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HomeMy WebLinkAbout2011-00113 - plumbing CITY OF ORONO PERM[T NO.: 20��-001�3 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 02/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 155 MAC.1���f1d�1�R �;��i:,;�k �i�)�l y r F �-Il PIN : 32-118-23-43-0016 LEGAL DESC : KINTYRE TWO : LOT 2 BLOCK I PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NO"I G: 13ASEMENT: 3 SILLCOCKS, I FLOOR DRAIN, 1 WATGR HLATER, 1 WATER SOFTNER, 1 Wf�I'I3AR 1 S7�FLOOR: 1 WC, 1 LAV,2 KPI�CHEN SINKS. 1 DISPOSAL, 1 DISEIWASHER, 1 LAUNDRY��RAY, 1 WASHER 2ND FLOOR:3 WC,5 LAV, 1 "I'UB,3 SHOWER VALUATION OF PLUMBING 32270 APPL[CANT PLUMBING FIXTURE FEE 403.38 SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 16.14 1 1473 KENYON COURT BLAINE, MN 55449- MAIL-IN FEE 2.00 (763)614-7963 MISC FEE 0.00 Minnesota State License#: 066807 PM TOTAL 421.52 OWNER ROLL& JACQUELINE WILLIAMS-ROLL, MICHAGL 75 FERNDALE RD N WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The�vork for which this permit is issued shall be perfonned according to ihe approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission fior additional or related work which requires separate pennits All provisions of laws and ordinances�overning this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at a�ry time after work has commenced. Thc applicant is responsible for assuring all required inspections are requested in confonnancc witl7 the.State I3uilding Code.This pennit may be revoked at any time for due cause. �i�J%L-Q.�-e �- � l � l Applicant Permitee Signature Date Issued By S'g ature ate SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO FOR CITY USE ONLY O¢p�O City of Orono P.O.Box 66 Date Received: Pe�mit# 2750 Kelley Parkway J � �.+''• �' Crystal Bay,MN 55323 Approveci By: Amount$: �o¢yc` (952)249-4600 �.. CITY OF ORONO—PLUMBING PERMIT (All Commercial perniit5 must be approved by the Building Official or lnspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City o�ces. 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 RECENE A PERMIT. WORK MUST NOT BEGIN iJNTIi,THE PERMTI'CARD IS POSTED ON TI�E JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dweliing. 4. When any new construction or remodeling is involved,a separate building permit must be obta ined. 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 1 ) �Residential ❑Commercial(Approval Required) 0 New ❑ Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need urior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article I� Job Site/Owner Information: 155 Mackinnon Drive Site Address: Kyle Hunt& Partners 18324 Minnetonka BLV[ Owner: Mailing Address: Ci : Deephaven Zi 55391 tY P� Home Phone: Alternate Phone: Contractor Information: Spring Plumbing Theresa Bialon Contractor: Contact Person: 11473 Kenyon Court 66057120 Address: State Bond#: Blaine 55449 12/31/11 City: Zip: Expiration Date: Phone: �763)614-7963 (763)229-1265 Alternate Phone: ❑ Yes Insurance—Current: 1 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTF�R TYPE FL FL TYPE FL FL Water Closet � 3 Floor Drains � Lavatory � 5 Sewer Ejector Bathtub � Laundry Tray 1 Shower 3 Washer 1 Kitchen Sink 2 Water Heater � Disposal � Water Sof�r►er � Dishwasher � Wet Bar � Sillcocks 3 Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require mod�cation to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the f'v�hue or appliance:and 3. Is improved,installed or replaced by the 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) $ 2A0 Total Permit Fee S (Permit Fees Continued On Neat Page) 2 ff above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum F�of 550.00) 32,270.00 x.0125$ 403.38 (contract price) (mieimum SS0.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) 32,270.00 x.0005 g 16.14 (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $421.52 ■ * CONTRACT 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 amourn to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner, tenant or any other party,the reasonable market value of such items must be added to the esrimated 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 contrac�t. ■ ** The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is geater. For valuations over$1,000,(?00 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 certif'ies that all statements made on this application are complete, true and correct. Applicant's Signature� (.t Date: �- {.! . +` �fl`,F 3 �`� �DAT TIME � CITY.OF ORONO CALLED IN 2 i' Z��I � INSPECTION N�TICE , -, SCHEDULED �f`�/ � � ��� PERMIT NO. � ~ �^+�`G�% ��-L �f � -� QMPLETED � �� � ; �.., 1 � � ADDRESS � 55 ��L� f�1�^���+� ,�, �(�"- _ _ OWNER��� TELEPHONE NO.� �'3 � �7�'S'-3 CONTRACTOR �'-`� ��-^^�-�^� � DESCRIPTION ����u�� _���e-'��^ lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �' f � � � r1 � �' W V� � Q � ' .�� Z W � � W � j d �SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED '! ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN 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 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice �� ^� �/��/I� TIME V CITY OF ORONO � CALLED IN INSPECTION NOTICE r� SCHEDULED l � PERMIT NO.�(�,�—l�� I � COMPLETED ADDRESS � r�� � � ���1-1 tr'� �l� OWNER TELEPHONE NO. � � � ���'� ��-'�� CONTRACTOR (G �l I� � �'�f --I��v�r,�b �� >; DESCRIPTION � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP�I9 FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�(YES_NO !\ � COMMENTS: � W � � J O a ��« /" / (� �� � O � W 5 � �TZ�� �-" �,t� � Q � z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: i �Inspector. �` White Copyllnspector's File Canary CopylSite Notice � � ATE / TIME � CITY OF O�O ��=i� �/ � INSPECTION�NOnTIC SCHEDULED � ' PERMIT NO.C.� �a��%3 OMPLETED � ADDRESS - OWNER T HONE NO. � —/� CONTRACTOR � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ 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 ❑ COMPLAINT � ❑ DEMO-SITE 0 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 � COMMENTS: e `� o /lil�1�c��i,��� TC S fi eJ f� � � � ( �. L- . � `S �/n.g � ��C�Q�-� C� � � 1� � .�O� �'� (ZC`�C� ✓V( Q � ��l v�` �'T ��c-1 5; �t�t t� z W � W � � �; �i 1 i�,� ����,r- �� �- �, � t �y��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (Q52� 249-46�� OwnerlContractor on site: Inspector. � "-� l � � White Copyllnspector's File Canary CopylSite Notice