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Home My WebLink About2010-00866 - plumbing � !' CITY OF ORONO PERMIT NO.: 2010-00866 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUEn: 09/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3300 GRAHAM HILL RD PIN : OS-117-23-I1-0011 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET.(1)LAVATORY,(I)SHOWER,AND(1)KITCHEN SINK VALUAT[ON OF PLUMBING 3100 APPLICANT PLUMBING FIXTURE FEE 50.00 EXCEL MECHANICAL, INC. STATE SURCHARGE PLBG(VALUATION) 5.00 11582 COUNTY RD 13 WATERTOWN, MN 55388 TOTAL 55.00 (952)393-2403 PAID WITH CC# 0239 OWNER MURPHY,ANN 3300 GRAHAM HILL RD LONG LAKE, MN 55356- AGREEMEIYT AND SWORN STATEMENT "I�he work Yor which this permit is issucd shall be performed according to the approved plans and specircations,applicable City approvals,and the State E3uilding Code. "1'his permi[is for only thc work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type orwork shall be compied with whether or not specified herein.This permit will ezpire and become null and void if construction authorized is not commenccd within 180 days ofthe date of issuance,or ifconstruction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested conformance with the Sta[e[3uilding Code.This erm may be revoked any timc for due causc. / / l �l /D Ap icant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .F � �' F R CITY USE ONLY O,�p�O City of Orono ��d�lv D D- gjo� P.O.Box 66 Date Receive Permit# � � 1 '� 2750 Kelley Parkway �''� a � f'' Crystal Bay,MN 55323 A roved B Amount$: �✓i � ��,;<. ;:C` ti�' PP Y� ¢+ � ��o (952)249-4600 � '�g�oa 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 pemuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE 3. Plumbing pernuts 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 pemnt 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 Ap ly) �sidential ❑ 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: Site Address: � ��i'� �,��-� �� ,�-- Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � XC(:� �'�L,��n,C�,� Contact Person: ��' Address: �1��. �,, <�� State Bond #: �y- �(;S �� City: �c ; Zip:_� Expiration Date: ��-�1 " �� Phone: �� -��-��_ Alternate Phone: ��S^.Z '.3`�,�` ��r"G� ❑ Insurance-Current: � (7(�' � P' 1 � . � � , . nu.,. .h ,� .,, .: ''��LT�ES BEING INSTALLED ;�, �,4,��,�;'�� ' ;�� y�;�� a= ,� FIXTURE BSMT 1 2 OTHER FIXTliRE ' BSMT 1" 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bathtub Laundry Tray Shower ! Washer � Kitchen Sinlc � Water Heater Disposal Water Softener Dishwasher Wet Bar Silicocks Miscellaneous � ,. PERMIT FEE CALCULATION(S) ;� '� BASED OFF�— 2002_STATE STATUE � � ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tluee 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � 1 �« ,,.� ,,; ; - PERMIT FEE��ALCULATION(S —JOBS OVER $500.00 �'�K , If above does not apply; follow guidelines below: i. CONTRACT PRICE *is 1.25%of contra nce with a(Minimum Fee of$50.00) ��. � X.ol2s $ (contract price) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum� 5.00) 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 pernutted 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 pernut 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. �� ,. ,,, , ,, �, ,_., .... " ��N AGREEIVIEI��T � 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: � Date: ` �� i 3 C= � � �/ /��A /� TIME CITY OF ORONO CALLED IN �j � INSPECTION NOTICE SCHEDULED � � PERMIT NO. /�-vD � COMPLETED ADDRESS �� OWNER TE EPHONE N�-5�'3�3�� CONTRACTOR �: DESCRIPTION CJ � � ❑ FOOTING ❑ PLUMBIN FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANI LRI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �(PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL �,OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � i�. ` ",�' O � ' � Q ,� . �� y^�i'� ��-I-i..pJ --- 2.ts`f�1(,� � . � �, W � W � � d � dORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. �I � White Copyllnspector's File Canary CopylSite Notice � r � TE TIME � CITY OF ORONO ca��Eo iN / a� / —�-�,�– INSPECTION NOTICE ��I�,SCHEDULED � �� /� PERMIT NO�dID��YY/COMPLETED ADDRESS ��OV V YGL.L�_LL!/1�1�� OWNER TELE HONE NO. � �-5– �� CONTRACTOR � � >; DESCRIPTION r IF/ �v l� � � ❑ FOOTING ❑ PLUMBING N ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA I ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET Y�_YES_ O � COMMENTS�� I �1�t�� W � � J O � � O � W � Q � Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED [�ROJECTCOMPLETE W ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WfTHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. ��.� White Copyllnspector's File Canary CopylSite Notice