HomeMy WebLinkAbout2011-00179 - plumbing ' �• CITY OF ORONO PERMIT NO.: 2011-00179
. 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 03/29/2011
� 952 249-4600 FAX: 952 249-4616
� ADDRESS : 4415 NORTH SHORE DR
; PIN : 07-117-23-43-0017
I' LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 018
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLBG FIXTURES: (6)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(3)SHOWES,(1)KITCHEN SINK,(1)DISPOSAL
` (4)SILLCOCKS,(3)FLOOR DRAINS,(1)LAiJNDRY TRAY,(1)WASHER,(2)WATER HEATES,(1)WET BAR(3)MISC FIXTURES
VALUATION OF PLUMBING 44580
APPLICANT PLUMBING FIXTURE FEE 557.25
WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 22.29
6501 COLTNTY RD 15
MOLJND,MN 55364 TOTAL 579.54
(952)472-4966
OWNER
� TWOMEY,DAREA&CHRIS
150 2ND STREET NE
MINNEAPOLIS,MN 55413-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conform ce ' the State Building Code.This permit may be
revoked at�ny time or cause.
�L�s 4 /� l � � � � 1 �� ��
Ap ip c t Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
,i
. FQ USE�NLY l 9
,d,� Ci of Orono 9 //� 7
y � P:Box 66 Date Received / � Permit# �U<r
��L, � 2750 Kelley Pazkway �
� +��2'3�'� Crystal Bay,MN 55323 Approved By: Amouat$:_�`�,,�'
°��� (952)249�600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
h ://v�wv�.all�.mre. ov/CCL.DIPI)F/ e l�ab ianrev� . cif
GENERAL INFORMATTON
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 UNTII.YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE
PERNIIT 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 QF PERNIIT
Check All Tha.t A 1
�]Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior annroval and may need CLTP.(Per Orono City Code,Chapter 78,Article I�
Job Site/Owner Information:
Site Address: �7�� Iu�P�� ���F� �f �
0
Owner: T�O ��-X� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: L�p���, G���'� Contact Person: �rc� l�'Io�r r s'�
r--
Address: ��l �- � < C S State Bond#:
City: j����� Zip:���YExpirarion Date:
Phone: �-���-�/�j�! Alternate Phone: �S-�'��-�- ����
❑ Insurance-Current:
1
PLUMB�NG FI�TURE��BEIl�+TG INSTALLED
FIXT'LTRE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �
Lavatory � � Sewer Ejector �
Bathtub I Laundry Tray _
Shower � Washer . �
Kitchen Sink � Water Heater �
Disposal Water Softener
Dishwasher Wet Bar '
Sillcocks f�,j Miscellaneous �
�
�E�r��c�,cvl;��ort�s�
BASED fJFF-.20�2 STATE�"fiATCJE
❑ Yes,this section applies
The replacement of only one 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;excludinQ the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Neat Page)
2
PERMIT FEE�.ALC�7LATION S -JOB5 OVER$SQQ.4�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
!-/,���� x.0125$
'(contcact price) (minimam$50.00)
2. STATE SURCHARGE "`*Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00)
x.0005 $
(conuact price) (minimnm$ 5.00)
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 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 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$5.00—whichever is
greater. For valuarions over$1,000,000 ca11 the Building Department at(952)249-4600 for the price.
PLUMBING PE;RMIT APPLICA�`ION 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 aze complete, true and
correct.
Applicant's Signature: 1 ` Date: J=� � �
l�ese� Farrr�
3
+' � DATE TIME
CITY OF ORONO CALLED IN ���'� �l I
INSPECTION N T10E SCHEDULED �" � L�` '
PERMIT NO. ���� �� -�������� connP�ErEo
ADDRESS �-�-L-�j I �� �; � ��1��C' I��1�
OWNER TELEPHONE NO.u��°� �� `� ��c��
CONTRACTOR ��� �-�='E�UYI�� ���
!� �j
�: DESCRIPTION �'t'�'`'�''�'�1 � ? �
�
� ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SE T C FINAL ❑ FOUNDATION/REMOVAL
� OWNER/COI�ACTOR TO MEET Y�U�YES_NO
� COMMENTS:
�
W
a
j �� �— �
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pH0T0 TAKEN
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
OwnerlContractor on s' e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
� ��� � D E TIME
CITY OF ORONO CALLED IN
INSPECTION��6�E���79 SCHEDULED l�' / ll.BD
PERMIT NO. COMPLEfED
ADDRESS -S G�,�� �G���- �I�
OWNER T EPH E NO.�D3-� `�'' �59
CONTRACTOR � �, , ���-
� DESCRIPTION ! _�./�''�
� ❑ FOOTING ❑ PLUMBING N ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANIC RI ❑ LAKESHORE/WEfLANDS
y ❑ 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 ❑ SEPTIC FIMAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
W
a
� � � � � �O�✓� �►
� , ,
� S � � �� � ���
0
�
W
�
Q
�
2
W
�
W
�
j
Q��RKSATISFACTQRY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOflARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
tNSPECTOR WFLL RENRW
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE(}UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
Owmer/Contractor on site:
Inspector. � �
White Copyllnspe�.Nor's Flle Cenary CopylSfte Notice
,�(I �^ AT TIME
C
�CITY OF ORONO <>�vJ ca�LED IN ���-�/l I
INSPECTION NO�,CE SCHEDULED // �
PERMIT NO. lO ���J COMPLETED
ADDRESS �� � � - ���7�P <l�`� �
OWNER TELEPH NE NO. J� � �a -��
CONTRACTOR �'�``Z YI�Q�'/� .'
� DESCRIPTION ^ � I ' �� /'�
�
� ❑ FOOTING ❑ PLUMBING FINAL XCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 ❑ SEPTICJ INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPl�f,G FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_,�YES_NO
� COMMENTS:
�
W
�
o , � 1/v� � � �,S' �—A v�.� 7--
� �-' � � ,�e'C S . � ��� � ec�
o �
� _ 1 �v f �'`.c._�n � 't""� � �� � ►� �l.,rG c> M
Q �i �� I I l� �T' 1—� .c�' � t
�
z
W
�
� lrL1 r-�nr, �.�,�--�f.� � ��
� '�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIOtV REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector. �j /���
White Copyllnspector's File Canary CopylSite Notice