HomeMy WebLinkAbout2010-00349 - plumbing �
+ CITY OF ORONO PERMIT NO.: 2010-00349
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: OS/13/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 700 NORTH ARM DR
PIN : 06-117-23-43-0003
LEGAL DESC : AUDITOR'S SUBD.NO.362
: LOT 002 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : 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 2.00
�� MISC FEE 0.00
Minnesota State License#: 61770PM TOTAL 17.50
OWNER
HARTY,GREGORY
700 NORTH ARM DR
MOiJND,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 Ciry 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
shali 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for duecause.
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Applicant Permitee Signature Date Issued B ignature e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
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FOR CITY USE ONLY
�`�� City of Orono
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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 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 properiy 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 A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need arior auuroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: `
Site Address: � �C� 1 V�r� � r �� D�_
Owner: � Mailing Address: �a��`�
City: Zip:
Home Phone: ��2��"�2^��.Q� Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Address: #61770-PM State Bond#:
3670 Dodd Rd.
City: Eaaan, MN$�23 Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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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 I
Disposal Water Softener
Dishwasher Wet Baz
Sillcocks Miscellaneous
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� Yes,this section applies
The replacement of a Residential fixture or appliance 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 section,if this applies; Cost of Permit $ 15.00
State Surchazge $ .50
Mail-In Fee(IfApplicable) $ 2.00
Total Permit Fee $�Q
(Permit Fees Continued On Neat Page)
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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$50.00)
x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Min;mum Fee of$.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
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 aze fumished by
the owner,tenant or any other party,the reasonable mazket 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 Building Deparhnent at(952)249-4600 for the price.
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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.
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ApplicanYs Signature: ,,,� ""� Date:
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INSPECTIO�jNO�TICE SCHEDULED � -71 f 1� �
PERMIT NO.`--"'�� ��3�9 COMPLETED
ADDRESS ��O . �-r
OWNER`""�� ��Z ��� —3 TELE HONE NO.
CONTRACTOR C ha rn�i tm �� l.l,l'Yl�'j ,
�: DESCRIPTION ��`t � � ��"Q��r ����
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ 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
J ❑ PLUMBING RI ❑ SEPT,�Q FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:A YES_NO
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� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on sit -
Inspector. ��'�
White Copyll�spector's File Canary CopylSite Notice