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Home My WebLink About2010-00541 - plumbing � CITY OF ORONO PERMIT NO.: 2010-00541 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE issuEn: 06/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 275 HOLLANDER RD PIN : 25-118-23-43-0025 LEGAL DESC : HOLLY ACRES : LOT 002 BLOCK 002 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WC, 1 LAV, 1 TUB 1 ST FLOOR VALUATION OF PLUMBING 1400 APPLICANT PLUMBING FIXTURE FEE 50.00 SOUTHTOWN PLUMBING INC. 6636 PENN STATE SURCHARGE PLBG (VALUATION) 0.70 RICHFIELD, MN 55423 TOTAL 50.70 (612)866-3057 Minnesota State License#: 60956PM OWNER MILLER, PAUL BRUER&LINDA 275 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 gran[permission for additional or related work which requires separate permits. AII 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 he date of issuance,or if construction is suspended for a perio of ys at any time after work has commenced. The applican r r assuring all required inspections aze requested i th the State Building Code.This permit may be revok d e cause. / / / (J � / / i it ignature D e Issued By Sj ture "Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER'F AN DESCRIBED ABOVE. Y , FOR CITY USE ONLY ��°�-'�'�� Ci of Orono �. �' P.O.Box 66 Date Received: Pertnit# t� ��i1 2750 Kelley Parkway �ta �,p � +� Crystal Bay,MN 55323 Approved By: Amount S: � i� d+�,�� (952)249-4600 ��`�� .�.�s:..� CITY OF ORONO—PLUMBING PERMIT (All Commercial pertnits must be approved by the Building Otlicial 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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT • � VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE j 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 ❑Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑Repairs .�teplace ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Informati4n: . Site Address: L�� f�� ' Owner:�AUL kL,�o� r3 ��f�� Mailing Address: S,A—»�1 � i i City: � Q�(1?�D Zip: ��J�� Home Phone: Alternate Phone: Contractcsr Inforcr�ation: , c � Contractor: c1 �J Contact Person: 9Z�tJ �L� Address: �N State Bond#: City: � � Zip:SS�Lj Expiration Date: Phone: rQ!o�' �t�b �d 0�� Alternate Phone: ❑ Insurance—Current: 1 PERMIT FEE CALCULATION S =JOBS OVER$SOD.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � �G x.o�zs$ (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) � x.0005 $ � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ ■ * 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 i 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 over$1,000,000 call the Building Department at(952)249-4600 for the price. „��,�, a.:��,�`�;�'�,?CJ�vI� , ERMIT AP�'�,ICAT:IC)N AGREEME�IT':T��z,�.��3 ,�.,�_�. . 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 all state nts made on this application are complete, true and correct. .� Applicant's Signature: � Date: � ��'�� Reset Form� i 3 ! FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory / Sewer Ejector Bathtub / Laundry Tray ' Shower Washer . Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sil Icocks Miscellaneous � �/d—�� x � �2� I � � ❑ Yes,this section applies The replacement of a Residential fixture 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;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 ��(/'� �✓/ / AT TIME V CITY OF ORONO CALLED IN 7 �D INSPECTION NOTICE I/ SCHEDULED _�� PERMIT NO�O/D-DIO�TJ�o OMPLETED ADDRESS OWNER TE P,HONE NO. �7 �� CONTRACTOR � DESCRIPTION ` - � �j� � 'L � � ❑ FOOTING P MBING FINAL EXCAV/GRADING/FILL G Q ❑ POURED WALL ECHANICAL RI LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o �T �r i I [ A� � �., s��A-s o � C v� c3,�Q' � �C� ?� C3� C �v�.c� � W � Q z �r n�.�� ' C iA � �� • W � W � � d � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O IIVSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on s� Inspector. oT�- / White Copyllnspector's Ffle Canary CopylSite Notice