HomeMy WebLinkAbout2013-00930 - plumbing iiiiiiiiiiiiiiiiiiiiiillillillillill
CITY OF ORONO il
* 2013 - 00930 *
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2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013
ORONO,MN 55356-
(952)249-4600 FAX: 952)249-4616
ADDRESS : 2535 OLD BEACH RD
PIN : 21-117-23-22-0019
LEGAL DESC : THE MARSH AT LAFAYETTE
: LOT 006 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BSMT: 1 WC, 1 LAV, 1 SHOWER, I KITCHEN SINK
VALUATION OF PLUMBING 4600
APPLICANT PLUMBING FIXTURE FEE 57.50
STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 2.30
112 E 5TH ST
SUITE 101 MAIL-IN FEE 2.00
CHASKA,MN 55318 TOTAL 61.80
(952)361-0128
OWNER
CODUTE,TOM&ALICIA
2535 OLD BEACH RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the$tate Building Code.This permit may be
revoked at any time for dqe cause.
Applicant Permitee Signature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER T14AN DESCRIBED A13OVr.
FOR CITY USE ONLY
City of Orono
P.O.Box 66 Date Received: Permit#
Q 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
A
(952)249-4616—Fax
F CITY OF ORONO—PLUMBING PERMIT
`9k£S HO�� (All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.izov/CCLDIPDF/i)e lumb lanreva 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 04 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:
Owner: QOCkV } I�f J Mailing Address:
City: Zip:
Home PhoneAlternate Phone:
Contractor Information:
Contractor: SYet�.l � f��v�Et Contact Person: OLS /4L 0CLl1 r�
Address: NL>-SA-"5't sv%t-'— Kot State Bond#: G
City: �- "S Kc, Zip:65-345- Expiration Date: / 3
Phone: 9b 1-o I ZY Alternate Phone:
Insurance—Current:
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT IIT 2 ND OTHER FIXTURE BSMT 1 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub 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 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$50.00)
y ,o =- ct,,
x.0125$ �1 `�
(contract price) (minimum 550.00)
2. STATE SURCHARGE L46mo`" 3
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ' 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ y I 1 Kb
■ * 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
DATE TIME
OF ORONO WALLEDIN 42"7
INSPECTION NOTICE SCHEDULED �! • �
PERMIT NO. X1.3 _ 602D COMPLETED
ADDRESS 253: t5 Old
OWNER TELEPHONE NO �l
CONTRACTOR c� ElJ?/lam-Ct� '
a DESCRIPTION //?
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI F L ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TOMEET YOU ES_NO
COMMENTS:
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C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR F1 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 Copy/Inspector's File Canary Copy/Site Notice
ar— DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONTI E SCHEDULED / i ✓7�'/V�
PERMIT NO. "� COMPLETED
ADDRESS 0?53-5" 4521C1G�
OWNER TELEPHONE NO. g�Z ✓�� Q`�0
CONTRACTOR / C -4
DESCRIPTION �L&Wtt�
❑ FOOTING ❑ PLUMBING FINQ ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z EJINSULATION ❑ WOOD BURNER/FIREPLACE LJ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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LU ❑WORK SATISFACTORY:PROCEED0"6J—ECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Q BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.- (�ke���
White Copy/Inspector's File Canary Copy/Site Notice