HomeMy WebLinkAbout2013-00880 - plumbing , CITY OF ORONO * z 0 1 3 - 0 0 8 B 0 *
2750 KELLEY PARKWAY DATE ISSUED: 08/28/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1905 HERITAGE DR
PIN : 10-117-23-13-0013
LEGAL DESC : FOXHILL
: LOT 003 BLOCK 003
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: (2)DAYLIGHTS IN LOWER LEVEL GARAGE
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(<$500) 5.00
2200 HIGHWAY 13
BURNSVILLE,MN 55337 MAIL-IN FEE 2.00
(952)767-1000 TOTAL 22.00
PAID WITH CC# 1556
OWNER
SCOTT,DAVID
1905 HERITAGE DR
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 Ciry 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 aze
requested in conformance with the State Building Code.This permit may be
revoked t any time for due cause.
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Applicant Permitee Signat Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
From:Genz-Ryan 952 767 1900 08/28l2013 09:58 #562 P.0011003
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FOR CITY USE QNLY
�O A TO City of Orono ' ,
�y P.O.Box 66 Date Received perm�t#
2750 Kelley Parkw ay `
Crystai Bay,MN 55323 ApprovedBy qmountS
(952)249-4600-Main ' T�?
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y (952)249-4616-Fax
�' �Z CITY OF ORONO—PLUMBING PERMIT
!'�KfSH��'E (All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENER:AL INFO1tMA'TYQI�i ;_ ,
l. 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. PERMTTS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON TIiE JOB 5ITE.
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 6our notice required)
TYPE OF PERMIT
` '` ; Check All That I , ' ' ;
�.Residential ❑Commercial(Approval Required)
❑New (�Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior aaaroval and may need CLTP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner informattop .;
Site Address: Y 1-�-p._ �
Owner: OTT Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Gontractor Informariozi: :'
. 1 , ,,::
< � 1
Contractor: �"�'$�'tiT _ Contact Person: �
Address: Z2.d� ( 3 State Bond#: �C !p''T J`l�3
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City: ��11`11 J' V I (� Zip:�JJ- Expiration Date: �� ( �
Phone: ��a-�I�� ' ,��P� Alternate Phone:
❑ Insurance-Cunent:
1
From:Genz-Ryan 952 767 1900 08/28/2013 09:58 #562 P.0021003
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHElt
TYPE FL FL TYPE FL FL
Water Ctoset Floor Drains
Lavatory Sewer ector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sil lcocks Miscel]aneous
Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the foilowing
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;gxcluding the cost of the fixture or appliance:and
3. Ts improved,installed or reptaced by tlie homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $_�,_pC�
(Permit Fees Continued On Next Page)
2
From:Genz-Ryan 952 767 1900 08/28/2013 09:58 #562 P.003/003
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If above does not apply;follow guidelines below:
1. CONTRACT PR10E *is 1.25%of contract price with a(Minimum Fee of 550.00)
x.0125$
(contract price) (minimum 550.00)
2. STATE SURCkIARGE
x.0005 $
(conffact price)
3. POSTAGE&HANDLING(Only on Maii-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or J�B COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and ather fixed costs. It is the amount to be charged
to the customer for the work dona. If any material,equipment,labor or installations are furnished by
the owner,tenant or any other party,the reasonable market value of sucl� items must be added to the
estimated cost or contract price for permit fee purposes. Tn 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 actua] contract.
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The undersigned hereby appties 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 statennents made on this application are complete, true and
correct.
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Applicant's Signatur � � � ►'1..1,� Date:
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�(/ �� DATE TIME
CITY OF ORONO � CALLED IN �D^�I �
INSPECTION T CE p. SCHEDULED !�'i�-[� !�
PERM(T NO. �0� COMPLET�
ADDRESS l'�ID_S
OWNER TELEPHONE N0�5a-7����
CONTRACTOR
� DESCRIPTION ���Q/�'a-r°��� ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA G/FILLING
Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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 O COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J � PLUMBING RI O SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL
� OMfNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ��AmBI�SATISFACTORY:PROCEED O PROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlCoMractor on site:
Inspector. ,�-�
White Copyflnspecto�'s File Canary CopylSke Notice