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HomeMy WebLinkAbout2011-00196 - plumbing 3 CITY OF ORONO PERMIT NO.: 2011-00196 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 2585 OLD BEACH RD PIN 21-117-23-22-0020 LEGAL DESC THE MARSH AT LAFAYETTE LOT 007 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, I LAV, 1TUB VALUATION OF PLUMBING 1390 i APPLICANT PLUMBING FIXTURE FEE 50.00 PROFESSIONAL PLUMBING SOLUTIONS STATE SURCHARGE PLBG(VALUATION) 5.00 5730 170TH LANE RAMSEY,MN 55303- MAIL-IN FEE 2.00 (763)245-9049 MISC FEE 0.00 TOTAL 57.00 PAID WITH CC# 9551 OWNER BISHOP,LUZ 2585 OLD BEACH RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 9sa-ayp(11M6 0, City of Orono : Foil M'U89 ONLY P.O.Box 66 O 0 2750 Kelley I'arkway Date Rfoeivai:�r pemit 0 QWW BOY,MN SS323 (952)249600 '� By. Amotimc$: CM OF ORONO-PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) .dli.mn. ov/CCLD/PDP! a piumbiblanrevapp, d GENERAL]NFORMATION i 1. You may apply for plumbing permits by mail or In person at the City reviewed and a permit will be issued within two Working days. ofgces. Applications will be 2. Permit cards will be sant by return mail after a review is completed. PERMIT$ARE NOT VALID UMX YOU RECEIVE A I?mwr. w0)E x NuSTOT BEGIN UNTIL PXRAGT CARD LS POSTED ON THE JOB S>[T$. contractors and to 3. plumbing permits may be issued ONLY to licensed plumbing residing in the dwelling, property owners 4• When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordanoe 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.PERMU Check All That A l Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs f�Replace ❑ In Accessory Structure? *'Y'ou will need cior a oval and may need(2R.(Per Orono City Code,Chapter 78,Article IV) rob Zit -POwner.Information:. Site Address: e2 nos— owne : / Mailing Address: ,e� city: UUrt/ Zip: Home Phone: a 3 78=3 ff.Zc/ Alternate Phone: Contractor Information: fbTxsf►•v�4 Contractor: �(�,f,6 .S�LcraZ»s Contact Person,: Address: �3v 17d (,t State Bond#: fid City: 4'"'i' — Zip:,l Expiration Date: _/— /-o1,0 Phone: 5b L19 Alternate Phone: Insurance current: 31C y7,f b0/Z0 3E)Vd bSZZ MOTS Sdn 3Hl 80091ZV69L LO:60 ZIOZ/170/t o FD�TURE TYFB BSMT 1 2 OTM FIXTCTIZE BSMT 1 Z FL FL TYPE 1rL YLOTAER Water Closet I Floor Drains Lavatory I Sewer Ejector Bathtub Laundry Tray Shower Washer Xitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Siueocks Miscellaneous i r 4 lip. vE. 5Ern.£,py��u+aM .. fN ,�• .±Y.. � r�—��!' M lea'•' ��� •• �.i.1P��tl •Pp'rl•. . 4 � • • r �P1�f�{I���p�'',r}y��•r •J> u0.r. � '��Q/ �� �4r�"r4•ai'lU ti4'' 't'• a r. ❑ Yes,this section applies The replacement of only ane Residential fixture requiretnents: ora 'ante that meets all three of the follow' ni 1• Des not rewire modification to electrical or gas service. Z. Inas a t o0 of$500.00 or less; 1 the cost of the fixture or 3• Is improved,installed or replaced by the homeowner or licensed plumbingimme: r. Sldp next seeticry if this applies. Cost of Permit State Surcharge $5 .00 Mail-In Fee(If Applicable) g .00 Total Permit Fee $ (Permit Fees Continued On Next page) 2 00/60 30Vd OSZZ 360iS Shc 3Hl BV09TZV69L LO:60 TTOZ/00/00 J cllu If above does not apply;follow guidelines below: 1. 99MI—RACTPR is 1.25%of contract price with a(Minimum Fee of SS 00) 3qv = x.01z5$ (cont,aesprice) (minimum .00) 2. STATE SURCHARGE * Add the State Bldg Code Div.Su rcharg (;Mluimun Fee of SS.00) V--7- x.0005 $ , (conaact price) (mininsum s 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) 4. TOTAL PERMIT ,=(Add Lines 1-3 Above) S • �' CONTRACT'PRICE or JOB COST means the actual or estimated dollar amount charged for the Permitted work including materials,labor,pro#lt,and other fitted costs, It is the amount to be charged to the customer for the work done, N any material,equipment,labor or installations are furnished by the owner,tenant or any other parry,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 re the actual contract, The STATE SURCHARGE is,0005 of the contract price under$1,000,000 or$5.00–whichever is lr '• For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price, •qS.'.�,ffi,: �', ',v6 •,• .T�T�PE��L-riUJ"Ltvrl'A1Y.. 'i � ;'p� .k, ,:",a! 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 oil this application are complete, tree and correct. PP cants Signature: Date: 3 00/00 39Vd USZZ 3801S Sdn 3Hl SP09TZV69L LO:60 TIOZ/b0/00 AT TIME CITY OF ORONO CALLED IN INSPECTION NOTICEQ SCHEDULED - - PERMIT NO. P 9//� — COMPLETED ADDRESS a 2:5 Md 6 62 ifk 9d OWNER TELEPHnNE NO. 763—2-'l 5-9-0 1 CONTRACTOR L —'�6�V-) DESCRIPTION xr ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING It Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o� COMMENTS: W a J O O W W cc Q 2 W Z W � AA 1�WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑`CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ORATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site Inspector. ,moo White Copy/inspector's File Canary Copy/Stte Notice E)0 5o DATE TIME CITY OF ORONO CALLED IN .-1 Z_ INSPECTION NOTICE SCHEDULED S-Z tf 6 PERMIT NO.J6 400I19GC 6 COMPLETED � IA ADDRESS 0251S D ICI eazo(., OWNER TELEPHONE NO.763 Z�5 6 p 0 R CONTRACTOR © �/" Qrkj j, DESCRIPTION 0&ft+ L'�C. W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS r7 ❑ 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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ac W a j O W O 2 W cc Q 2 W z W cc �/ /O RK SATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED //❑ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next Inspection 24 hours in advance. (952) 249-4600 OwnedContractt ite, Inspector. White CopyMspector's File Canary CopylSite Notice