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Home My WebLink About2009-00158 - plumbing repairs • CITY OF ORONO PERMIT NO.: 2009-00158 , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE�SSUEu: 04/16/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 175 GOLDEN VIEW DR PIN : 33-118-23-43-0015 LEGAL DESC : PETERMAN 2ND ADDN : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: M[SCELLANI=,OUS YLUMB[NG REPAIKS VALUATION OF PLUMBING 1150 APPLICANT PLUMBING FIXTURE FEE 50.00 THOMPSON PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.57 15001 MINNETONKA IND. RD. MINNETONKA, MN 55345 MAIL-[N FEE 2.00 (952)933-7717 TOTAL 52.57 PAID WITH CASH 0.07 OWNER RIGLEY, J.R. 175 GOLDEN VIEW DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMEIVT The work for which this permit is issued shall be performcd accordin�to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This pcmlit is for only thc work described and does not grant perntission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with the State Building Code.This permit may be revoked at any time for due cause. i�l2Lu� � l l l l Applicant Permitee Signature Date Issued By � nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCR[B A VE. � FOR CITY IISE OtiL.Y O��O City of Orono P.O.Bos 66 Date ReceivecL Yermit R 2750 I�ellev Yarkwav a ° R Ciystal liaY.Mti 5�:2� Approvcd By: :�nonnt$: - _ __--- �d��" , �t` (952)2d9-�4G00 -+x�KpP CITY OF ORONO—PLLJMBING PERMIT (;Vl(_'ommcrcial peRnits must hc appro�cd by thc Building�)lfcial or Inspcctor) GENERAL INFORMATION 1. You m�i� a�ply for plwnbing penuits by mail or in person al lhe Citv offices. Applications��ill be revie«�ed and a pennit��ill be issued�tiithin h�o��orking�la�s. 2. Ycrniit cards��ill be sent bv rcturn mail after a revie�u is comple[ed. PERMITS t1ItE:NO"I' VALIll UNT1L YOIJ R�;CEIVE A YBRMI"1'. WORK MUST NOT BEGIN UNT1L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Ylumbing pcnnits mav be issucd ONLY to licensed plumbing�ontractors�md to property o��ners residing in th�dwclling. �4. When an�new construction or remodeling is invol�-ed,1 separate building pennit must be obtaincd. 5. All��ork must bc donc in accordancc��ith State Codc rcquircmcnts. 6. All��-ork must be inspected and air tested before it is co��ered. Call(952)249-4600. (2�-d8 hour notice required) TYPE OF PERMIT (Check All That A ly) Q Residential ❑Co�umercial(Approval Required) ❑ Ne�v ❑l�dditioi�il �✓ Kepairs ❑Replace ❑ In llccessory StructLirc? *You wili nced prior anaroval and may need i:'��I'.(1'er Orono City Code,Chapter 78,Article IV) Job Siie/O��ner tnformation: Site Address: 175 GOLDEN VIEW ROAD Owner: RIGLEY Mailing Address: SAME City: Zip: Home Phone: Alternate Phone: Contraclor lnformation: Thompson Plumbing Corp Joanne U'Leary Contractor: Contact Person: Address: 15001 Mtka Ind Rd State Bond#: C��.. Mtka Zi�:55345 Expiration Date: Phone: (952)933-7717 Alternate Phone: �✓ Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTIJRE RSM'I' 1` ?� <�]�HF,R FIX1�iJIZH; RSM[' 1 2' (�rtlF'.R �fYY1; I�L l�l. "ll'YE 1'L 1�L W�iter Closet Floor T>rains Lavator� Se��cr Ejector t3athtub Laundry"fray� Sho�e�er Washer Kilchen Sii� Water I leater llisposal Water Soltencr T�ish��•asher Wet Rar Sillcocks Misccllancous , / 'GZsL/,LC.� 'C-C�'Yy� �%�G�-�.'� � .vL-L GZ�'c� C� L%�-l-�fl��.,L �..� � � � �� . . " � � GZ!�-� - �-et.� ck ,�� -C' C��L-r.� � � V r � , �5�. ��.33 - 77/7 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes,this section applies Tl�e replacement c�f a Residential f�ixture or a��piance that meets all three of the Yollo��ring requirements: 1. Does not require modification to electrical or gas ser�ice. 2. Has a total eost of$�Oi).00 or less;e�clu�lina the cost of the t'ixture or appliance:and 3. Is improved,inst�111ed or replaced b�the homeoNner or licensed contractc�r. Skip next secti<m,if this applies; Cost of Perniit $ 15.00 State Surcharge $ �0 Mail-1nPee(Il Applicablej $ 2.00 Total Permit Fce � (Permit Fees Continued On Nest Pagc) 2 . � PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If aboee docs not appl};i<�1To�u guidclincs belo�r: I. CONTRACT PRICE * is l 2�%of contract price�vith a(Minimum Fee of SSOAO) 1,150.00 � ��12�� 50.00 (contracl price) (minimum$50.00) 2. STATE SURCHARGE **Add the State}31dg Code lli�'. Surcharge(�linimum l�ee of 5.50) /�50, l'� �.�005 � 0,50 (contract price) {minimum^� .50) 3. YOST�IGL,�IIANllL1NG(Onlv on Mail-In npplicationsj $ 2.00 4. TOTAL PERMIT FEE(Add Lincs 1-3 llbovc) y 52.50 ■ * CON"1'Kf1C'I� YRICL or J0�3 COS'r means the ad��] or estiuiated dollar amo�mt charged lor lhe perniitted�uork including materials,labor,protit,and other ti�ed costs. It is the amo�uit to t�e charged to the customer for the��-ork done. IY an5�material, equipment, labor or installations are fumished b� the o��ner, tenant or any othcr part}, thc rcasonable market value of such items must be added to the estimated cost or contract price for perniit Yee purposes. ln the e�-ent that there is a dispute on the amount of the job cost, the Cit�� ma�� request the submission of a signed copy of the actual contract. ■ ** '1'he S"1'A'1'�; SiJRCFII1RGLi is .000� oY the contract price under$1,00!),000 or x.�0—�vhiche��er is greater. For��aluations over$1,000,000 call the Building Department at(952)249-4600 Yor the price. PLUMBING PERMIT APPLICATION AGREEMENT T7ie undcrsig�ied l�ercby applies to the City for issuance oP a Plumbing Pern�it, agrecs to do all �vork in strict accordancc with the ordinances of the Cin and thc regulations of the State of Mimiesota, and certif`ies diat all statements made on this application are complete. tn�e and corrcct. .' � � L� Applicant's Signature: ��" �`' '� CZ ate: % /� � i Reset Form � 3 � `� __I--�— v pATbJ q TIME V CITY OF ORONO CALLED IN ` �L�J` D/ INSPECTION NOTICE SCHEDULED a�� PERMIT NO.a2�q- a��.� COMPLETED ^ ADDRESS l �� /Ll-L° �� OWNER CONTR.o�� LC�T]'�, �� TELEPHONE NO.��'�3��/%'L�-��Z'f��/�-�`!J� � � DESCRIPTION � � ❑ FOOTING ❑ ME N NICAL 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 � OWNER/CONTRACTOR TO MEET YOU• YES_NO � COMMENTS: � W a � � O � � O � W � Q ti Z W � W � � d W ❑WORK SATISFACTORY:PROCEED 1: ROJECT COMPLETE � ❑CORRECT WORK&PROCEED '- IS E CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: /Z � Inspector. /� . �jCs �� White Copyllnspector's File Canary Copy/Site Notice