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Home My WebLink About2013-00298 - plumbing _ CITY OF ORONO * 2 0 1 3 - 0 P1 Z 9 S * 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2013 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3697 LYRIC AVE PIN : 17-117-23-34-0037 LEGAL DESC : NAVARRO : LOT 001 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WATER HEATER AND WATER SOFTNER VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 0.50 3670 DODD ROAD- SUITE 100 EAGAN,MN 55123- MAIL-IN FEE 2.00 �� TOTAL 52.50 OWNER ARONE,JOSEPH 3697 LYRIC AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conforma►�ce with the State Building Code.This permit may be revoked at any time for due cause. ��Y•'� " " / / / / Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � ,i .. � ��f 0�. FOR CTTY USE ONLY :�,L,�� Y Orono � p I'.0.Box 66 Date Received: Pennit# 2750 Kelley Parkway '� �' ° � Cn'stal Ba,y,MN 55323 Approved By: Amount$: �'t'} , o` (952)249-4600—Main �k�xOa�% (9�'_)249-�616—Fax ��'�� '�' Q'�Q%�T�—�TL.��`�r �'`+�s�� (All Commercial Permits l�lfars�be.Q.pproved by�he State Prior to City Approval) :/l�E�i,��-.si�.€�.�.�t�w/�'e::��r :t � ; � �. �,:�� E�e� F�.aa�:•eE�€�z�.;�� GENERAL INFORMATION - l. You may apply for plumbing permits by mail or in person at the City o�ces. App]ications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. @A'O��C 1F�F�JS"F'hi0'Y'�3��d1V UlY'�'PL,"�"T�L PERMIT C,4.R�3 pS�QST�g9 ON TE-��.�OB SY'P'E. 3. Plumbing pern�its may be issued ONLY to licensed plumbin�contractors and to property owners ?-esidi!��in tl;e dwellin�. 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 OF PERMIT (Check All That A 1 � �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? '�You�+�i11 need�rior anprova[and may need CL-P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Infoi•ination: SiteAddress: �� rIG �l� Owner�� ,��{� Mailing Address: ��i�/� c�n: �.� 1� z�p: �G �.�1 � , Home Phone: ��1 I� � $� Alternate Phone: Contractor Information: Contractor: 1 I ontact Person: �'l1 ,S � � Address: �� State Bond#: CItY� � �\�1 Zip��Expiration Date: Phone: � '`'J �^J' Alternate Phone: ❑ Insurance—Current: 1 7' r !� � ' � ' - , PLUIvIB1NG FIXTURES BEIN�INSTALLEI�: : : " FIXTURE BSMT 1 2� OTHER FI7%TURE BSMT 1 2 OTHER TYPE FL FL T1'PE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater , Disposal Water Softener I Dishwasher Wet Bar Sil lcocks Miscellaneous PERNIIT FEE CALCULATION.S ` O BASED`OFF-2002 STATE S3'�T�E. ', ❑ Yes,this section applies The replacement of only one Residential fia�ture or appliance that meets all three of the foliowin� requirements: l. 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. f s improved,installed or replaced by the homeowner or licensed plumbing contractor. Sl:ip next section,ifthis applies; Cost ofPermit $ I5.00 State Surcharge $ 5.00 Mail-Tn Fee(If Applicable) $ 2.00 Totsl Permit Fee $ (Pe�tn�t�'ees Cootti�uuec3 �n Ide�t Pa�e) 2 ' j � , PERMIT FEE CAL�LJL,A'I'IC}N � =JQ�S OVER$300:00 If above does not apply;follow guidelines below: l. CON'F'RfLC�'PFb�C� '�is ].25%of contract price with a(l�i�imum Fee of��Q.00) �Vv1�� x.0125$ 'JU� l�� (contract price) (minimum 550.00) 2. ST',4,T�S�1RC£�.��2�E X*Add the State Bldg Code Div.Surcharge(Tvbenimum�'ee of�5.00) �OQ � x.0005 $ o �O (contract price) 3. POSTAGE&HANDLING(Oniy on Mail-1n Applications) $ 2.00 4• �'(�T�.�,P�R.I�i'%'�'E�(Add Lines l-3 Above) $ �� ° * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernlitted worl: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 permit fee purposes. In the event that there is a dispute on the amount of ihe job cost, the City may request the submission of a si�ned copy of the actual contract. ° **The ST.ATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is geater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUIvIBi1�TG PERIVIIT APPI;ICATIO�T AGREEi�NT _ , The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strici accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that ail statements made on this application are complete, true and correct. '� ��-�` , il Applicant's Sionature: � Date: �1'' �� I� G�es�t �o�c~�a ` 3 �'� _�- � DATE TIME CITY OF ORONO CALLED IN "�p1� � INSPECTION NO�ICE ��CHEDULED ' - PERMIT NO.� � � —C�D� Oconn LETED ADDRESS OWNER TEL P �NO. ^��7� –�� CONTRACTO � �� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � a W ❑WORK SATISFACTORY:PROCEED •'g,PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �–`" ' � '` �� 1 , � White Copyllnspector's File Canary CopylSite Notice