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Home My WebLink About2009-00219 - plumbing � 1 CITY OF ORONO PERMIT NO.: 2009-00219 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/1U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1495 GREEN TREES RD PIN : 11-117-23-23-0012 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEA"CER VALUATION OF PLUMBING 1200 APPLICAI�IT PLUMBING FIXTURE FEE 50.00 STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 0.60 112 E STH ST SUITE 101 MISC FEE 1.90 CHASKA, MN 55318 TOTAL 52.50 (952)361-0128 OWNER BRASS, JAMES&JUDITH 1495 GREEN TREES RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction authorized is not commenced within l 80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due caQse. �-�-�, � i i ��VI�t�.�t� i i Applicant Permitee Signature Date lssued Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. � FOR CTTY USE ONLY ,r`"fj`'y�� City of Orono '� � `�'�f`� P.O.Box 66 Dale Received: Permit# '`'��g,,., ��'� 2750 Kelley Parkway — — � � Cr stal Ba MN i5323 A roved S Amount$: ��`�� Y Y• PP Y � `�,�F,��o�'� (952)249-4600 .,t,��o,�,p,� CITY OF ORONO—PLUMBING PERMIT (nll Commercial permits musl be approved by�Ihe Buildiug Official or In.�pector) GENERAL INFORMATION ' 1. You may apply lor 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE.iOB SITE. 3. Plumbing permits may be issued ONLY Co licensed plumbing contractors and to property owners residing in lhe dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be ebtained. 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. (2�-48 hour notice required) TYPE OF PERMTT Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace � In Accessory Structure'? *You will need nrior apuroval and may need CUP.(Per Orono City Code,ChapCer 78,Article IV) Job Site/Owner Information: t Site Address: ` � `� �>i r�;� � ' " � ' � � � �TI"��t,� � �� l . Owner: �I�YvL �i'C(,S; Mailing Address: ��t(`� L I'�'ati. �r'eL.S /�� City: (j�� I'C'4�� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor. ��-IC,iYlk,i'Q,I�IS� I-'�t,ut-L.f?lfz� Contact Person: (rtC.I(,l,l I li �CtS-� S�� S`�� Address: ,Si,U� lG I State Bond#: l;�f�r��;�<� City: Ll, � � C Zip: 55�' l,� Expiration Date: � � 2��.-�_� �1 Phone: �� jic��l�GiZ,�� Alternate Phone: ❑ Insurance—Current: � 1��-� ]� � 1 � � � �� `PLUMBING FIXTURE� BEING INSTALLED� � � � FIXTUKE I3SM'I' 1'� 2"" OTHER FIXTUKE 13SMT 1'� �ND OTHER TYPE FL FL TYPE FL FI. Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �� PERMIT FEE CALCULATIC)N(S) � B�SED OFF-2t)U2 ST�1TF �TATUE � � � Yes,lhis section applies The replacement of a Residential fixture ar a�liance that meets all lhree of lhe following requirements: 1. Does nol require modification to electrical or gas service. 2. Has a total cost ol�$500.00 or less,excludin�the cost of the fixture or appliance:and 3. is improve�, instaiied or replaccd by thc homeowner or licensed cunGacto�. Skip nexl 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 � � � �� P�RMI�T FEE CALC�L�TION S)—JOBS 4VER $540,�4 ; � If above does�ot apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) _� �� x .0125 $ � c . (contrxct pcice) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Miuimum Nee of$.50) x .0005 $ ' �� (co�itract price) (minimum$ 50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 S� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5� • ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amounl charged far the permitted work including materials,labor, profit, and other fixed costs. It is the amount to be charged lo the customer for the work done. If any material, equipme�t, 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 cosl or contract price far permit fee purposes. In the event that there is a dispute on the amount of the job cosl, the City may request the submission of a signed copy of the actual conlract. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is grealer. I�or valuations over$1,000,000 call the Building Department at(952)249-4fi00 for the price. �� PLUMBING PE�Rl�1IT APPLICATICIN AGREEMENT . Thc undersigned hereby applics to the City for issuance of a Plumbing Permit, agrees lo 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. . `��t�� Applicant's Signature: �� Date: 5��'[�i 1 . Reset Form 3 �� TE �y TIME `� �CITY OF ORONO CAL ED IN ��/ INSPECTION NOTI,,C�,E�y �y� Q SCHEDULED ��Z�' --�� PERMIT NO. ��-�t'7 +l�J� I COMPLETED ADDRESS�`�� i'�{-'P-Vl �/^�'- �C � OWNER CONTR.c;�f'P�-/�,ILi��,x,�,C TELEPHONENO. � � � � �' � — �' � 2� rf�'�' � DESCRIPTION � �� f �1 �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. �I'7 r��l White Copyllnspector's File Canary CopylSite Notice -{-- � �" DATE TIME CITY OF ORONO ED IN — — INSPECTION NOTICE /'��' SCHEDULED - Do��l � �a•"� PERMIT NO.�� `"�� COMPLETED ADDRESS � S v�� /��e5 �t �Q� OWNER TELEP E N0�5'3 ��`D� Z� CONTRACTOR �-� �� ` � �S >; DESCRIPTION � ll� ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI LAKESHORENVETLANDS ti 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL D HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:�DYES_NO � COMMENTS: � � W � � .�--� r i ;j� � �P/-� c-� S c�� Lr�t�� r 'i i v�� `-r � � _ � G-� ra-S� ° �= � � �� 1 � �� r� � ��,� � Q � z W � - W � � d W� ❑WORK SATISFACTORY:PROCEED l`�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ 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 �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: :pector. 1 � � White Copyllnspector's File Canary CopylSite Notice