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Home My WebLink About2009-00308 - plumbing . CITY OF ORONO PERMIT NO.: 2009-oo3os , 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 06/1 U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1225 LAKEVIEW AVE PIN : 10-117-23-24-0023 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 0.50 6030 CULLIGAN WAY MINNETONKA,MN 55345 MAIL-IN FEE 2.00 (952)933-7200 TOTAL 17.50 OWNER JOHNSON,WAYNE 1225 LAKEVIEW AVE WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any titn�t for due`cause. �%�¢'� � / / / / Applicant Permitee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OVE. � FOR CITY USE ONLY � City of Orono P.O.Box 66 Date Received: Permit# ` O4 �� 2750 Kelley Parkway ( �K'"�';-� A rovedB Amou�t$: ��yyy �� tf.,,... p.� Crystal Bay,MN 55323 PP Y `+� ��ra��G�� (952)249-4600 � � �EygO � CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 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 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 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 1 �Residential ❑Commercial(Approval Required) lew ❑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/Owner Information: Site Address: ��s �^�^-�� -W � Owner: �ay�. -) ��`nS�''� Mailing Address: city: zip: 55 3 9 I Home Phone: �5�- �I��! - a4 a ( Alternate Phone: Contractor Information: Coi�tQ�r• Contact Person: ►1��i �01w��9 GA NDITIpN1NG 6Q3U CULLIGq1�i WAY State Bond#: AddressM��y�y � 5345 �9�2! 9�3-7�0 City: �Lip: Expiration Date: Phone: Alternate Phone: q5a • �7�o� - �3 /� ❑ Insurance-Current: , 1 � � � � PLUMBING FIXTURES BE1NG INSTALLED �� ` FIXTURE BSMT 1 2 ° OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener f Dishwasher Wet Bar Sillcocks Miscellaneous �� PERMI'I' FEE CALCULATION(S) � �� BASED OFT -��2002 S"I'ATE STATUE � � �� Yes,this section applies �� The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 . PERMIT FEE CALCULATION S -JOBS 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$35.00) x.0125$ (contract 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) $ �Q �• �0 4. TOTAL PERMIT FEE(Add Lines 1-3 .Above) $ 1 ( ' S � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollax amount charged far 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. PLIJMBING PERMIT AI'PLICATION AGREEMENT ` � ' 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: 5 ' c�'� • �q �`� Reset Form �� . � 3 �� Cy� �DAT� TIME CITY OF ORONO CALLED IN � INSPECTION NOTI E SCHEDULED - g /;3O PERMIT NO. �� COMPLETED ADDRESS � OWNER G��D.�-K.dd�;t CONTR. �G�� TELEPHONE NO. 9�a��7 D��-� � DESCRIPTION �II �t — l.C�� J � � FOOTING p MECHANICAL RI ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDAT�ON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � d � �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. � 1 J'� ` �� White Copylinspector's File Canary Copy/Site Notice