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HomeMy WebLinkAbout2008-00072 - plumbing , , CITY OF ORONO PERMIT NO.: 2oos-000�2 2750 KELLEY PARKWAY . ORONO,MN 55356- DATE ISSUED: 07/22/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 205 HOLLANDER RD PIN : 25-118-23-44-0011 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER (1)LALJNDRY TRAY),(1)WASHER,AND(1)WET BAR VALUATION OF PLUMBING 7500 APPLICANT PLUMBING FIXTURE FEE 93.75 SUNDERLAND PLBG INC STATE SURCHARGE PLBG(VALUATION) 3.75 1359 153RD LANE NW#300 TOTAL 97.50 HAM LAKE,MN 55304- (763)753-2745 OWNER BURNS,DAVID&CASSIDY 205 HOLLANDER RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT ' The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is ponsible for assuring all required inspections are requested in nfo ance with te Building Code.This permit may be revo d a y t e fo e ca e. 7 / ZL / O� / il� plicant Permitee ignature Date Issife y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE. _ • � � � ! FOR CITY USE ONLY O¢��O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � , �. Crystal Bay,MN 55323 Approved By: Amount$: ��``o`:' (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION l. 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. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L 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 sepazate 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 [�Residential ❑Commercial(Approval Required) ❑ New �Additional ❑Repairs ❑Replace ❑ tn Accessory Structure? *You will need arior approval and may need( l.P.(Per Orono CiTy Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: __�j,S �-{-e��Gt�� �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �e.Q�,p� Q��ML- Contact Person: 1�D�_ �ui k �a� Address: 135� �S�-'3�'� W IV� State Bond#: ��j�O SS� City: ���*�.Aan,� ✓�Zip:� Expiration Date: Phone: �(p3 _I✓3" 2�� Alternate Phone: 7�� ZZ�F'`J�2� 0 Insurance—Current: ��c�n�� ��O�j7� 1 ...,2;; �s:rr,�,','T,�tr � � ���`a�rz'..4 sd" �� �jn�.'�'S FIXTURE BSMT 1 Z OTf�R FIXTURE BSMT 1 2 O'Tf-IER TYPE FL FL TYPE FL FL Water Closet f Floor Drains � Lavatory Z Sewer Ejector Batln�eai� I Laundry Tray � Shower � Washer ' Kitchen Sink 1 Water Heater l Disposal Water Sof�ener Dishwasher ` Wet Bar � Sillcocks Miscellaneous � � � ,,�S ���� y%. t�. _y h��C�ty�.,r,".� ' Y�'m°,��JV ,r.,.: �..,• �w4"4t'-� �� "�"F��. x'�� aF`# H:: � i� ��..':. ;�-: ,w, .�.� s ��sw. r.� � �.�x'`?3',.. � � ._.a � � � _���_....'N'-'�r,�' . '.�.i"�'7,�:` �...�`,e_�. � � �.. .,�_. ...a..., ..< . ... . ... ...,...,, ❑ Yes,this section applies The replacement of a Residc�tial fixture or a�oliance that meets all three of the following requirements: 1. Does not require modification to electrical a gas service. 2. Has a to cost of$500.00 or less;excluding the cost of d►e fixture or appliance:and 3. Is improved,instailed 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) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Neat Page) 2 y • � � � ..��::'i�- _ ��... �ti!�*'� .v',',�'",�.-'2: .l�S If above does not apply;follow guidelines below: l. CONTRACT PRICE 'is 125%of contract price with a(Minimam Fee of$35.00) -���o X.oias$ 9�. �S (coottact price) (minitnum 535.00) 2. STATE SURCHARGE *'Add the State Bldg Code Div.Surcharge(Minimum Fee of S.SO) 7S�?1 x.0005 $ 3•7� (conUact�ice) (minimum$ .50) 3. POSTAGE&HE4NDLING(Onty on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S g�.,,s� � " CONTRACT PWCE 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 arry 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 over$1,000,000 call the Building Depardnent at(952)249-4600 for the price. ��a ��_ �w:. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that a11 statements made on this application are complete, true and correct. Applicant's Signature: Date: �— � �0� � �� �' � � . >��" �.. ., ,} .. 3 / � � C��" DAT TIME V CITY OF ORONO CALLED IN $ / �� B� INSPECTION NOTICE SCHEDULED S� O 8� l:� PERMIT NOv���D0�74� COMPLEfED ADDRESS ��� � OWNER CONTR.�GL�I TELEPHONE NO.�,� � 7P3 �7,53 a��S � DESCRIPTION - �� � � ❑ FOOTING ❑ MECHANICA ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y O INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C o � � �e S � � � � � 0 � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IPiSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: inspector. � • B White Copyllnspector's File Canary Copy/Site Notice G - i ��- TE TIME CITY OF ORONO CALLED IN �� � � INSPECTION NOTICE SCHEDULED � PERMIT NO.a�D�'�DO07���ED ADDRESS OWNER - CONTR. �G� TELEPHONE N0. - "'� � � DESCRIPTION K'C.. �` � ❑ FOOTING � MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING p MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS h ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C � �f �} � �Oc, j 0 � � 0 � Q M�� o�� � -r���- o � z W � W � j O � RK SATfSFACTORY:PROCEED ❑ PROJECT COMPLETE W � RRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOIV TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice