HomeMy WebLinkAbout2008-00380 - plumbing � y CITY OF ORONO PERMIT NO.: 2oos-oo380
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: lUi2/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 3546 IVY PL
PIN : 20-117-23-42-0018
LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: MUTLIPLE FIXTURES:
(5)WATER CLOSETS,(7)LAVATORIES,(5)BATHROOMS,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,
(2)DISHWASHERS,(2)SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER
(1)WATER SOFTENER,(2)WET BARS
VALUATION OF PLUMBING 22000
APPLICANT pLUMBING FIXTURE FEE 275.00
STEWART PLUMBING,INC. STATE SURCHARGE PLBG(VALUATION) 11.00
13025 GEORGE WEBER DR. SUITE#1 TOTAL 286.00
ROGERS,MN 55374
(763)428-1833
Minnesota State License#: 061344 PM
OWNER
DRAZAN,MICHAEL&MARY
3546 IVY PL
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
��`— �� / l� ic�� �l / / / (�8`
Applicant Permitee Signature Date I s d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
t . �
, i
' � �����k4€�f� ��J�
0,�,��0 City of Orono , ,^ �$A � � "�'�l�=� ;2w `�
P.O.Box 66 '�� s ` '`� ,
2750 Kelley Parkway '� �, d�� � ��g����� '_� ,tik � s'
� � Crystal Bay,MN 55323 " � �' � �� ,
(952)249-4600 ? ,�'.��� ��'.�`� ���'�i�.`5��� ��s,� `�'y�"���;.
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permiu must be approved by the Building Official or Inspector)
� .� :��� � n:.. �-� ,- � , � ._ . ,
� ,�. ;
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 cazds will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTII..YOU RECENE 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) •
. . �
. : _ , , ,,
w� �� � ,�.� � ��� . . _ �. ..:.. e.
- � , .
�
� � _� m:. �.. � � �.., .�� �� � , ��.�
u �
�, ._� t. ,_ ,a, � � = �
, � : .. ,.....� e. �� o-
�.
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Re lace
P
❑ In Accessory Structure?
*You will need urior aoaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
� .
•
. idf°" .! �.il.R9�tfi�,b 7r n a�^F,¢'+�b J"A '.4Yk5pg .
Site Address: 3S y(� �U y v��c� �rdno
Owner: M� C�4c � Di'�Z av� Mailing Address:
CitY: Zip:
,. Home Phone: Alternate Phone:
�� �� ��� ,�� ���,� �„ ��� , _
���'�� "� �
-'�� .��k, �,���'.���.,�.�. r.�;.. ��,�r�
Contractor: -��e-ww�- �C�����.� Contact Person: ��/� �
Address: �3 o a j G� w��� State Bond#:
City: I��q t�S Zip:✓rs���xpiration Date:
Phone: Alternate Phone:
❑ Insurance-Cunent:
1
� . a
s . .
FIXTURE BSMT 1 2 OTf�R FIXTURE BSMT 1 2 OTf�R
TYPE FL FL TYPE FL FL
Water-Closet `'1 � � Floor Drains 1
v< /
Lavatory � 3 / Sewer Ejector
Bathroom a a l Laundry Tray /
Shower � / � Washer �
Kitchen Sink � Water Heater /
Disposal I Water Softener /
Dishwasher � / Wet Bar / /
/
Sillcocks � Miscellaneous
❑ 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) $ 1.50
Total Permit Fee $
{Permit Fees Continued On Next Page)
2
� -- �
, . .
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
O � x.0125$
(co tract price) (minimum$35.00)
2. STATE SUReHARGE **Add the State Bldg Code Div. Surchazge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) `$ 1.50
4. TOTAL PER11�T FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
to the customer for the work done. If any material, equipment, labor or installations aze fumished 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 Deparhnent 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: !l J-2 Q�
����,
3 •
� � � �-�� DP TE TIME
CITY OF ORONO CALLED IN �/ 3� �
INSPECTION NOTICE SCHEDULED ���./� .��° �^`
PERMIT NO. ��!U�—��-3g� COMPLETED
ADDRESS ��� � ��� L�� �--
OWNER CONTR. �YI�P��Y'�.�-� (uYYi�j
TELEPHONE NO. � l a ! � �-' �� ` � 3 3X
� DESCRIPTION �< <-'�`m� �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q � FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL //� ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:J/ YES_NO
/`
� COMMENTS:
�
a .�-_
� .�_ � t ._
J �-� ,, �
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d "k <
W, P�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR v CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. �952� 249-46QQ
OwnerlContractor on site: � -
Inspector. -�=� �' ,
,�.
White Copyllnspector's File Canary CopylSite Notice
� t �� ! D�,TE TIM
CITY OF ORONO CALLED IN E� v
INSPECTION NOTICE SCHEDULED - `04' a7-ofl
PERMIT NO.�DD '4D.3�"D COMPLETED
ADDRESS 35� �v�1 ���
OWNER CONTR.�114�Lf����
TELEPHONENO. 7�f`Z� /�,��
� DESCRIPTION Pl��n�Jl/1� � ��~�'"`���
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BUFINER/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 ❑ WARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� ►�1���. o ���t- o K
0
a
�
� �r��et � �I�I��'s,�c c�e1 /a �` f�. �''�� �
�
Q
�
z
W
�
W
�
�
d
� �VO�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑IPISPECTIONREQUiRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. l.X
White Copyllnspector's Flle Canary CopylSke Notice
� L - �
DAT TIME
CITY OF ORONO CAILED IN � �_
INSPECTION NOTICE SCHEDULED
PERMIT NO.�GY���OJ�� COMP ETED "� yl
ADDRESS �� u` �
OWNER C NTR.
TELEPHONE NO. ��� `��!/`J���O'`�� �
� DESCRIPTION �r!��\��'�1
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J p PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� �NORK 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 WFLL RETURN
❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contract i :
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
�—� 1 T TIME '/
V
CITY OF ORONO CALLED IN �����--�
INSPECTION NOTIC — SCHEDULED '_'�1�=�� /b.!X�
PERMIT N ����COMP ETED �4
ADDRESS
OWNER C NTR.s �
TELEPHONE N0. �y��/z-- ��� �'� �
� DESCRIPTION 1 l'
� ❑ FOOTING MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL p SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
W�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL{NSPECTOR ❑CITATION ISSUED
O INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor it
Inspector. v ✓
White CopyAnspector's File Canary CopylSite Notice