HomeMy WebLinkAbout2009-00102 - plumbing CITY OF ORONO PERMIT NO.: 2009-00102
2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISSUED: 03/1 U2009
' 952 249-4600 FAX: 952 249-4616
REPRINTED ON 8/18/2010
ADDRESS : 460 EAST LONG LAKE RD
PIN : 35-118-23-14-0010
LEGAL DESC : UNPLATTED 35 118 23
: LOT MB BLOCK MB
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW PLUMBING FIXTURES INCLUDE: (6)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN
SINK,(2)DISHWASHERS,(4)SILLCOCKS,(4)FLOOR DRAINS,(2)LALTNDRY TRAYS,(2)WASHERS,(1)WATER HEATER,(1)WET
BAR,AND(5)MISCELLANEOUS
VALUATION OF PLUMBING 28950
APPLICANT PLUMBING FIXTURE FEE 361.88
FINKEN INC. STATE SURCHARGE PLBG(VALUATION) 14.48
3423 COLJNTY RD 74 TOTAL 376.36
P.O.BOX 7190
ST CLOUD,MN 56301-
(320)25&2005
Minnesota State License#: 057888
OWNER
Strong Arm Construction Services,L
620 BEAVER DAM ST
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 separate
permits. All provisions of laws and ordinances governing this rype 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 responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� .� CITY OF ORONO PERMIT NO.: 2009-00�02
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE 1ssuEn: 03/1U2009
" (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 460 OLD LONG LAKE RD
PIN : 36-118-23-34-0013
LEGAL DESC : SUMMIT STATION
: LOT 006 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW PLUMBING FIXTURES INCLUDE: (6)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN
SINK,(2)DISHWASHERS,(4)SILLCOCKS,(4)FLOOR DRAINS,(2)LAUNDRY TRAYS,(2)WASHERS,(1)WATER HEATER,(1)WET
BAR,AND(5)MISCELLANEOUS
VALUATION OF PLUMB[NG 28950
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APPLICANT PLUMBING FIXTURE FEE 361.88
FINKEN [NC. STATE SURCHARGE PLBG(VALUATION) 14.48
3423 COLJNTY RD 74
P.O. BOX 7190 TOTAL 376.36
ST CLOUD,MN 56301-
(320)258-2005
Minnesota State License#: 057888
OWNER
NAFSTAD,NORMAN
12159 ST ANDREWS ST
RANCHO MIRAGE,CA 92270-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revol:ed at any ti e f du cause.
� l � ' lU �' o�- `L / �
Applicant Pe itee Signature Date I� ed By Signature Date �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, �
� FOR CITY USE ONLY �
;�Q�� CityofOrono
P.O.Box 66 Date Received: Permit#
� fl� �'� 2750 Kelley Parkway � �
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a i�� ►• Crystal Bay,MN 55323 Approved By: Amount$:
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g��y� ��a`.. (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
�Er�Ral, nvFo�aTioN
l. You may apply for plumbing perrr►its 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 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 Al1 That A 1 )
�Residential ❑Commercial(Approval Required)
�'New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior aauroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: Y�oO ��c•� �.0vlp �.E��CQ �(� �f�5Y10, /iJJ�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ���� �cit-C. Contact Person: 17%1;lG�
t
Address: p�� �oll 719� State Bond#:
City: S •C�U Zip:5�36� Expiration Date:
Phone: 3�3U�as�' �S� Alternate Phone: 3ob-3��'a��1Lo
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet I � � Floor Drains � �
Lavatory � r I � Sewer Ejector
�.�
Bathtub � � Laundry Tray � I
Shower I � ' Washer I 1
Kitchen Sink � Water Heater �
Disposal Water Softener
Dishwasher I t Wet Bar I
�
Sillcocks � Miscellaneous a n �
d�
P����'I`����;ALCUZI"�T�C.�I����.
B.A��fi���,��;�TA`��TA:�`f� '
� Yes,this section applies
The replacement of a Residential fixture or apnliance 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 neact 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
, .
PERl4���'�'F�CALC�.. � '��� � -�48�4�ER�StM?.QQ
If above does not apply;follow guidelines below:
1. CONTRACT PWCE * is 1.25%of contract price with a(Minimum Fee of$50.00)
a�, 9sc�. uv X.0�25$ ��� i , ��
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
aSs,9sv.C� X.000s $ ��1, y8
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��(o � 3�
■ * 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 mazket 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.
PL ����. ` 'T������1TIC�N AG�EEI�IENT'
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 statements made on this application are complete, true and
correct.
Applicant's Signature:�i��i��i���C.� Date: �^�
' �t�3S+B� �Cwl"I'�� ..,,: ''.
3
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CITY OF ORONO CALLED I r �P ���
INSPECTION NOTICE SCHEDU��Zy o ��(j
PERMIT NO. �-�'�Y�t - C:C��CZ_ coMP�ETE�
ADDRESS `� �L �_ L- ��'�C7 L-�L--- �.
OWNER CONTR. � � I h Y�c� Pit,�b
TELEPHONE NO. �?7,��-- "- ���C ` Z����
� DESCRIPTION ��1�`m t ��� j-/'—�-
�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ 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
� COMMENTS:
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W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑COFRECT 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
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. '
White Copyllnspector's File Canary Copy/Site Notice
�� � DATE TIME V
CITY OF ORONO CALLED IN 3-�I
INSPECTION NO�.T�,IpCE SCHEDULED 3-�1.-8 e?13a
PERMIT NO. a�/7 —dO/D�--- COMPLETED
ADDRESS `{� Old � �-G ��
OWNER CONTR. Fi nk ih lh �
TELEPHONE NO. 3� '" 4�6 - ZZ3�
� DESCRIPTION C�%��'v�e�� ��►^�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV ADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVEfLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� p DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WOFiKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOIOTAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site•
Inspector. �
White Copyllnspecto�'s File Canary Copy/Site Notfce