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Home My WebLink About2008-00417 - plumbing � CITY OF ORONO PERMIT NO.: 2008-00417 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 1U25/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3300 GRAHAM HILL RD PIN : OS-117-23-11-0011 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : F[XTURE NOTE: WATER SOF"ITIER APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 0.50 6030 CULL[GAN WAY MINNETONKA, MN 55345 MAIL-[N FEE 1.50 (612)473-3297 TOTAL 17.00 OWNER JMA Builders I,LC LLC, JMA BUILDERS 6065 EUREKA RD SHOREWOOD, MN 55331 AGREEMENT AND SWORN STATEMENT The�vork for which this pemiit is issued shall be performed according to the approved pians and specifications,applicable Ciry approvals,and the State E3uilding Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and bccome null and void if construction audiorizcd is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `y��-c�. �L / / / / Applicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES IBED ABOVE. 1 FOR CITY USE ONLY �'��'--�"��`� City of Orono � ��"�`r�� P.O.Box 66 Date Received: Permit It +�r � : 1 2750 Kelley Parkway A roved B Amount$: �a jj'` 1"r . �.�J Crystal Bay,MN 55323 PP Y `� x�;x�4�jf7 (952)249-4600 ��a�/ CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building OfFicial or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits 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 UNTIL YOU RECENE A PERNIIT. 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 A 1 �]Residential ❑ Commercial(Approval Required) [�New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site l Owner Information: Site Address: -33 U� l'�'�-�G''`'1 �� U� Owner: �r�v� ��P�� Mailing Address: city: Zip: 5'S 3 5 b Home Phone: �a- y 7�- �J`�a Alternate Phone: Contractor Information: Contractor: Contact Person: � CULLIGAN WATER CONDITIONING State Bond#: Addr�30 ClJ.1.� �re�� nr�.. lVtiNNETONKA, MN 55345 ;, City: �952� �33-72np Zip: Expiration Date: w. Phone: Alternate Phone: `�5�- �I'lo�- � I� ❑ Insurance-Current: , 1 � j �� PLUMBINGFIXT'LTRES�BETNGINSTALLED� � � , �' � �" ��' FIXTLIRE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower W asher Kitchen Sink Water Heater � Disposal Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT=FEE CALCLILATION(S)�'� ; BASED OFF - 2002 STATE STATUE �f 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 homeuwner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 � Mail-In Fee(If Applicable) $ 1.50 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$35.00) x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ I.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 1�� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amaunt charged for the permitted work including materiais, 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. Applicant's Signature: w Date: ��' y• � � Reset Form 3 J1 - ��' / D �/E TIME ✓ CITY OF ORONO CALLED IN / O�� INSPECTION NOTICE ,/ SCHEDULED / /d.'DO PERMIT N0.�2C��-��"l7 COMPLETED �-�- ADDRESS .33�0 G✓�Q�'� �rG( �[� OWNER CONTR. �K TELEPHONE NO. � l�- - SoZ, � DESCRIPTION I�Cf�� U �`Z�(� � ❑ FOOTING � MECHANICAL RI EXCAV/GRADING/FILLING � ❑ FR,4MING ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/ NTRACTOR TO MEET YOU:_YES NO �., OMMENTS: � W a � J O � � O � W � Q � Z W � W � � W❑WORK SATISFACTORY:PROCEED `[7 PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � �ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C; INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerfContractor on sit : Inspector. ,,,/ / White Copylinspector's File Canary CopylSite Notice