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Home My WebLink About2009-00671 - plumbing CITY OF ORONO PERMIT NO.: 2009-00671 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE �ssUEn: 10/05/2009 � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 95 HACKBERRY HILL P[N : 33-118-23-44-0013 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 007 BLOCK 002 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 1ST FLOOR: 1 WC,2 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 WATER HEATER VALUATION OF PLUMBING 8300 APPLICANT PLUMBING FIXTURE FEE 103.75 SWANSON PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 4.15 16591-351 AVENUE HAMBURG, MN 55339 MAIL-IN FEE 2.00 (612)508-9474 MISC FEE 0.00 TOTAL ]09.90 OWNER SULANDER, DUANE 95 HACKBERRY HILL LONG LAKE, MN 55356 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 E3uilding Code. This permit is tor only the work described and does not grant permission for additional or related work which requires separatc permi[s. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specitied 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 construc[ion is suspended for a period of 180 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. �/ZyLQ'� Lv`' / / (j'7'kQ-►1_ / / Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CTTT LTSE ONLT ' Cih�of Orono �� P.O.Box 66 Date Rexiced: Permit= � � ` 2750 Kelley Pazkway � •x. �� a ro�-ed Bc: amount S: � j,'' Crystal Bay,MN 55323 - PP '`r �� , o�`�' (952)249-4600 �,4�i, 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. Perrrtit cards will be sent by return maii after a review is completed. PERMITS ARE NOT VALID tJNT[L YOU RECEIVE A PEKMIT. 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�-) Q Kesidential ❑Commercial(Approval Required) ❑Ne��- Q Additional ❑Repairs ❑Replace Q In Accessory Strueture? *You��ill need arior annro�•al and ma��need CUI'.(PerOrono Cih•Code.Chapter 78.Article IV) Job Site/O«ner Information: Site Address: 95 Hackberry Hill Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: SWANSON PLUMBING INC Contact Person: DAN SWANSON Address: 16591 351 AVE State Bond#: GRMN28781A City: HAMBURG Z�p:55339 Expiration Date: 12/31/09 Phone: (612)508-9474 Alternate Phone: [� Insurance—Current: 1 ! PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory 2 Sewer Ejector Bathtub � Laundry Tray Shower � W asher Kitchen Sink � Water Heater � Disposal Water Softener Dishwasher � Wet Baz Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residenti�l fixture or appliance that meets all three of the following reyuirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine 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 $ .50 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 I.25%of contract price with a(Minimum Fee of$50.00) 8,300.00 x.0125 $ 103.75 (conYract price) (minimum$50.00) 2. STATE SU[ZCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50) 8,300.00 x.0005 $ 4.15 (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT EEE(Add Lines 1-3 Above) $ 109.90 • * CONTRACT PRICE or JOB COST means the actual 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$1,000,000 or$.50—whichever is greater. For valuations r$1,000,000 call the Building Department at(952)249-4600 for the price. �T F G PERMIT APPLICATiON AGREEMENT The undersigned he ,,�,t ; ,! tis to the City for issuance of a Plumbing Permit, agrees to do all work in strict accore;'�r'ice ��ith the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: /�' / `- �', Reset Form 3 t � _ _ . -T - -- --- --- _ -- - _ _ .._. _ T -- � m � � c � b m � o � o � Z � � N a O o m � � o v U �� "?�S°- .v O- �''� � � „' X � t�. z: � � ._�.�.....�m.�. _ �' � d. N� �i�s '- �11 fn �a�.��._ � r m Q ;tp �Z �� _. .C• N � � � �O� � 10 vJ � _ �.r�. � .� �� •� J 0 � t � ' � O� m - � �. �. � � V .. � �Z m � Q � � r; � �(� � � ' � si-. cvs - —Q' � � p - Q • •�� O � 2 W�cl � �` -- � � �`� O>IL1 : a • � J Q W Oo� ZQ C � � 0 z \°"� �k-Z .� � o li. �M O N''�� c (�= c _. � N� � � .�, L "C s � �,�.� .-. !i!tn L9. � �_ � o W M � � cE z � ¢m .�►o m a }.-�� a' .:� 3 c F-¢ p� � 2 O�t� � ` .c4s � �rj p� Z1flE_. �'� ::c � � c � Q�OQ" 'a � � Q � m o_ p'"� o � m- n c �� _ _: � r°. ao a �a..� �.! 3 c .�,sc: . N U 'sE �u'�O Q� ,,� s g g z 0 0 �W �` ,c` a °1 O� �� o � � � � m (�.- - �� _-::. a ' z: - t "$ � ` o� - m„ S� � • �Z � mo Q� �3 ' � ��+� i. r� � ,�� Q j.a � � �� ~ � Z� � n a-z;�°p t Of'fl tl oC E a c y.fID e�!� ' O � a aQmQ _ � � ::� . _:.o�r = , N ; . _ . _.__1 ___ __ __ _ _ _ _ _ � � � � _ . �y ' •/ T TIME y � / CITY OF ORONO CALLED IN ��`�� —�-�� INSPECTION N TICE �� SCHEDULED �- �� PERMIT NO. COMPLETED ADDRESS �� -��C�1lL IL �} U H 1 �I OWNER CONTR. ��.t�a(�S�-y�` I UVY�I� TELEPHONE N0. �' �'��g � � `"� � DESCRIPTION � �, �MI(J � ❑ 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. ❑ COMPl1�INT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUM8ING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � ,J' � '1 l> >�7R � � �� o _ �� v�,� 1 S U a � 0 � W � Q � z w � w � j d/� �. W�/ `�'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W✓❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL FiETURN :� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit : Inspector. � % !J �� White Copyllnspector's File Canary Copy/Site Notice � DAT TIME � CITY OF ORONO CALLED IN �1 � �� INSPECTION NOTICE SCHEDULED /� Z 9-D �/:0 7� PERMIT NO.a��l ��7 � COMPLETED ADDRESS � OWNER NTR. ��'-�� 5 TELEPHONE NO. ��Z �g g�7 � � DESCRIPTION � � ❑ FOOTING � MECHANICAL RI ❑ EX A /GRAD�NG/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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � � !�D �M C� �" e� ��' S 7Z � 0 � w � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �]CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice