HomeMy WebLinkAbout2010-00527 - plumbing a � ` CITY OF ORONO PERMIT NO.: 2010.00527
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISsuEn: 06/24/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRES� : 1480 GREEN TREES RD
PIN : 11-117-23-23-0016
LEGAL DESC : GREEN TREES ON TANAGER LAKE
: LOT 006 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: (1)WASHER BOX
VALUATION OF PLUMBING 1350
APPLICANT PLUMBING FIXTURE FEE 50.00
KRAMER MECHAN[CAL PLBG& HEATING STATE SURCHARGE PLBG (VALUAT[ON) 0.68
7860 FAWN LAKE DR NE
STACY, MN 55079- MAIL-IN FEE 2.00
(651)462-2194 TOTAL 52.68
PAID WITH CC# 3611
OWNER
PLATOU, CARL& SUSAN
1480 GREEN TREES RD
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked a[any Yimz for due c use.
� '/ oZ�/ �� � � �i/ o� l /D
Applicant Permitee Si ure Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Jun 24 10 11 : 18a KRRMER MECHRNICRL 651 4621434 p. l
1% Cf'T liSl?ONI.Y
p,�` City of Orono IL {� 7
� `Y ' P.O.I3ox 66 Date Receive : �T� Permit f? ��G.� ��`'
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`�' s . y,o`�' 952 249-4600 PP ovcd I3Y� ,,� Amounl$��` _
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C1TY OF ORONO—PLUMBINC PEIZIVIIT
(nll Commercial permils must be approved by lhe l3uilding Official ot 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 wil[ be issued within two working days.
2. Permit carcls will bc sent by return mail after a review is completed. I'CRM('1'S ARL I`iOT
VALID UNTIL YOU R�CEIVE A PFRMIT. WORK MUST N�T BEGIN UNTIL THG
PERMIT CARD IS POSTGD ON THE JOB SITF
3. Plumbing pernlits may be issued ONLY to licensed plumbing contractors and to prope��:y owners
residing in the dwelling.
4. When any new construction or remodeling is invo(ved,a separate buildina 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 beforc it is covered. Call (952)249-4600.
(24-48 hour notice required) �
TYPE Ol; PERMIT
Check All That A 1
�Residential ❑ Commercial (Approval Required)
�New �Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will necd prior an�rovai and may need,�:°,,,;?'.(Per Orono City Code,Chapter 78,Article I V)
Job Site/ Owner Information:
. �
Site Address: �_�� ��'�,��.�,�; �,/�
Owner: Mailing Address:
City: �'' '��n�''% , Zi
P�
�Iome Phone: Alternate Phone:
Contractor Information:
;
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Contractor: �'�s�i��' �jr':'��t> tl~` l J � �., �� � ' � � '' ,. .
;� ��>>Ea�. .r�'�v�r�tt1��� Contact Person: ,'��-'c-/� r��f�.;i�C—�-�—.
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Address: � `�✓'i �,✓r�i �`, �� ���i l�`�tate Bond#: "t��'f�/",� r���`�,5�''�7 �
Clty: � t'c�,/ 71 `, G��r
� p: 5 �jV Expiration Date:
Phone: _L���������� Alternate Phone:
� Insurance—Currcnt:
l
Jun 24 10 11 : 18a KRRMER MECHRNICRL 651 4621434 p. 2
PLUMBING FIX1'URES BEING INSTALLF,D
FIX'CURE BSMT ] � 2" 07'HER FIX'I'URE BSMT 1' 2 OTHrR
TYPE FL �'L TY!'E FL, FI.
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub I..aur�lry Tray
? wr,
Shower Washer� J
I^�; " t
Kitchen Sink Water Heater
Disposal Water Softencr
Dishwasher Wet Bar
' Sillcocks Miscel(aneous
PERMIT FL;E CALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fxture or anpliance that meets all three of the following requiremcnts:
1. Does not require modifcation to electrical or gas service.
2. t-las 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 license;d concractor.
Skip next section, ifthis applies; Cost of Permit $ ]5.00
State Surcharge $ .50
Mail-InFee(IfApplicable) � 2.OU
Total 1'ermit Fee �
(Pcrmit Fees Continued Un Next Page)
�
i
Jun z4 10 11 : 19a KRFIMER MECHRNICFIL 651 4621434 p. 3
PERMIT FEL CALCULATION S -JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRIC� * is 1.25%of contract price with a(Minimum Fee of$50.00)
i�-� ��
� ✓�� x.0125�
(coniracf pricc) (minimum$SQAO) w�
2. STATI;SURCNARGF. **Add thelState Bld�;Code Div. Surchar�e(Minimum Fee of$.SO)
'� ��`�' ���� x.OQOS �
_._�, :.
__...
(cuntract pricc:) (minimum S .50) .�
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ Z.00
4. TOTAL PI?RMIT FEE(Add Lines 1-3 Above) �
• * CONTRACT PRICC or JOB COST means the actual or estimated dollar amount charged for [he
permitted work including materials, labor, profit, and other fxed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumished by
' the owner, tenanc 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 thal there is a dispute on the
amount of thc job cosY, the City may request the submission of a signed copy of the accual contract.
• ** The STATE SURCHARGE is .0005 af the contracc price under$1,000,000 or$.50 --whichever is
greater. 1�or valuations over$1,000,000 call the Buildin�Department at(952)249-4600 for the price.
PLUIVIBING PERMIT APPLICATION AUR�F,MENT
"1'he undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do alI
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifes that all statemenls made on this application are complete, true and
correct.
J ,o' ,,� �
Applicant's Signature: > 9 .� ` ,�,,,�„� Date: �/�� �Jf r
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Reset Form
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�j� �� DP�E� TIME ✓
CITY OF ORONO CALLED IN �G/
INSPECTION NOTICE {�L� SCHEDULED — �—`� •�
PERMIT NO�DID�� v J�� COMPLETED
ADDRESS ���b C92P�r� TC�PS �
OWNER TELEPHONE NO. �5� `�"�Z Z19�{
CONTRACTOR /V��L�J /"� C�G�
>; DESCRIPTION / ��'� �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46��
Owner/Contractor on site:
Inspector. o r—. / C
White Copyllnspector's File Canary CopylSite Notice
� DAT TIME ✓
CITY OF ORONO CALLED IN �_
INSPECTION NOTICE SCHEDULED ?-Z,o-IO �
PERMIT NO.o�O/D �DD���COMPLETED
ADDRESS ���� C� T�L��S IZs�
OWNER TELEPHONE NO.65l 7�Oz- �9Y
CONTRACTOR �r�� /yC�� •
�: DESCRIPTION C''�
�
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ORRECT WORK&PROCEED �
WL� _ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHiN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
Owner/Contractor on site:
Inspector. 1 I �r�.�1�
White Copyllnspector's File Canary CopylSite Notice