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HomeMy WebLinkAbout2009-00207 - plumbing « CITY OF ORONO PERMIT NO.: 2009-0020� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/06/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2640 KELLY AVE PIN : 20-117-23-14-0006 LEGAL DESC : APPLE HILL : LOT 008 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 TOLIET, 1 SINK, 1 SHOWER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 VOLKMAR,JOHN&SHERRY STATE SURCHARGE PLBG(<$500) 0.50 2640 KELLY AVE EXCELSIOR,MN 55331 MAIL-IN FEE 2.00 TOTAL 17.50 OWNER VOLKMAR,JOHN&SHERRY 2640 KELLY AVE EXCELSIOR,MN 55331 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� .S� �P ��l �i LP � a9 Applic�ermitee Signa Date Is ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � Rpr '30 09 06: 1Op John Volkmar 952-471 -3155 p. 2 Fox ct�r usE oxr.Y ,� , ,.$�,�j�•; P.O Bos 66fOri0 Dsle Recoived: � Pormit i! .� l� :,� ��'. . . a�so a�u��.� . r;y'Y. . Cryot�!Bsy.MN 55393 Apprwed BY_ Amount S:��, — l,lY�(E SS ���,���' �ss2��a�oo I,�.� S b CITY OF ORONO—PI.UMBYNG PERMIT �x��co�«�n���.e���a uy�B�aa�o��w o��> ENERAL INFORMATiON ]. You may apply for plumbing pecmits by mail or in pexson at the City offices. Applice4ions wi11 be reviewed and a peimit will be issued within two worlcing days. 2. Permit cards will be sent by reUua mail af�er a n�view is oomplete�l. PERMIT3 ARE NOT VALID UNi�.YOU RECEIVE A PERMIT• WORK 1VNST NOT BEGII�i i1NTII.THE PERMlT CARD IS POSTED ON THE JOB S1TE- 3. Plumbing permits may be issued ONLY to licensed plumbiag oontractors aad to properiy owaers rasiding in the dwelling. 4, Whm any new consavcdon or remodeling is involvod,a separate building permit must be obtained. 5. All work must be done in sccordance with State Code r8quirements. 6. All work must be iosp�c�d aa�d air testsd before it is oovered. Call(952)249-4600. (24-48 hour notice requYre� . TYPE OF PERMIT Check All That A t Q Residential ❑Commercial(Approval Reqtured) ❑New ❑Additional ❑RePairs �RePlace ❑ In Accessory Stn�chue? •You will need nriot aoaroval and may need_ .(Per Orono City Code,Chapter 78,Article IV) ob Site/Owner Information: Site Address: 2�Keliy Av Owner: �ohn volkmar 1Vlail;ng Address: 2saa iceny a�, Ci ���sior, MN Zlp: 55331 �� Home Phone: �952)471-8744 ���phone: (612)508-2006 Cantractor Informstion: Contractor: Myself Contact Person: John Volkmar Address: Staxe Bond#: Ciiy: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—C►�rre,nt: 1 Flpr '3b 09 06: 11p John Volkmar 952-471 -3155 p. 3 PLUMBING FTXTURES BEING IN5TALLED � 'rURE 83MT 1 2 OTHER FIXTURE BSMT 1 2 OTf-�R ypg FI, FI, . TYPE FL FL ater CloL � ��r�s �7 vT av8tory � � Sawer Ejector ni} Sin � I,auudry Trey hower � Washer ' hen Sink W�'H�'�T •y.pp� Wat,c['Softener 'shweshet Wet Bas illcocks M�e�O� PERMIT FEE CALCL�I.ATION(S) BASED OFF-2002 STATE STATUE Ycss,this section applies replacement of a Residential lixhue or suoliance that meeis all tl�ree of lh�following raquiremcnts: 1. �naquine modification to electrical or gas seivice. � 2. Has a total cost of$500.00 a�less;e c ' the cost of ihe fixnue or appliance:and 3. Is improved,installe�or replaced by the homoowaer or licensed contractor. Skip next section,if this applies; Cost of Perntit $ ]5.00 State Surcharge $ .50 • Mail In Fee(If Applicable) $ 2.00 Total Permit Fee �� (Pcrmit Fees Coatinned On Nest Page) Z � Rpr '30 09 06: 11p John Volkmar 952-471-3155 p. 4 PERNIIT FEE CALCULATION S -JOB5 OVER$500.00 above does not apply;follow guidelines below: 1. CONTRAGT PRICE •is 1.25%of coat=act price with a(Minimum Fee of$50.00) x.0125$ • (con4ul pri�x) (miaimum 550.00) Z. 3TATE SURCHARGE **Add.the State Bldg Code Div.Surcharge(Mioim�Fee of 5.50) x.0005 $ (coptrad price) (minim�m►S .50) 3. POSTAGE 8t HAI�TDLING(Only on Mail In Applications) � 2•� 4. TOTAI.PERMlT FEE(Add Lines 1-3 Above) $ * CONTRACT PRICE or JOB COST meaas tbe acbual or estimated dollar amount charged for the permit�tted work including materiels,tabor,profit,and other�ed costs.: It is tka�aimouut to be charged, to t6e customer for the worlc done. If any maferial,equiPment,labor or installacions are fvmished by the owner,tenant or.a�uy other party,the reasooable matket value of such items must be added to the � estimated cost or conhact price for peimit 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 actaal contract '*The STATE SURCHARGE is.0005 of the contract price undcr$1,000,000 or$.50-whichever is greater. For valuations over$1,000,000 call the Building DeparOmeat at(952)249-'4600 for the price. PLLJMBING PERMIT APPLICATION AGREEMENT � The undersigned hereby applies to t�e City for issuance of a Plumbing Permit, agnees to do all work in strict:accordance.with the ordinances of the City and the regulations of the State of Minnesota, and certifies that aJl statements made on this application are complete, true and correct. `.' /� .j �, � �� �� APPlic�t's Sig.nature: v. Date: `t,^' Reset Form . . . 3 .�- �l� ��� ✓ DATE TIME CITY OF ORONO CALLED IN / INSPECTION NOTIC SCHEDULED 9 /D.'DD PERMIT NO. O '�b�co PLETED ADDRESS � �`6 �G�-f� OWNER CONTR. TELEPHON E NO. v��'/f�l !/D< ��4� ���' ��8-��� � DESCRIPTION 7 `� (�• � � ❑ FOOTING p MECHANICAL ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ �'J PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO y COMMENTS: � W a � J O a � O � W � Q � Z W � W � � J d � I�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 4 hours in advance. (952) 249-46�� OwnerlContractor on site• Inspector. White Copyllospector's File Canary CopylSfte Notice le� i / �� � �� ✓ DATE TIME CITY OF ORONO CALLED IN ��,��� INSPECTION NO/T�yIC�E �,��n SCHEDULED �r`iG� _l,Q� PERMIT NO. �K,Q -��'IJ�COMPLETED �� � � ADDRESS .� OWNER;��I U(�I �'�YY�� CONTR. TELEPHONE NO. �I c�- —�G� —Z.DC��D � DESCRIPTION � UL �1 � ^ I � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP 0 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 ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED ROJ ECT COM PLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContract o ' �: Inspector. White Copyllnspector's File Canary CopylSite Notice