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Home My WebLink About2011-00139 - plumbing CITY OF ORONO PERMIT NO.: 2011-00139 . -• 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ►SSUE�: 03/OU2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3380 GRAHAM HILL RD PIN : OS-117-23-11-0013 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NO"I'I:: I3ASEMENT: 1 VJC, 1 LAV. 1 SHOWGR, 5 SILLCOCKS, 1 PLOOR DRAINS. 1 LAUNDRY. 1 WATGR[{LA"I�h_'R. I WGT E3AR RI 1S'f FLOOR: 1 WC. 1 LAV, I KITCHGN SINK, 1 DISPOSAL,2 DISFIWASHERS 2ND FLOOR: 3 WC,� LAV,2 TUB. SI IOWER 2 1 LAUNDRY, 1 WASHER VALUATION OF PLUMBING 25000 APPLICANT PLUMB[NG FIXTURE FEE 312.50 HUIKKO PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 12.50 1001 RIDGE HAVEN C[RCLE BUFFALO, MN 55313 MISC FEE 0.00 (612)919-1923 TOTAL 325.00 Minnesota State License#: 002743PM �d �l �c 3s5'� OWNER RUDOW, DAVID 3380 GRAHAM HILL RD ORONO, MN 55356- ACREEMENT AND SWORN STATEMENT "fhc work Ibr which this'permit is issued shall bc performcd according to the approved plans and.,pecifications,applicable City approvals,and the Statc[3uilding Cudc. l�his permit is for only Uic work dcscribcd and docs not grant permission for additional or rclatcd�cork which rcquires scparatc permits. All provisions ot�la�cs'and ordinanccs govcrning this lypc of work shall be compied��ith�vhcther or not speci�icd herein."I�his permit will cxpire and become null and void if construction authorized is not conunenced within 180 da}�s of die da[e of issuance,or if construction is suspended for a period of 180 da��s at any time after work has commenced. The applicant is responsible for assuring all requircd inspections arc requested in confonnance with the State Building Code.This perniit may be revoked at airy time for due cause. / / / / pp icant Permitee Sienature Date Issued B�• � ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � 1 �' FOR CITY USE ONLY City of Orono ¢��` P.O.Box 66 Date Received: Permit# � Q` 2750 Kelley Parkway `"Y• Crystal Bay,MN 55323 Approved By: Amount�: a �� . �� `� �� -�- �� (952)249-4600 .�...f`lkas,ca4�; CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) ��I. �g*�'6'�b�'.C�s�.i11["E.4.:x + �� .�1!F}ryx'�titt` F79dlCfl�i�)I7�i<.g:S'�t'}aS:t(3.�3��' GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. App]ications 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 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 A 1 ) / '�Residential ❑ Commercial (Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need urior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��b� (T o(�+'�-� /1-� !7�/� �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: !-1 b� /l;�L Contact Person: �t�L� �i4i� Address: 1�0� t� ' C� State Bond#: City: 1�LI� Zip:�/3 Expiration Date: Phone: �1,�— l/%� /!�3 Alternate Phone: ❑ Insurance—Current: 1 I PLUMBING FIXTURES BEING 1NSTALLED FIXTi_IR.E BSMT 1 ' 2�`D OTHER FIXTURE BSMT 1'T 2 � OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavatory � , � Sewer Ejector � Bathtub Laundry T�Q R� , �� I Shower � Washer Kitchen Sink ' Water Heater / Disposal � Water Softener Dishwasher � Wet Bar n 1' r�� Sillcocks � Miscellaneous � � � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one 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; excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing 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 ! � 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) x .0125 $ (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 actua] 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$5.00—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 wark 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: Reset Form 3 �� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION OTFI E / SCHEDULED _�3� � PERMIT NO�D�/�' DOC �9 COMPLETED ADDRESS .��i�D CJ ��t-t�E' F-� OWNER TE PHONE NO:�D�L. �l! �/Z-� CONTRACTOR !�C G G[.t'1'�.t� >; DESCRIPTION -l�/^D L��/K� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANOS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 FINAI ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � j '�� '"` f. '�-�"`� ,.�..�.. O a � � O � ti � Q ti Z W � W � � � /�/ VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W/�'L]CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� r Owner/Contractor on sit : Inspector. � `'"�`t- White Copyllnspector's File Canary CopylSite Notice � � : ✓C � C , %DATE � TIME CITY OF ORONO �CALLED IN f ` � � � INSPECTION OTIC1E SCHEDULED `�,,__i l_, l 1 ! 1• «� PERMIT NO.1�� I " GC:��(� COMPLETED ADDRESS _`��T', � j � C, �Y��✓� �{-_C i L � �� OWNER ,TELEPHONE NO. �'(`�' �� CONTRACTOR L� `'�� l ��`ir� `_; I �';y�i �.Y�� I�'�J'� � DESCRIPTION `�0 � ��7�") \ �- _ I��j�� - . ly� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C o .� � s �fi �- a � 0 � W � Q � Z W � W � � GW �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑C RRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sit . Inspector. White Copyllnspector's File Canary CopylSite Notice � p� DAT TIME ✓ CITY OF ORON CALLED W o � �( INSPECTION NOTICE ��13y, SCHEDULED �� PERMIT NO. �`�`� COMPLETED ADDRESS 33� �Q�-a��/�Z�✓ i"d OWNER • T LEPH N NO.��1�3� � CONTRACTOR L � �: DESCRIPTION /� � � � 11� ❑ FOOTING ❑ PLUMBIN AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � � 1'`('. � �7 � �'� �� W a � O � � -� � � ° ( . (� �f.�� n c� � �9 )�.er ° a �'S � �1 c' e� f /�c �1 S'�-�-C/�' Q � � � � . �� c.�� + � ; s � �� r. �� - � j3. 1 �` �,�a ,,�,�-T cl' �-r-c S�; v � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Wy��CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site- Inspector. �-�[ � �� White Copyllnspector's File Canary CopylSite Notice