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 (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULT[PLE
NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS, (7)LAVATORIES, (2)BATHTUBS, (3)SHOWERS, (1)KI'1'CIiEN SINK, (1)
DISPOSAL, (1)DISHWASHER, (2) SILLCOCKS, (1)FLOOR DRAIN, (2)LAUNDRY"I'RAYS, (1)WASHER, (1) WATER HEATER, (1)
WET BAR, (1)SUMP PUMP
VALUATION OF PLUMBING 15355
APPLICANT PLUMBING FIXTURE FEE 191.94
2-GUYS PLUMBING&HEATING INC STATE SURCHARGE PLBG (VALUATION) 7.68
208 CAPITAL DR
BUFFALO, MN 55313- MAIL-IN FEE 2.00
(763)498-8019 TOTAL 201.62
OWNER
WEBER, AARON
3225 GRAHAM HILL RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and [he
State[3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� � l /3/ D
Applicant Permitee Signature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. .
t�OR('CI 1 l SE O\Ll
� A' City of Orono
¢O`�' P.O.Bo�66 Date Received: Perniit#
�, � 27�0 Kelley Parkway
!�� �1'�'��,,�,o��' (952)?4y 4600 55323 APproved B� Amount$:
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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
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INSPECTION NOlTICE �,fy�f� CHEDULED
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OWNER CONTR. �Ll� � ���
TELEPHONE NO. C' � � � -� �� � ` � �l% � I
� DESCRIPTION � 'l.�-L�-b't�� ( �� �-]12TlCl'C�� C.���QK
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
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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
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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
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� ' � ATE TIME
CITY OF ORON CALLED IN �
INSPECTION NOTIC SCHEDULED O 3 : Od
PERMIT NO. L� �COMPLETED
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TELEPHONE NO. — Z� ` �
� DESCRIPTION '
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❑ TREE REMOVAL
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Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
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� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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� OWNER/CONTRACTOH TO MEET YOU�YES_NO
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INSPECTOR WILL RETURN
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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>
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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
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❑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