HomeMy WebLinkAbout2015-00638 - plumbing CITY OF ORONO * 2015 - 00638 *
2750 KELLEY PARKWAY DATE ISSUED: 05/20/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 2490 OLD BEACH RD
PIN 21-117-23-22-0005
LEGAL DESC SHORE HILLS
LOT 004 BLOCK 000
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 8 WATER CLOSET,4 LAVATORY, 1 BATHTUB,5 SHOWER,2 KITCHEN SINK,2 DISPOSAL,2 DISHWASHER,6 SILCOCKS,
4 FLOOR DRAINS,2 LAUNDRY TRAYS,2 WASHER, I WATER HEATER,WATER SOFTNER R/I, 1 WET BAR
VALUATION OF PLUMBING 74155
APPLICANT PLUMBING FIXTURE FEE 926.94
STATE SURCHARGE PLBG(VALUATION) 37.08
B&D PLUMBING&HEATING INC. MAIL-IN FEE 2.00
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- TOTAL 966.02
Payment(s)
(763)497-2290
CHECK 550390 966.02
OWNER
MCINTEE,SHAWN&JACQUELINE
2490 OLD BEACH RD
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 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,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 due cause.
Applicant Permitee Signature Date Issued By Signature Date
FOR CITY USE ONLY
. �259of Orono C
P:Box 66 Date Received: 5 21.E Kermit# 7C�1 S—(7
P
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: 1�t' Amount
(952)249-4600—Main
(952)249-4616—Fax
tiF ` CITY OF ORONO-PLUMBING PERMIT s5 0 3CO
`g0SHO (All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.2ov/CCLD/PDF/pe plumbplanrevapp. df
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit 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 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 prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: J226
Owner: Mailing Address: 540-15
City: O tc;'Q Zip:
Home Phone: Alternate Phone:
Contractor Information: 71
Contractor: 20 lam '..el Contact Person: ac�
Address: yIUS Ottk&�Cle 64 OE State Bond#: lMB cx� 3o I LP
City: 5 -64icltoj Zip:S's�32 Expiration Date: -7 1
Phone: - b'S DI-22?0 Alternate Phone: (6a)3-21- D32q
R Insurance-Current:
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT IST 2 ND OTHER FIXTURE BSMT 1 2 NU OTHER
TYPE FL FL TYPE FL FL
Water Closet n 2 q Floor Drains l
Lavatory o1 Z Sewer Ejector
01
Bathtub ( Laundry Tray
Shower ' Washer '
Kitchen Sink 2 Water Heater '
Disposal Z Water Softener
Dishwasher ' Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF- 2002 STATE STATUE
❑ 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;excluding the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,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 Next Page)
2
PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
7Y, 1SSr'00 x .0125$ g2(p.Qy
(contract price) (minimum$50.00)
2. STATE SURCHARGE
-7 ql IS-67,00 x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ q(,r-oz
■ * 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.
PLUMBING PERMIT 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:
3
j�
DATE TIME/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.,tea 1 S'--0Q 9 COMPLETED
ADDRESS a Ll 9 A
OWNER TELEPHONE NO(acR -J2 OJ?ZS<
CONTRACTOR 8 41-2 1-2/a A-
3Z DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL t,�UMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑fPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNEWCONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR [I CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /v=--
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CITY OF ORONO CALLED IN D� �
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
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ADDRESS .j_
OWNER TELEPHONE NO. '/Z 3 Z? 4
CONTRACTOR [f /
DESCRIPTION ��� S LI CY.-
W ❑ FOOTING -1 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL MBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: fES_NO
COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO 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. (952) 249-4600
Owner/Contractor_on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY' F ORONO CALLEDIN
INSPECTION NOTICE SCHEDUL
PERMIT NO. Z(WL CO1053' COMPLETED
ADDRESS X00 ow 4k
OWNER TELEPHONF NO. - - 2%
CONTRACTOR -f n Lww6
DESCRIPTIONS 1Yl�lI� �� ---
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
QEl WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ VPTIC INSTALL
2 OWNERICONTRACTOR TO M,.EEZ YOU: YES_NO
COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
ion 24 hours in advance. (952) 249-4600
(Contractor on
Inspect
ite Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED z �'
PERMIT NO. 7 01 5-Ct C&39 COMPLETED
ADDRESS Z V 2 0 L/Ll
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
ti ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
L] STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours i idvan ) 249-4600
Owner/Contractor on site:
Inspector.
White CopylInspector's File (-.,-,Canary CopylSite Notice