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Home My WebLink About2009-00153 - plumbing CITY OF ORONO PERMIT NO.: 2009-00153 , 2750 KELLEY PARKWAY " ORONO, MN 55356- �ATE ►ssuEn: 04/14/2009 '� (952) 249-hK00 FAX: (952) 249-4616 ADDRESS : ]785 CONCORDIA ST `C PIN : ]7-117-23-2�-0016 �� `� ��,� LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK (� /�C�(.J : LOT 000 BLOCK 000 �� PERMIT TYPE : PLUMBING(> $500) �� i%� PROPERTY TYPE : RESIDENTIAL „ }✓'� �J��i CONSTRUCTION TYPE : FIXTURES -MULT[PLE C� �� ,� , ��, NOTG: BASEM�NT[N-FLOOR HL'AT ONLY GAS BOILER `� v �� (�, � VALUATION OF PLUMBING 8000 l APPLICANT PLUMBING FIXTURE FEE 100.00 STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 4.00 13025 GEORGE WEBER DR SUITE#1 TOTAL ]04.00 ROGERS, MN 55374 (763)428-1833 OWNER DULIN, KEVIN& BARBARA 1785 CONCORDIA ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be perlormed according to the approved plans and spccifications,applicable City approvals,and the State Building Codc. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hereia This permit will e�pire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of L80 days at any time after work has commenced. "Che applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��.<-- � � i y � Q � ` � � t L��,,� ��_ /�L`i' � i i Applicant Permitee Signature Date [ssued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. w 1 . FOR CITY liSE ONLY 0,��0 City of Orono ., P.O.Box 66 Date Received: Permit# ., �y,� , 2750 Kelley Parkway a � ��c,r�_ � Crystal Bay,MN 55323 Approved By: Amount$: ' �t��4so$yo (952)249-4600 CITY OF ORONO —PLUMBING PERMIT (All Commercial permits must be approved by the Buiiding Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing perniits 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 iINTIL 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 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 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 Information: `�/15��t rC�f�r (��IK-1 �'C�� Site Address: � S �u n�' r e�• « .�' ��'c Q;'� n� �� C�-h'�� -/i/( ,�c� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: -sf ewcJ�J' 1"�u,^�� Contact Person: � i t�ti � ��z=" Address: �?C�S� �t°r`�� --��`r State Bond #: City: �� ' f fS Zip:Ss-��`/ Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 � * � PLLTMBING FIXTURES BEING INSTALLED FI�iTURE BSMT ]' � 2' � OTHER FIXTURE BSMT 1' � 2' OTHER TYPE FL FL TYPE FL FL Water Closet S Floor Drains / � Lavatory � � � Sewer Ejector Bathtub 1 Laundry Tray � 1 Shower � Washer � Kitchen Sink � Water Heater � Disposal i Water Softener Dishwasher � Wet Bar � Sillcocks �� Miscellaneous �� PERMIT FEE CALCULATION(S) �, BASED OFF - 2002 STA?E 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; 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 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) ��S� QO �_�(� x.0125 $ (contract price) (minimum��0.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) 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, laboi,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 valuarions 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 al] 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: � � `� Q 1 3 � � �� E c� TIME " CITY OF ORONO CALL D IN � �/ INSPECTION NQTI�� D/c�SCHEDULED ,L/ do PERMIT NO. ��, �-L�COMPLETED ADDRESS ��a �S �`�� j�l� ��EY OWNER CONTR. TELEPHONENO. — C 3 - Z� -L � � DESCRIPTION ` ,- �U1J � ❑ FOOTING � MECH IC L RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 ❑ DE AL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP W LUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL � ❑ PLUMBING FINA� � �7 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YfeS_NO / � COMMENTS: � W a � � O � � I 6 -rQ,� } �: �� 0 � W � Q ti Z W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED �_ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnedContractor on site: Inspector._� �L%l r e �C White Copyllnspector's File Canary CopylSite Notice G� �� D TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED 4-��9 n�� PERMIT NOc�L�9 DO��S-3 COMPLETED ADDRESS 3�� I�f'ILLyr./ �E-��-�C /�I� OWNER CONTR.c`��(.(JL�(� � TELEPHONE NO. ��O 3 �Z� - `�� DESCRIPTION ��I ��/�� —� /�� ❑ FOOTING ❑ MECHANICAL RI ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q ti Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on sit Inspector. ` � White Copyllnspector's File Canary CopylSite Notice