HomeMy WebLinkAbout2010-00325 - plumbing ' � CITY OF ORONO PERMIT NO.: 2oiaoo32s
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: OS/10/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1030 LOMA LINDA AVE
PIN : 07-117-23-14-0056
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE:
PLUMBING FIXTURES: (1)EACH: WATER CLOSET,LAVATORY,SHOWER,KITCHEN SINK,DISPOSAL,DISHWASHER,AND
LAUNDRY TRAY
VALUATION OF PLUMBING 5495
APPLICANT pLUMBING FIXTURE FEE 68.69
WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 2.75
6501 COUNTY RD 15
MOLJND,MN 55364 TOTAL 71.44
(952)472-4966
OWNER
WOLLNER,LORI HUINKER&GARY
1030 LOMA LINDA AVE
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
r oked at y ti for due cause.
(
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Applicant Pe tee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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I �CITY USE ONLY
pA� City of Orono
O4 `r� P.O.Box 66 Date Receive �Q � Permit# ���'�' ��
2750 Kelley Parkway `
� � ;..•� Crystai Bay,MN 55323 Approved By: Amount$: �t'
L_ ` (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
�Err�x�,nvFox�u�Trort _
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 cazds will be sent by return 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 air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT ,
Check Al1 That A ly)
�Residential ❑ Commercial(Approval Required)
❑ New �Additionai ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need urior apuroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Inforrnation:
Site Address: /G 3 ey �-a"►�a �.�1 h r�� �(�l U�
Owner:�a^�� w ol h er Mailing Address: la 3c��-o�+q L�i tic�a i�v�
City: d fi+ a� p Zip:
Home Phone: Alternate Phone:
Contractor Inf4rma:tion:
Contractor: W e y-�o�,,�g Iv��h C ar►�'�h� Contact Person: ���4^C� �'n�`�-�Oh
Address: CcSal �-�y (�d (S State Bond#:
City: Mo�hc� �vt7v� Zip: ��`� ExpirationDate:
Phone: �J�2 -`-/'12—44Sq Alternate Phone: ���''Zo�-2�'�
❑ Insurance-Current:
1
.. `� `
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet p Floor Drains
t
Lavatory � Sewer Ejector
i
Bathtub Laundry Tray )
J
Shower � Washer
Kitchen Sink d Water Heater
{
Disposal � Water Softener
Dishwasher � Wet Bar
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of a Residential fixture or anvliance 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 secrion,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
, 1. •
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
S � °)S � X.oi2s$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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$1,000,000 call the Building Department at(952)249-4600 for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regularions of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � � �y O�vl�vv� Date: S l 1 Q �G
3
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DATE / TIME
CITY OF ORONO
INSPECTION NO�IC� �O _.DQ7v�D Ep ?-� ��3 �j
PERMIT NO. � COMPLETED
ADDRESS � ��J d C_-t$YY�9- C 1�'IC� �
OWNER ELEPHONE NO.
CONTRACTOR � �6YI, G—C.c �
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� DESCRIPTION �.7�� �`-'�"{3 ��S
lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
O ❑ 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
� ❑ PLUMBING RI ❑ SEPT�/FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�qYES_NO
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0 ❑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. �95Z� Z49-4600
OwnedContractor on ite:
lnspector. � -S
White Copyllnspector's File Canary Copy/Site Notice
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CITY OF ORONO CALLED IN �J
INSPECTION NOTICE SCHEDULED S-//-/D oZ:ofl
PERMIT NO. �dld -DO 3��COMPLETED
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OWNER TELEPHONE N0.9S�' �7 Z �{9$'9
CONTRACTOR ����Gt �(eCQ-'
�: DESCRIPTION /`-r /"L�� L^�
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� ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on s�#e:'
Inspector. � �� f��r.1 �
White Copy/l�spector's File Canary CopylSite Notice