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HomeMy WebLinkAbout2011-00046 - plumbing CITY OF ORONO PERMIT NO.: 2011-00046 ' 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: OU2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 460 EAST LONG LAKE RD PIN : 35-118-23-14-0010 LEGAL DESC : LJNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, I LAV, 1 SHOWER, 1 DISPOSAL,3 SILLCOCKS,2 FLOOR DRAINS, 1 WATER HEATER, 1 WATER SOFT'NER, 1 WET BAR 1ST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER 2ND FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHER VALUATION OF PLUMBING 33000 APPLICANT PLUMBING FIXTURE FEE 412.50 GRUPA MECHANICAL CONTRACTORS INC. STATE SURCHARGE PLBG(VALUATION) 16.50 12180 197TH COURT NW ELK RIVER,MN 55330 TOTAL 429.00 (763)441-5360 PAID WITH CC# 5918 Minnesota State License#: 059138PM OWNER JOHNSON, DAVE&ELIZABETH 17395 CONIFER COURT CHASKA,MN 55318- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested i nfor e with the ate Building Code.This permit may be re e e � 1 r l �l l �o�( ��?'v�-a-✓� / / Applicant Permitee ignature Date Issued By S g ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f r FOR C1TY USE ONLY �-- O,�p�O City of Orono , P.O.Box 66 'Date Received: 'Permit# " 2750 Kelley Parkway ' �' Crystal Bay,MN 55323 Approved By: Amount$: �d����� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL TNFORMATION `' 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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 pernuts 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 r�quired) � `TYPE O�'PERMIT (Check A11 That A 1y) �Residential ❑ Commercial(Approval Required) [�New ❑ Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need urior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site 1 Owner Information: Site Address: ��t� DLD Lvnl� �,A-Y� �o. E• Owner: J f��F� ��T� Mailing Address: City: Zip: Home Phone: ���- �3S-G�3� Alternate Phone: Contractor Information: Contractor: C1fj�UPA� �F�C�Iq�IIICCi�I. Contact Person: IJ(zAP ��U��} Address: (�1$b�1Q1�G'f.�(1��• State Bond#: d SS5�v131 City: ��K �iJ� Zip• 533D Expiration Date: 12'31- .2�11 Phone: 743'�y�-s3�0 Alternate Phone: ❑ Insurance—Current: __I�C�J�TH C�.g31l9�.� 1 � i ... � ..�, � . � � ��. ��� .� ���� _.. . .,� ..,r. . ..� � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet , z z Floor Drains � Lavatory ' � 2 Sewer Ejector ✓ Bathtub , ' Laundry Tray � � Shower ' f ' Washer � ' ! Kitchen Sink 1 Water Heater � Disposal t I Water Softener ' 1 Dishwasher � Wet Bar , Sillcocks � Miscella� n�o� � ���. �� �. � ��,� ❑ Yes,this secrion applies The replacement of only one Residenrial 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;excludins 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 Pemut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � .� �:�. �,�� . , , „y. ': .r, ntl. e Y . . '�. .,6 If above does not apply;follow guidelines below; l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 33.bao .oo X.oi2s $ �//2 . 50 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) �3�bOD•DO x.0005 $ Ilp, �� (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 7 �9 ,.QD ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 market value of such items must be added to the estimated cost or contract price far 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(952)249-4600 for the price. �., 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: Date: ! '�� " 1/ 3 � D E TIME ✓ CITY OF ORONO CALLED IN '?"� INSPECTION NOTI E / SCHEDULED �-/� � PERMIT NO. � D U/ COMPLETED ADDRESS � L OWNER ELEPHONE NO. ��3 `�"�� ��� CONTRACTOR �� /ut�C�� �; DESCRIPTION � -� �r � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 c�., COMMENTS: � W a j O � M �'r ,n�; �. .c.., -�c/" ,f�-,� '� C} ��. 0 � W � Q � z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECCN/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ppHOTOTAKEN INSPECTOR WlLL RETl1RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-46�� OwnerlContractor on si�: Inspector. o �:. � White Copyllnspector's File Canary CopylSite Notice � ATE TIME 1/ CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED 2 �/�� PERMIT NO. a 'd� OMPLETED ADDRESS � OWNER �� /E�PH E NO. � `�� CONTRACTOR � -_`��'�- j. DESCRIPTION L�-� / � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPXTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�'YES_NO y COMMENTS: � a � � 0 a � 0 � W � Q � z W � W � � � ❑WOHKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on si e: Inspector. `' White Copyllnspector's File Canary CopylSite Notice