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Home My WebLink About2008-00157 - plumbing CITY OF ORONO PERMIT NO.: 200�00�5� - 2750 KELLEY PARKWAY � • � ORONO, MN 55356- DATE ISSUED: 08/20/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2625 LYDIARD AVE PIN : 20-117-23-14-0003 LEGAL DESC : APPLE HILL : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 0.50 3670 DODD ROAD-SUITE 100 EAGAN,MN 55123 MAIL-IN FEE 1.50 () TOTAL 17.00 OWNER JOHNSON,DAVID&AMBER 2625 LYDIARD AVE EXCELSIOR,MN 55331 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 governing 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 1 SO 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 confoanance with the State Building Code.This permit may be revoked at any time for d�e cause' ��t,ec'`.� !�, i i 8i N i �� Applicant Permitee Signature Date Issued By ' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBE ABOVE. . CITY OF ORONO APPLICATIQN FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards 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. �. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and a.ir tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New Addition Repair ✓ Replace �/ Residential Commercial JOB SITE:� Z(o`Z� �/(,(1�1(C� f�� Zi �j � , p: O«-ner's Name: �a,�/� �Sah n 0►1 Telephone Number: QS'�_ t��- �S Mailing Address: _Sam� ��+en City: (?(DhU Zip: SS 3 3� Contractor'sName: _ �5�-�6 -� 4p TelephoneNumber: Nlailing Address: 3670 Dodd Rd. #100 Ci : Eagan, MN 551 - � Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavato Sewer E'ector Bathtub Laund Tra Shower Washer Ki[chen Sink Water Hzater Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) 3�� 33 � �� . • PERMIT FEE CALCULATION(S) 2002 State Statute �Yes, This Section Applies The replacement of a Residential fixture or a liance that meets all three of the following requirements: 'r 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $� 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35 00) x .0125 $ (contract price) (minimum $35.00) 2. State Surchar�e. Add the State Buildin Code Division a � ** g (Minimum Fee of$ .50) . x .0005 $ (contract price) (minimum $ .50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 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 installation are furnished by the owner, tenant or any other party the reasonabie 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 - whiche.ver is greater. For valuations over$1,000,000 call the Department of Inspection Services 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'fihis application are complete, true and correct. � Applicant's Signature: �` �� S_ Date: g � � �/� DATE TIME � CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED �� PERMIT NO. �?ODS-0�15� COMPLETED ADDRESS �/o cZZ�.S �l/�!�/'Y� /°t'//'�!'lu'� OWNER��s�2s�CONTR. TELEPHONE NO. - �'1 -" � DESCRIPTION � ��2%�C�v � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMINCa ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q I�AL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE p SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J �PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO ��., COMMENTS: � W a � J O � � O k W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on ite: Inspector. .! White Copylinspector's File Canary CopylSite Notice