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HomeMy WebLinkAbout2009-00068 - plumbing y CITY OF ORONO PERMIT NO.: 2009-00068 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/13/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3225 GRAHAM HILL RD PIN : OS-117-23-14-0067 LEGAL DESC : GRAHAM H[LL PRESERVE : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULT[PLE NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS, (7)LAVATORIES, (2)BATHTUBS, (3)SHOWERS, (1)KI'1'CIiEN SINK, (1) DISPOSAL, (1)DISHWASHER, (2) SILLCOCKS, (1)FLOOR DRAIN, (2)LAUNDRY"I'RAYS, (1)WASHER, (1) WATER HEATER, (1) WET BAR, (1)SUMP PUMP VALUATION OF PLUMBING 15355 APPLICANT PLUMBING FIXTURE FEE 191.94 2-GUYS PLUMBING&HEATING INC STATE SURCHARGE PLBG (VALUATION) 7.68 208 CAPITAL DR BUFFALO, MN 55313- MAIL-IN FEE 2.00 (763)498-8019 TOTAL 201.62 OWNER WEBER, AARON 3225 GRAHAM HILL RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and [he State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � l /3/ D Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . t�OR('CI 1 l SE O\Ll � A' City of Orono ¢O`�' P.O.Bo�66 Date Received: Perniit# �, � 27�0 Kelley Parkway !�� �1'�'��,,�,o��' (952)?4y 4600 55323 APproved B� Amount$: �\`��.// CITY OF ORONO—PLUMBING PERMIT (All Commercial pennits must be approved by the F3uilding Ofticial or Inspector) GENERAL INFORMATION l. You may apply for plumbing permits by mail or in person at the City of�ces. 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 VAL[D UNTtL YOU RECENE 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 plumbin�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 and air tested before it is covered. Call (952)249-4600. (24-48 hour notice reqaired) TYPE OF PERMIT (Check All That A I ) � Residential ❑ Commercial (Approval Required) � Ne�� ❑ Additional ❑Repairs ❑ Replace � [n .Accessory Structure? *You will need �rior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: 3��3�� �/�Hqw� �-��I� rZo��� Owner: Mailing Address: City: �Rb►�o Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: a` � S � (-� f Contact Person: /���y Address: �(�� CwP��� �� State Bond #: 4 � oZ (,�(1���'1 City: �v ������ 7ip: SS3�3 Expiration Date: a��1 ��� Phone: �11e3--4�1� - `l D �� Alternate Phone: (�I�c� - a.(�l—d(o.n�l� � lnsurance—Current: 1 . , PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1'T 2" OTHER FIXTURE BSMT l' 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains � 3 Lavatory Sewer Ejector Bathtub Laundry Tray o� � g��n� Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar � Sillcocks � N1iscellaneous S v w.'�+ rL+w� ' PERMIT FEE CALCULATION(S) BASF,D OFF -2002 STATE STATUE ❑ 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;excluding 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) $ 2.00 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 125%of contract price with a(Minimum Fee of$50.00) c:, Q 4 �5�35S X .o�2s � �� ( , (contract price) (minimum$�O OU) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(11inimum Fee of�.50) IS 3S$� `� X .000s $_ _ _]_,_((�$_ ____ (contract price) (mmimum$ SU) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ ?.00 �a 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � a� �- ■ * 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. PLUMBING PERMIT 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 made on this application are complete, true and correct. i' Applicant�sSignature: Date: ' �� (yc_ Reset Form 3 `� DATE �? TIME V � � � � � CITY OF ORONO CALLED IN � � � INSPECTION NOlTICE �,fy�f� CHEDULED � C� . ' -� � PERMIT NO. J�C�C�� l.�1.11 �OMPLETED ADDRESS � �� �� �-7t-Ct�'Y2�'1'1 �t_f-� 1�� OWNER CONTR. �Ll� � ��� TELEPHONE NO. C' � � � -� �� � ` � �l% � I � DESCRIPTION � 'l.�-L�-b't�� ( �� �-]12TlCl'C�� C.���QK � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING�� Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU• YES_NO � COMMENTS: � W a � �� � � ��C� #— tJ� � ,rt1' �- �t�v � �--i o , ,._c '' c� � � 0 � W � Q � Z W � W � � d W� RK SATISFACTORY:PROCEED rl PROJECT COMPLETE W ❑ ORR T WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. � TG !J � J White Copyllnspector's File Canary CopylSite Notice � ' � ATE TIME CITY OF ORON CALLED IN � INSPECTION NOTIC SCHEDULED O 3 : Od PERMIT NO. L� �COMPLETED ADDRESS `�,�� �I�-eCl��i( � OWNER CONTR. TELEPHONE NO. — Z� ` � � DESCRIPTION ' � ❑ FOOTING ❑ MECHANI RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU�YES_NO � COMMENTS: � W � o � � ;C'J * �� a � 0 � W � Q ti Z W � W � � � � �,1NORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT f 1 CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN _� CITATION ISSUED L] STOP ORDER POSTED.CALL INSPECTOR f] INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on ite: A Inspector._�1�.�,� White CopyHnspector's File Canary CopylSite Notice �� �}� DATE TIME � CITY OF ORONO CALLED N INSPECTION NOTICE SCHEDULED _��� s� PERMIT N04�D�—'�DD�� COMPLETED ADDRESS dm �-� � OWNER CONTR. � TELEPHONE NO.��2 ZfO� F�Z I _ � DESCRIPTION ��/l�� I ����' "'1> � ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C ol^�t, �'�o d�-�Q�-� �T�'S-� �' � � � 0 � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED r7 fSSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� Owner/Contractor on site: Inspector. �, � �� ��� White Copyllnspector's File Canary CopylSite Notice