HomeMy WebLinkAbout2008-P00231 - plumbing � CITY OF ORONO PERMIT NO.: 2oos-oo23�
� � 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 09/18/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 3534 IVY PL
PIN : 20-117-23-42-0019
LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 4 WATER CLOSETS,6 LAVATORY,3 SHOWER
2 KITCHEN SINKS, 1 DISPOSAL,2 DISHWASHER
2 SILICOCKS,2 FLOOR DRAINS, 1 LAUNDRY TUB
1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER
1 WET BAR
VALUATION OF PLUMBING 20000
APPLICANT PLUMBING FIXTURE FEE 250.00
VICTORIA PLUMBING STATE SURCHARGE PLBG(VALUATION) 10.00
1855 WEST 80TH ST TOTAL 260.00
P.O. BOX 174
VICTORIA, MN 55386
(952)443-0034
Minnesota State License#: 005584PM
OWNER
CAPRA, TED&NANCY
3534IVY PL
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permi[is for only the work described and does
not grant permission for additional or related work which requires separate
permits. AII provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced wit T8 s of the date of issuance,or if construction is
suspen d r a eriod '€ 0 days at any time after work has commenced.
T li i respon i 1 for assuring all required inspections are
reques d' o orman th the State Building Code.This permit may be
revok a ti e f d e ause. [j
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plicant erm�ee Signature Date �
Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,
FOR CTTY USE ONL1'
� ��� City of Orono
� P.O.Box 66 Date Reccived PermiY#
I,,��;, ,y,, � 2750 3kelley Parkway
�� ,91�"������ Crystai Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
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GENERAL INFO.RMATION ; . °
I. You may apply for plumbing permits by mail or in person at the�ity 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 All That A lv
�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior anaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site /Ov�mer Information:
Site Address: _S� �`� �(J� ��Cd_L e
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Tnformation:
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Contractor: [eJ� L�(�^���, ��".���,;.� Contact Person: h n
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Address: 1"_p 1.���j( ���-} State Bond #: 7�j �y �l �.�
City: lJ � f i�., Zip:..���Expiration Date: �Z� �31 'Q�
Phone: `��L 'f�,� �-[�3`f" Alternate Phone: �,�� "i��'l(`j" Z�s�
❑ Insurance—Current:
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FIXTURE BSMT 1 2 ° OTHER FIXTURE BSMT 1 2 ° OTT�R
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains ti
Lavatory ` Sewer Ejector
Bathroom Laundry Tray /
Shower i t � Washer
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Kitchen Sink � Water Heater �
Disposal i Water Softener
Dishwasher � Wet Bar I
Sillcocks � Miscellaneous
��' � � � PERMIT FEE CALCULATION(S) � �� � �
�� BASED OFF - 2002 STATF STATUE
❑ 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,ifthis applies; Cost ofPermit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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z �,, '��;: , °',,:� , . �f ���ALCULATION S —JDBS OVER$500.00 °
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�
_��,��`, x.0125 $
�ontract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ l.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CON`I'RACT 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 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.
,3 a�,,.�����' �.��J�1����`��"�T"APP����.�I'�tJ1�1:,AGREEMEI�+TT:P > �,.
The undersigned hereby applies to the City far 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 statem ts de on this application are complete, true and
correct.
Applicant's Signature: Date: —! � /l>��U
Resef Form
3
/"' DATE TIME V
CITY OF ORONO CALLED IN ���Z�
INSPECTION NOTICE SCHEDULED /-��D :o�
PERMIT NO ,��o oa��I COMPLETED
ADDRESS .�53� � VU PI��
OWNER CONTR. UC�7N�2, �J�-�'
TELEPHONE NO. �P� � �D Z-�✓(�
� DESCRIPTION � �`-�- �l��'�i
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ 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
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOH REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on s'te:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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3��/� TIME , /
CITY OF ORONO CALLED IN V
INSPECTION NOTICE SCHEDULED 61i b9 3:�L
PERMIT NO. G GD .3� conn LETED
ADDRESS �v ���
OWNER ONTR.vl�- `
TELEPHONE NO. — v'
� DESCRIPTION 0`G
� ❑ FOOTING ❑ MECH I AL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECH NICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRE&S
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� WNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDiTIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice