HomeMy WebLinkAbout2009-00471 - plumbing CITY OF ORONO PERMIT NO.: 2009-00471
2750 KELLEY PARKWAY
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ORONO,MN 55356- DATE ISSUED: 08/10/2009
' 952 249-4600 FAX: 952 249-4616
ADDRESS : 255 LANDMARK DR
PIN : OS-117-23-23-0037
LEGAL DESC : BAYSIDE LANDING 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER
VALUATION OF PLUMBING 1800
APPLICANT PLUMBING FIXTURE FEE 50.00
STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 0.90
112ESTHST
SUITE 101 MAIL-IN FEE 2.00
CHASKA,MN 55318 TOTAL 52.90
(952)361-0128
OWNER
CASEY,MARK&KARENA
255 LANDMARK DR
LONG LAKE,MN 55356
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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.T'his 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.
1'he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
tevoked at any time fer due cause.
����'P �� / / / /
Applicant Permitee Signature Date Issued B gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
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O,�Q�� City of Orono , :
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P.O.Box 66 �I�G��vqd � P���T
2750 Kelley Parkway -
. �t_ ,''� Crystal Bay,MN 55323 �pp�t4x+e��y„ ���i�fT;[##t S
(952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial permitc must be approved by the Building Official or Inspector)
rJ�"��''����'Q�.���Q� ,
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. PERMTTS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE iOB 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)
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�Residential ❑Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑Replace
_ �
❑ In Accessory Structure?
*You will need urior anproval and may need CiJP.(Per Orono City Code,Chapter 78,Article I�
Job Site fQwn�er Inform��ar�•
Site Address: �S� ��tr��cr k �1 V e.
Owner: ��'e. I te- Mailing Address:
City: Zip:
Home Phone: ��"�76�6�3S' Alternate Phone:
: Contra�tor�nft�t�f�+an: ` � .,_.,
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Contractor: 5re�rk��5 �(ur,��..,s�G Contact Person: ��S
Address: ��1��'�� dv���I State Bond#: ��`1�6�s
City: e.�6�C ZipSs"3l� Expiration Date: �a-31�O �
Phone: 9�a'����ZS( Alternate Phone:
❑ Insurance-Current:
1
FIXTURE BSMT 1' 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet f Floor Drains
1
Lavatory ' Sewer Ejector
Bathtub Laundry Tray
Shower 1 Washer
f
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Siilcocks Miscellaneous
� Yes,this section applies
The replacement of a Residential fixture or�liance 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) $ 2.00
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 550.00)
l��p p0 Q-
X.oi2s$ �b
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $ 6 �r�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAI.PERMIT FEE(Add Lines 1-3 Above) $
���V u �o, y7v�
• * 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 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 pernut 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 actuai contract.
■ ** The STATE SURCHARGE is .0045 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.
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 n this application are complete, true and
correct.
Applicant's Signature: � i " Date: r � � `�
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CITY OF ORONO irv -/
INSPECTION OTICE SCHEDULED 9'
PERMIT N0�' � c MPLETED
ADDRESS �✓�✓
OWNER CONTR.V>`�G%2;�/�� �`�
TELEPHONE N0. l�r/ � `7 Sv�'– 3�Ol—DI4�O
� DESCRIPTION �� !
� ❑ 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 ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ �MBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� K SATISFACTORY:PROGEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
_�
Inspector. �
White Copylinspector's File Canary CopylSite Notice
� AT TIME , �
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CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �:C�
PERMIT N0.�'�"�4�� COMPLETED
ADDRESS c��J L Ql''Y'I{Y�r'��� •.
OWNER CONTR.C-�� � in V iM i i C �lu�ry�
TELEPHONE NO. Ja` ��D I - � (��
� DESCRIPTION '
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ 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 ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContracto s�te:
Inspector. <°��`` �'
White Copyllnspector's File Canary CopylSite Notice