HomeMy WebLinkAbout2010-00284 - plumbing CITY OF ORONO PERMIT NO.: 2010-00284
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE 1ssuEv: 04/29/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3554 LIVINGSTON AVE
PIN : 17-117-23-43-0148
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 003
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: I WC, 1 LAV, 1 SHOWER
VALUATION OF PLUMBING 2200
APPLICANT PLUMBING FIXTURE FEE 50.00
GRUPA MECHANICAL CONTRACTORS INC. STATE SURCHARGE PLBG(VALUATION) 1.10
12180 197TH COURT NW
ELK RIVER, MN 55330 TOTAL 51.10
(763)441-5360 PAID WITH CC# 5918
Minnesota State License#: 059138PM
OWNER
MEIER, RYAN
3554 LIVINGSTON AVE
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws and ordinances governing this type of work
shali be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in confor e with the e Building Code.This permit may be
revo ti fo cau
�� �29 � �o �r � �
Applicant Permitee Signature Date Issued By g ature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV
� FOR CITY USE UNLY
� O,¢p�,O City of Orono
P.O.Box 66 Date'Received: Permit#
2750 Kelley Parkway
� Z. ,, � Crystal Bay,MN 55323 Approved By: Amount$:
�by (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial pern�its must be approved by the Building Official or Inspector)
GENERAL:INFQRMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications wili be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by reriun mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE 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 au tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE ��'PERIVIIT '
Check A11 That A ly)
[�Residential ❑ Commercial(Approval Required)
❑ New 0 Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior auproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: '
Site Address: �ss7 1,I V t n437 v+r1 f'iv 6-
Owner: C �(� mC�� Mailing Address:
City: �P�.�p Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �2UPa (1�ECupnkg� Contact Person: ��� Vt�ZVP�
Address: )2180 -Ig7'�cr.�'1��J• State Bond#:
City: CLtC �v� Zip:�'S33D Expiration Date:
Phone: �L3 -�y�'�3f�o Alternate Phone:
❑ Insurance—Current:
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory ,/ Sewer Ejector
Bathtub Laundry Tray
Shower �/ Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requuements:
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 Nest Page)
2
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$ s0,�
(contract price) (minimum$50.00)
2. STATE SURCI�ARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
X.000s $ . 5b
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 'Jr� ,SO
• * 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
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 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.
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: '��- �O
3
�— l.�DATE TIME �
CITY OF ORONO CALLED IN ! ��
INSPECTION NOTICE SCHEDULED _S -.3'/v '.��
PERMIT NO.��D —OG�By COMPLETED
ADDRESS .355� L� v��1���� �C��
OWNER TELEPHONE NO.�b� �� � S36v
CONTRACTOR G�U�� ,/�e��
>; DESCRIPTION �'� P�������/
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAI
O ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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:�j�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALI 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 inspe�tion 24 hours in advance. (952� 249-4600
OwnerlContractor on site: �' �'
; � , � ,, ,.``a`
Inspector. � .; �_� ; .J_��_�
White Copyllnspector's File Canary Copy/Site Notice