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Home My WebLink About2011-00150 - plumbing CITY OF ORONO PERMIT NO.: 2011-00150 . 2750 KELLFY PARKWAY � ORONO, MN 55356- DATE ISSUED: 03/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1980 HERITAGE DR PIN : 10-117-23-42-0006 LEGAL DESC : AUDITOR'S SUBD.NO. 356 : LOT 006 BLOCK 000 PERMIT TYPE : PLUMBING (<$�00) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEG(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG (<$500) 5.00 3670 DODD ROAD- SUITE 100 EAGAN, MN 55123- MAIL-IN FEE 2.00 �� TOTAL 22.00 Minnesota State License#: 61770PM OWNER : DAYTON, MR. & MRS. 1980 HGRITAGE DR � WAYZATA, MN 5�391 AGREEMENT AIYD SWORN STATEMENT The��ork for which this permit is issued shall be performed accordii�g to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work describcd and docs not grant permission for additional or rclated work which rcquires separate pcnniu. All provisions of laws and ordinanccs dovcrning this type of work shall be compied��ith whether or not specificd herein.This pennit will expire and become null and void if construclion authorized is not � commenced��ithin 180 da��s ot�thc datc of issuance,or if construction is � suspended for a period oC 180 days at any time after work has commenced. � ']�he applicant is responsible for assuring all required inspcctions are � requcsted in confonnance��ith the State 13uilding Code.This permit may be � revoked at any time for di�e cause. �� c',�—� / / / / ,.. Applicant Permitce Signature Date lssued B �, ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. . � � FOR CITY USE OrLY � City of Orono ��¢ �Q'�� P_O.Box 66 Date Received: Permit# E � 2750 Kelley Parkway ��a t`� ' � p�� Crystal Bay,MV 55;2; Approved By: Amount$: ��-'�s f .�yo�:%7 (952)249-4600 ��-:`��RpO f CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or[nspector) 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. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORti ML`ST NOT BEGIN UNTIL THE PERMIT CARD [S POSTED ON THE JOB SITE. 3. Plumbin�permits may be issued ONLY to licensed plumbin�contractors and to property owners residing in the dwelling. 4. W'hen 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 Applv) �Residential ❑ 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: �� 1 1 �� Owner: . �� Mailing Address: City: �/�� Zip: � � � l � Home Phone: l�I " �� Alternate Phone: Contractor Information: Champion Plumbing I �� Contractor: Contact Person: 651-365-1340 Address: 3670 Dodd Rd_ State Bond#: Eagan, MN 55123 City: Zip: Expiration Date: ��" � �— � � Phone: Alternate Phone: ❑ Insurance—Current: 1 1 V�� PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1�T 2�D OTHER FIXTURE BSMT 1�� 2�1D OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE � Yes,this section applies The replacement of only one Residential fiYture 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;excludin�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 App(icable) $ 2.00 Total Permit Fee $�OU (Permit Eees Continued On Next Page) 2 . f � PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTI2.ACT PRICE * is 1.2�%of contract price with a(Minimum Fee of�50.00) x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bld�Code Div. Surchar�e(�Iinimum Fee of�5.00) x.0005 $ (contract price) (minimum� 5.00) 3. POSTAGE&HANDLING(Only on N1ai1-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 char�ed for the permitted work including materials, labor, profit, and other fixed costs. [t is the amount to be char�ed to the customer for the work done. [f 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(95�)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, a�rees 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 carrect. Applicant's Signature: Date: �— � � � � �� Reset Form � � � 3 ZZ TIME � CITY OF ORONO CALLED IN INSPECTiON NOT/ICE /� SCHEDULED z � '� PERMIT NO.��/�D`�/�� COMPLETED ADDRESS l�C�� LJ OWNER �e� ��'/✓ �r�ELEPHONE NO.�-�Z T7-� �777 CONTRACTOR �� a�1� �" C >; DESCRIPTION �� a� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ 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 C o ' l ( � �, � . �� .� - 0 � Q ��r�n�; �� r �� Z ��._ �d� t � ,.�-�- ��-�-A 11� w � W � � d W ❑WORK SATISFACTORY:PROCEED . C_i PROJECT COMPLETE �bRRECT WORK R PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR !�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-460� Owner/Contractor on site: Inspector. . �� White Copyllnspector's File Canary CopylSite Notice