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Home My WebLink About2012-00186 - fixtures CITY OF ORONO * 2 0 1 z - 0 0 1 B 6 * �� 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2012 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1453 PARK DR PIN : 07-117-23-42-0022 LEGAL DESC : SAGA HILL REVISED : LOT 009 BLOCK O15 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WATER HEATER 2ND FLOOR:2 WC,2 LAV,2 TUB, 1 SHOWER VALUATION OF PLUMBING 3200 APPLICANT PLUMBING FIXTURE FEE 50.00 WELLSWOOD GROUP STATE SURCHARGE PLBG(VALUATION) 1.60 1444 BALDUR PARK DR TOTAL 51.60 WAYZATA,MN 55391- OWNER WELLSWOOD GROUP 1444 BALDUR PARK DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok d at any time for due cause. _ � �a �/� � � Applicant Permitee Signature Date Issued y Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. . � FOR CITY USE ONLY /¢��\ City of Orono � P.O.Box 66 Date Received: Permit# � �y rr �'I 2750 Kelley Parkway �1�� '��'� t� Crystal Bay,MN 55323 Approved By: Amount$: 1� ' ,,��y.a� (952)249-4600—Main �� (952)249-4616—Fa� CITY OF ORONO —PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://w��w.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION L 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 rivo 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 A 1 -�y Residential ❑Commercial(Approval Required) / ❑ New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need nrior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��J L� �t'�� IJ(�,�/'e , Q1�1'�/LU �� Owner: ��C� �9�,✓'PY1(�° Mailing Address: � � City: Zip: ��o Home Phone: Alternate Phone: 9,ro�—oZ.��— S17�U Contractor Information: Contractor: ��/1 G� Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ti 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 Bathtub Laundry Tray Shower Washer Kitchen Sink r Water Heater / ( r 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;excludina 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 PR[CE * is 1��5%of contract price with a(Minimum Fee of$50.00) o � � � �, �� U� x A 125 $ �� '-- / (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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. PLUNIBING 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 �Z � �- � Reset Form � 3 ,�` V �— �� D TE TIME CITY OF ORONO � CALLED IN 3 Z Z INSPECTION NOTICE SCHEDULED �--- � PERMIT NO.r�D/�—O�l� OMPLETED ADDRESS � OWNER � TELEPHONE NO � ` �-S 7 7� CONTRACTOR �� DESCRIPTION � ' � ❑ FOOTING ❑ P M ING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ANICAL RI O LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARO COVER REMOVAL J ❑ PLUMBING RI ❑ S P�TJC FINAL ❑ FOUNDATIOWREMOVAL; 2 NERICO RACTOR TO MEET YOU:X YES_NO y COMMENTS: � W a o s � 7 �'S �' v� a � 0 � W � Q � z W � W � � � � 1�1NORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETl1RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECT►ONREWIRED.CALLTOARRANGEACCESS. Cail forthe next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � ,��S White Copylinspector's File Canary CopylSite Notice