HomeMy WebLinkAbout2009-00763 - plumbing �
CITY OF ORONO PERMIT NO.: 2009-00763
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3235 GRAHAM HILL RD
PIN : OS-117-23-14-0068
LECAL DESC : GRAHAM HILL PRESERVE
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMB[NG(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULT[PLE
NOTE: YLUMBING FIXTURES:
(7)WA"1'GR CLOSETS,(8)LAVATORIES,(2)BATH'I'UI�S,(4)SHOWERS,(I)EACH KITCf�{EN SINK,DISPOSAL,DISHWASHER, WET
BAK,(3)SILLCOCKS,(2)FLOOR DRAINS,(2)LAUNDRY TRAY,(2)WASHER,(2)WATER HEATERS,(3)MISCELLANEOUS,GARAGE
FLOOR DRAIN
VALUATION OF PLUMBING 52000
APPLICANT PLUMBING FIXTURE FEE 650.00
FREEDOM MECHANICAL
11135 HWY. 7 STATE SURCHARGE PLBG (VALUATION) 26.00
WATERTOWN, MN 55388 TOTAL 676.00
(612)363-6198
Minnesota State License#: 004042PM
OWNER
KILL, BOB&COURTNEY
350 NORTH ARM LANE
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for addi[ional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in confo ce with the Stat ilding Code.This permit may be
revoked at any ' o e cau�.
�`j � � l��i O� -
Appl cant ermitee Signature Date ��� ��
I s By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
A � •'1!
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FOR CITY USE ONLY
0,���0 City of Orono , �)
P.O.Box(i6 Date Received: Permit#��9 ��
^��t,� 2750 Kelley Parkway
a j'�'?�z. a Crystal Bay,MN 55323 Approved By: Amount$:
d����o�yG� (952)249-4600
CITY OF ORONO— PLUMBING PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mai] or in person at the City offices. Applicarions 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 U?�TTIL YOli RECEIVE A PERMIT. WORK MUST NOT BEGIN tiNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractars 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 Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Infornlation:
r i` �e���_
Site Address: �a 3 S �T- ec�`�e.�v-^� �� �( . "�..�., (�-�'�w.- ��c��c.>> {3
�-tCJ t�x S
Owner: ���� � e 5 Mailing Address:
City: �2��n c:. Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��Z�r <�c{r� (�'le�,�^ Contact Person:
Address: State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Current:
1
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�— PLUMBING FIXTURES BE1NG INSTALLED "_�
FIXTURE BSMT 1` 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � � � Floor Drains �
Lavatory � � � Sewer Ejector
Bathtub � � Laundry Tray � �
Shower r Washer I l
t
Kitchen Sink � Water Heater �
Disposal � Water Softener
Dishwasher � Wet Bar �
Sillcocks � Miscellaneous �
�rQ.e�.�c ��,��a"-�. .
�� PERMIT FEE CALCULATION(S) � �
j BASED OFF - 2002 STATE STATUE !
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
l. 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) $ 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 1.25%of contract price with a(Minimum Fee of$50.00)
���os'' `''' x.0125 $ �/��� (/ �
�
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $ ��t ��
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (�� �, D�
■ * 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 Deparhnent at(952)249-4600 for tbe price.
�- PLUlVIBING 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 ardinances 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.
A licant's Si ature: � i���� p- —O
PP � ..[' Date: / 0?8 �
3
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CITY OF ORONO CALLED IN l���/
INSPECTION OT/I�E / SCHEDULED �� �
PERMIT N O 7' D��O � COMPLETED
ADDRESS 3�3S ��"�� �� �✓ /
OWNER CONTR.����CI�`n'► ,c"�eu�
TELEPHONE NO. ��a .3�3 l0 I�D
� DESCRIPTION �����20�
� ❑ FOOTING ❑ MEC ICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTAACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,-� pHOTO TAKEN
INSPECTOR WlLL REfURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIflED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. l�
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME �/
CITY OF ORONO CALLED IN /���
INSPECTION NOTI E SCHEDULED a-3 D 3�
PERMIT NO. D7 COMPLETED
ADDRESS .3a35 �'rQ.ha�m � �
OWNER CONTR. �E�d�'►�1 ��ClIJ
TELEPHONE NO. ��a ��3 ���.3
� DESCRIPTION ' /—�
� ❑ FOOTING ❑ MECHANICA ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING fil ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��WORK SATISFACTORY:PROCEED L i PROJECT COMPLEfE
W ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
Owner/Contractor on site:
Inspector. �J
White Copyllnspector's File Canary CopylSite Notice
� �/
D TIME
CITY OF ORONO CAL�ED IN `
INSPECTION NOTI E_/'� SCHEDULED ' - � �
PERMIT NO `'"���� COMPLETED �� U
ADDRESS .3 Z.3 S (.�Y�GZ� �'�-e-� /�.�
OWNER TELEPHONE NO. 6�a 3�3 lD7D
CONTRACTOR � /'�f L��
>; DESCRIPTION X�=��`'�/
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVA�
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �e�ORKSATISFACTORY:PROCEED C:� PROJECTCOMPLETE
W%CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �952) Z49-46��
OwnerlContractor� ite
Inspector.
��
White Copyllnspector's File Canary CopylSite Notice