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Home My WebLink About2009-00913 - plumbing . CITY OF ORONO PERMIT NO.: 2009-00913 ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssuEn: 12/2U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2605 LYDIARD CIR PIN : 20-117-23-14-0001 LEGAL DESC : APPLE HILL : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 ST FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER VALUATION OF PLUMBING 4800 APPLICANT PLUMBING FIXTURE FEE 60.00 POLAR PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.40 6087 46TH STREET N TOTAL 62.40 OAKDALE, MN 55128 (651)777-7525 PAID WITH CC# 9265 Minnesota State License#: 60828PM OWNER LERVIK, GARY MALTZEN& BONNIE 2605 LYDIARD CIR EXCELSIOR,MN 55331 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buiiding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,o�if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is on e or assuring all required inspections are requested in egnfor ce rth the State Building Code.This permit may be revoked at y e r e cause. r' / /�'' � Ap li nt er itee Signature Date Issued By Sig a ure ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . � � - FOR CITY liSE ONLY ' ,�0� City of Orono � P.O.Box 66 Date Received: Perniit# ' ��,, � 2750 Kelley Parkway a ! �� Crystal Bay,MN 55323 Approved By: Amount$: ��FrJ��,o �9sz>za9-aboo � ��, �sxo$ �j 6._.� CITY OF ORONO- PLUMBING PERMIT (All Commercial permits must be approved by the Building O�cial 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 pernut 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 PER�VIIT 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 Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP. (Per Orono City Code,Cbapter 78,Arricle IV) Job Site/Owner Information: � � Site Address: D �� i�� Owner: ��^y�'Yf "��.,,) Mailing Address: �',�►�•� �. City: ��cy Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: D� �f,�ac�t.-, Contact Person: �tp Address: �,��;7 �,� Si State Bond#: �E�L�'a��•�'J City: � � Zip:��Expiration Date: �n2�j%�f Phone: l�`.�j 777-7.$ZS Alternate Phone: ��y �/�3Z�1 S�L ❑ Insurance- Current: 1 �- � l PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet n Floor Drains pL Lavatory � Sewer Ejector Bathtub 1 Laundry Tray Shower / Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � PERMIT FEE CALCULATION(S) �� BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap lp iance that meets all three of the following requirements: 1. Does not require modificarion to electrical ar 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 � ti► � � � � �', '� � �PERMIT FEE CALCLTL TO �: °'�JOBS OVER$500.00 �.�� ^� �z � �� ,a.. °°�� If above does not apply; follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� OG� x.0125 $ (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 Applications) $ 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 pernlitted 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 ar 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 Buiiding Deparhnent at(952)249-4600 for the price. PLIJMBINGPERMIT APPLICATION 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: �2'� �(�� 3 �-`v �� < `�L� D TIME � CITY OF ORONO CALLED IN �� INSPECTION N TIC /f�C�'/�SCHEDULED .�� __1� PERMIT NO. V'� `�.JCOMPLETED � ADDRESS OWNER CONTR. U. TELEPHONE NO. GL�I�I-LL - �I al'- � �lo ` �OpZ � DESCRIPTION D� �'rL� � ❑ FOOTING � MECHANIC ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANI INAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUM8ING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W 0. � � O a � O � W � Q � 2 W � W � � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION AEQUIRED.CALLTOARRANGE ACCESS. Ca�l for the next inspection 4 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSRe Notice