HomeMy WebLinkAbout2010-00149 - plumbing �
` CITY OF ORONO PERMIT NO.: 2010-00149
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 03/15/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2600 PHEASANT RD
PIN : 21-117-23-23-0023
LEGAL DESC : PHEASANT LAWN
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR,
1ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER
2ND FLOOR:3 WC,5 LAV,2 BATHTUBS, I SHOWER, 1 LAUNDRY TRAY, 1 WASHER
VALUATION OF PLUMBING 16565
APPLICANT
PLUMBING FIXTURE FEE 207.06
SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 8.28
11473 KENYON COURT
BLAINE,MN 55449- MAIL-IN FEE 2.00
(763)6147963 MISC FEE 0.00
Minnesota State License#: 066807 PM TOTAL 217.34
OWNER
HADDEN,TIMOTHY&JULIANN
2600 PHEASANT RD
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
��'h�Q� �'�' / / / /
Applicant Permitee Signature Date Issue By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB .
�
FOR CITY USE ONLY
O¢��O City of Orono
P.O.Box 66 Date Received: Pern�it 1{
.� 2750 Kelley Parkwa_y
� M���'� Crystal Bay,MN 55323 Approved By: Amount$:
\� �'�r J ���� (952)249-4600
�!tasxo�
CITY OF ORONO—PLUMBING PERMIT
(All Commercial petmits 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 of�ces. 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 UNT1L YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL T`�IE
PERM['I'CA.RD 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
❑✓ Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
a In Accessory Structure?
*You will need nrior aaaroval and may need CUP. (Per Orono City Code, Chapter 78,Article I�
Job Site/Owner Information:
Site Address: 2600 Pheasant Road
Owner: Lecy Construction Mailing Address: 15012 Hwy 7
City: Minnetonka Zi 55012
p�
Home Phone: �952)944-9499 Alternate Phone:
Contractor Information:
Contractor: Spring Plumbing, LLC. Contact Person: Theresa Bialon
Address: 11473 Kenyon Court State Bond#: 66Q57120
City: Blaine Zip:55449 Expiration Date: 12/31/10
Phone: (763)614-7963 Alternate Phone: (763)229-1265
�✓ Insurance—Current: 07/01/10
1
�
I�LI�BIl�T�� �'�EING INSTALLE�7
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 O'THER
TYPE FL FL TYPE FL FL
Water Closet 1 1 3 Fl�r Drains �
Lavatory � 1 5 Sewer Ejector
Bathtub 2 Laundry Tray 1
Shower � � Washer �
Kitchen Sink � Water Heater �
Disposal � Water Softener �
Dishwasher � Wet Bar �
Sillcocks 2 Miscellaneous
;
���[T r����..��,�.�arr��j
f �� BA��i�4F�'-200��T`�"TE STATUE'
❑ Yes,this section applies
The replacement of a Residential fi�cture or appliance that meets all three of the following reyuirements:
1. Does not require modification to electrical or gas service.
2. Has a 1 ost of$500.00 or less;excluding the cost of the�xture 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 Surchaxge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
(Permit Fees Continued On Next Page)
2
F�RMI'�'F�E+Ct�I,+�;tT:[..t�'I'T�?�� -J(�B�t�!�R..$�U4.f�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Miniroum Fee of$50.00)
16,565.00 x.0125$ 207.06
(contract price) (minunum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
16,565.00 x.0005 � 8•28
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ 217.34
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,pro�t,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 wst 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.
PLL��!�P'�Tv�TT APPLIC�T���.A.aC'rA;EF:l�lE1�3T`
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 a11 statements made on this application aze complete, true and
conect.
Applicant's Signature: L( Date: � (�
��FO�i#1
3
/ , �
f I C ,�i E TIME
C,/CITY OF ORONO ����Eo�iN � � i
INSPECTION�1N� OTI� SCHEDULED ^, L� �
PERMIT NOc�`(.'I L'` C-'r � �� COMPLETED
�//4 ti )
ADDRESS �-F � �-� l'E�� c'�.<i�:��-z�t �(��
OWNER TELEPHONE NO. ^7��-�`�� ���1�,7
CONTRACTOR ���►" 1 J'(�T�� ��-��
>; DESCRIPTION ���-%'��� -�
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA G/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS
�
O ❑ 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
W ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:�YES_NO
� COMMENTS: `
�
W
a
�
�
O
� � ��' '��
O
�
W
�
Q
�
Z
W
�
W
�
�
d ,
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALI FOR REfNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN 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� 249-46��
OwnedContractor on 'te:
Inspector. . .r
�—�o-. �.
White Copylinspector's File Canary CopylSite Notice
�l D �� T / TIME ✓
�If Y VF ORONO CALLED IN �D/l D
`' INSPECTION NO�}ICE SCHEDULED �
PERMIT N0. �7�'O��f�a`�COMPLETED
ADDRESS �� �� ��C1C.C�K1� l
OWNER TELEPHONE N0�63-ab�7��77
CONTRACTOR ���� 1 �
�
>; DESCRIPTION /
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE�NSPECTION
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
J ❑ PLUMBING RI ❑ S-�(TIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOyj�YES_NO
/ `
� COMMENTS:
�
W
a
j �.
O
�
�
O � I
W ��°
�
Q
�
Z
w
�
W
�
�
� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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. �95Z� Z49-4600
OwnedContractor on ite:
Inspector.
White Copylinspector's File Canary Copy/Site Notice