSPECTION�N��OyT�qICE � �CHEDULED �'I �
PERMIT NO.�C/�/���� V COMPLETED
ADDRESS ���5 C�i�o-�� `i�£/�l�-!
OWNER CONTR.
TELEPHONE N0. r G � l — `0 ^ �
� DESCRIPTION � 1i1� �/d�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WA�L 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 'f�LUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
� ��}/� � ./ D •� �-P �
j n
� % V �� !-� ��Q SS
a
�
O
�
W
�
Q
�
2
W
�
W
�
j
d
W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �ORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
�J CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on s'te:
Inspector. !� � ✓
White Copyll�spector's File Canary CopylSite Notice
�� DA/T� TIME �
CITY OF ORONO CALLED IN �� r
INSPECTION NOTICE SCHEDULED � �/-�a
PERMIT NO.��DGJ -t�DDBD COMPLETED
ADDRESS /07�.5 �h-�'�- �- � l �
OWN ER CONTR. 0�.-ICLQe�.2
TELEPHONE N0. �O� Z 3 Z-7 ��6�
� DESCRIPTION 1 u�� n �
� ❑ FOOTING ❑ MECHANICA RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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
� ❑ 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:
�
W
a
O .. G^?���J � �� J��
� Q
�
O
�
W
�
Q
ti
Z
W
�
W
�
�
a
W ORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE
� ❑CO RECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
OG CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WIIL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on sit : �
Inspector. r -
White Copyllnspector's File Canary CopylSite Notice