HomeMy WebLinkAbout2010-00531 - plumbing 7 •
CITY OF ORONO PERMIT NO.: 2010-00531
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �SSUED: 06/28/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1 160 HERITAGE LA
PIN : 10-117-23-13-0003
LEGAL DESC : FOXHILL
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: 1 BATH TUB ON 1ST FLOOR
VALUATION OF PLUMBING 900
APPLICANT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 0.50
7120 71ST AVE.N. TOTAL 50.50
PO BOX 205
LORETTO, MN 55357- PAID WITH CC# 9327
(612)750-0278
Minnesota State License#: 065381 PM
OWI�ER
MITHUN, RAYMOND& SARAH
1160 HERITAGE LA
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 thc
State Building Code. This permit is for only thc work described and does
not grant permission for additional or rela[ed 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 responsibie 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.
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Applicant e mitee ignature Date Issued By Si n ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
06!28/2090 02:34 FAX 763477�629 f�002/005
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CTT'Y UF OROI�TO-PI,�BIN� PERMYT
(All Corrtmercial p�nnll4 mus[be'appmved by lhc Huildlr�Of�iclal oC lnApectnr)
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1_ You may apply for plumbing permits by mail or jn persott at the City o�ces. A licati� �
r�viewCd a,nd a petmit will he issucd within t�yo workin�day9. pp ons will bc
Z• Perm�t cards will be sent by return ma,i1 after a revloW ig c�mpleted. PERI�IITS ARE NOT
VALID U1VT1i,YOU R6CEIVE q PERMiT, �RK MUST NOT BEGlN UNT1L TH�
P 1T CA S PO E O T E O SI E.
3. Plumbing permits may be issued OM.Y to►icensed plambing contractors and to n,
residing in thc dwelijng, p p�y owncrs
4• When any new consttvction or remodeling is ittv�o�ved,a separal.c building pecmit must be
obtained.
5. All work must be done in aceordance with St�.te Code requiretncnts,
6. All work must be inspccted ar�d air tes[ed befo�it Is covered. CaU(952)249-4600.
(24-48 hour notico required)
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�Residential ❑Commercial(Approva!Required)
❑New ❑Additional
❑Repairs �eplaee
❑ In Accessory Structure?
*You will nee ri r e rov 1 and may need Ci)�.(Per Omno Ciry Codc,(;haptet 78,Articie IV)
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Site Address: �� � -- ��e
Owner: Mailing Address: �(Gv �rilAl�
Ci�y: � �jg
Zip:
Home Phone: Al�ernate.Phone:
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Contractor: r�C�'?� C��;��ontac:t Person:
Address: �Q 6�e�C {' State Bond#: � � (p
City: D!' Zip:� Expiration Date: ��� 1-1(�
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Phone: �/`������78 Alternate Phone: �/Z-� 1�- �jZ7g
❑ Insurance—Curreet:
I
06/28/20a0 02 :34 FAx 7634775629 C�0031005
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a�P, ' �yi,:'�,'itt
FlXTURE BSMT 1 2 pTHER FiXTURE
TYPE FL FL .fYPE gSMT
! Z �TlNER
Water Closet FL FL
Floor Drains
I,avatory
Sewer L�joctor
Bathtub
Laundry Tray
Shower
Washer
Kitchcn Sin�
Wator Heater
Disposa)
Water Softener
Dishwasher
Wot Bar
Sillcocks
Miscellaneous
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❑ Yes,this section applies
7'he replacement of a si ti 1 fi tu or I'a,nc thai meets all three af the tbllowi�ree�uirements�
1• oe not require modiftcation w electrieal oc gas 9ervice,
Z. Fias a lot co t of$500.00 or less; xcl din the eost of the fixlure or appli��;�d
3. Is improved, installed o�repjaced by the homeowner or licensod eonttt�ctpr,
Skip next section,ifthis appl�es; Cost ofPcrmit
State Surch�rge $15�0
Mail-In l�ee(TfApplicablo) $pp
Total Permit Feo —?.
$
(Permit Fees Continued On Next Page)
2
os�2s�2oao o2: 3a Fax �ss�7��s2s r�ooa�oo�
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If above does noi apply;follow guidelines bclow:
I. ON �CE '" is 1.25%q�contTact price with a(Minimum Fec of$50.00)
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x.0125 $
(contracl price) (minimam$50,00)
2. S ATE SUR H RG �'s Add the State Bldg Code Div.Surcharge(Minimum Fee of$.So)
� ��_x.00a5 $
(cuneact price) — —
(minimum$ .50)
3. POSTAGE 8c t-IANDLING(Only on Mai1.In Applicatiops) $_ 2�a
�� —
4. T07'AL pERMIT FEE(Add l.,iaes 1-3 Abo�e) $
• '" CONTRACT pRICB or JOB COST means the actua( or estimated dollar aznounl chargcd for the
permitted work including materials,labor,p�f���d other�ced costs. It is thc amount to be eharged
to thr customer for the wo[k dpee. if any material, equipmenl, labor or installations arc furnished by
thc owner, tenant or any othet parry,the rcasonable market value of such items must be added to the
estitaated cost or contract price for permit fee purposes. In the cvenl that thcre i9 a dispute nn the
amount of the,job eost, tho Ciry may rcquest the submission of a signcd copy of�� aaual contract.
' "'� The STATE SURCHARG�;is .00OS of tho conut�ct pricc under$1,000,000 or$.50–whichever is
grcater. For valuations over$1,000,000 call the Building Department at(952)249-460U tor the price.
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 certifies that all statements made on this application are complete, ttue and
correct. �
rr�'r:
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APP�icant's Sibmatur� � Date: �"�0 �D
,� .
3
� �� �
7 DA�E TIME
CITY OF ORONO CALLED IN �
INSPECTION OTICE SCHEDULED �� � �
PERMIT NO. 3 COMPLETED
ADDRESS ���DD T"TP.�"6T�C�X L�
OWNER TELEPHONE NO. ��.2� 7S� OZ78
CONTRACTOR ��l�'�"L ����7
�; DESCRIPTION / �� ����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED G 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
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. 0 .c / � � �
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