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HomeMy WebLinkAbout2008-00330 - plumbing • CITY OF ORONO PERMIT NO.: 2008-00330 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/27/2008 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1100 OLD CRYSTAL BAY RD S PIN : 09-117-23-14-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES INCLUDING FOR THIS PERMIT-HORSE BARN&TACK ROOM (1)WATER CLOSET,(1)LAVATORY,(1)KITCHEN SINK,(3)SILLCOCKS,(5)FLOOR DRAINS, (2)LAUNDRY TRAYS,(1)WASHER AND(2)WATER HEATERS VALUATION OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 37.50 DOLDER PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 1.50 404 GREEN AVE SE TOTAL 39.00 WATERTOWN,MN 55388 (763)479-1942 OWNER GRAHAM,ROBERT GUMNIT AND FRANCES P.O.BOX 85 CRYSTAL BAY,MN 55323- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The appli • t is responsib for assuring all required inspections are request.• onforman with the State Building Code.This permit may be revok j j r••y t' due cause. //A /✓J a , z7, o7 /o d7,08' Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r • . FOR CITY USE ONLY le04- City of Orono O, G P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: r. .:c i (952 )249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official 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 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) 0 Residential ❑Commercial(Approval Required) ig New ❑ Additional/ El Repairs ❑Replace ❑ In Accessory Structure? CIO i c geu-A, 4 �c rooms *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site I Owner Information: Site Address: mOQ Oh2CryShC l / e.,' Owner: (f 417 5 6v //be•-f"6--Mail ng Address: //c O/Rerisip/t f 'ty /il City: ©v07-L? Zip: SS"3,1 Home Phone: Alternate Phone: Contractor Information: Contractor: 77r,r''/Ua�4 ��'(�1 Contact Person: 17O ' � oleo Address: V 6re-c.7 /4✓0 C• State Bond#: City: UaT� wti Zip: S5?p$Expiration Date: Phone: 7‘i-- -/94/2. Alternate Phone: 6/2—X87-e -g1' ❑ Insurance -Current: eed :inf4f,'Ai,e e Co_ 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains Lavatory / Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink ® Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks 3 Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excluding 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 Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . ft {.;_.. PERMIT_. .. . £ CALCOLATI,I )-JOBS OVER S500.00 {` `c If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 3r6®� d2-417) x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 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$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. P ' ,. { APPLICATION AGRE ,_. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: lo' 7 e Reset Form 3 D•TE TIME CITY OF ORONO CALLED IN /0 Ask7 b B' INSPECTION NOTIC SCHEDULED /O - 7 OS e'O`z, PERMIT NOc061 �0 COMP ETED n 100 II-XL- te. ( ADDRESS ��� OWNER C TR.mil% /_'i_L / iTELEPHONE NO. � -gV&5 E DESCRIPTION ' 1 ' ..g.&_ /°/'/ ,-i (;) Lu 0 FOOTING D MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q 0 FRAMING 0 MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL Z 0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION Q 0 FINAL ❑ SEWER HOOK-UP 0 PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. 0 FOLLOW-UP LU '%.QLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO CI COMMENTS: cc W 0. CC ,A ;r- 1-1 c f- l b .0,/ e. o .TLi cad t A. A5sj W CC Q W W C d Wu ORK SATISFACTORY:PROCEED El PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED CI) 11 ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN IDSTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. wG < r3Q,$ White Copy/Inspector's File Canary Copy/Site Notice ED�J TIME / CITY OF ORONO 31 tl CALLED IN �/ K INSPECTION NOTICF 00 SCHEDULED I/' -‘761 62:0-0 PERMIT NO.dDOJ COMPLETED � / ADDRESS //(D O/ /d /(1 .L5 OWNERp_�_,/CONTR. /��2� A0,,,,,� TELEPHONE NO. 763 O /3 995 7 DESCRIPTION /a/ 41 6. 4, 0 FOOTING 0 MECHANICAL RI 0 EXCAV/GRADING/FILLING Q 0 FRAMING 0 MECHANICAL FINAL ❑ LAKESHORENVETLANDS " ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL Z 0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION Q 0 FINAL 0 SEWER HOOK-UP 0 PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT v 0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP IQ 0 PLUMBING RI 0 SEPTIC FINAL ❑ HARD COVER REMOVAL 0 PLUMBING FINAL ❑ FOUNDATION/REMOVAL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c0., COMMENTS: ccW Q. cc 0 O 1-C 0 W cc Q W Z W cc 0 W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LU ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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: (ij � .Inspector. White Copyllnspector's File Canary Copy/Site Notice �AT TIME V CITY OF ORONO PALLED IN INSPECTION NO C SCHEDULED S-____ =CO PERMIT NO330 COMPLETED ADDRESS // i2 ©/d OWNER ONTR. .n�Ol.aLv.L,Cf71,�.> TELEPHONE NO. ( 1 a qg 7 R S s • DESCRIPTION �I ...t�� ��' LU ❑ FOOTING ❑ MECHANICAL RI a 0 EXCAV/GRADING/FILLING Q 0 FRAMING 0 MECHANICAL FINAL 0 LAKESHORENVETLANDS y ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP 0 PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT v 0 DEMO-FINAL ❑ SEPTIC INSTALL. 0 FOLLOW-UP - 0 PLUMBING RI ❑ SEPTIC FINAL 0 HARD COVER REMOVAL 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: cc0 cc 14444,0W C; z W cc W El WORK SATISFACTORY:PROCEEDPROJECT COMPLETELZ Wr"�RRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑ ❑CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: /� Inspector. L� races White Copyllnspector's File Canary Copy/Slte Notice