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Home My WebLink About2010-00190 - plumbing CITY OF ORONO PERMIT NO.: 2010-00190 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE Iss[1En: 04/06/2010 + 952 249-4600 FAX: 952 249-4616 ADDRESS : 2725 PHEASANT RD PIN : 21-117-23-23-0024 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL � �--__ CONSTRUCTION TYPE : FIXTURE � ` � \� NOTL: 1 LAVATORY VALUATION OF PLUMBING 1400 APPLICANT PLUMBING FIXTURE FEE 50.00 TLC PLUMB[NG LLC STATE SURCHARGE PLBG(VALUATION) 0.70 14780 HALLMARK DR TOTAL 50.70 APPLE VALLEY, MN 55124 (612)450-1841 OWNER SEIFERT, THOMAS& DARYL 2725 PHEASANT RD EXCELSIOR, MN 55331 AGREEMENT AND SWORN STATEMENT The work for which ihis permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. Ail provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afler work has commenced. 'I�he applicant is responsiblc for assuring all required inspections are requested in conformance with the State Building Code.This perniit may be revoked at [ime for due cause. , �� - (r� . / ��, �� — � Applicant Pe�it�Sig�at� �Date � � -�� Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ♦ ,I FOR CITY USE ONLY O,�O�O City of Orono P.O.Box 66 Date'Recei�ed: Permit# • 2750 Kelley Parkway � � �' ;. � Crystal Bay,MN 55323 Approved$y: Amount$: �_ Y $� (952)249-4600 �cy��o CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENE�t,AI,INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by retum 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 construcrion 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 PERIVIIT (Check Att That A 1 ) `.. Residential ❑ Commercial(Approval Required) New ❑Additional ❑Repairs ��lace ❑ In Accessory Structure? *You will need arior anproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site!°Owner Information: � y Site Address: � 5 ��5 s� Owner:'��!I c�C-e� �t°Y� Mailing Address: v17�S''� �'`�!yce�� City: �'/'� �p Zip: Home Phone: cj�� {7r`�l(�� Alternate Phone: Contractor Inforrnation: Contractor: �C f K�►(�t� L�- � Contact Person: p�y��2 Address: D G! �� State Bond#: ��DG�IDZ S''�' City: � ��"�'f Zip:��I Z`� Expiration Date: �'��/ o?/��' Phone: �p«�� zfSO "/��/ Alternate Phone: ❑ Insurance—Current: 1 ♦ � . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 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 ❑ Yes,this section applies The replacement of a Residential fixture or apnliance 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;excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Pemrit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 i . � If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contrac�rice with a(Minimum Fee of$50.00) �� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 installarions are fumished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated 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. The undersigned hereby applies to the City for issuance of a Plumbing Pertnit, 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: -'��C " / Date: �{—� � /�v 3 .� � �� , � �� DATE TIME V CITY OF ORONO CALLED IN ^ �L INSPECTION NOTICE SCHEDULED �-� - 7-1L� � > '� � PERMIT NO.,:�-/�I �� —��X-I�'� L COMPLETED ADDRESS _l_��-".�� I'�' !:� ��'i'��"" �� OWNER TELEPHONE NO.-TL� �ILU''�� CONTRACTOR � I� - ` j '-.��C� I >; DESCRIPTION �'� � �'��-�`�� I �" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F�LLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPI�{C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_��YES_NO � COMMENTS: � W a � � 0 � � 0 � W � Q ti Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �. ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHtN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0 Owner/Contractor on site: Inspector. C..� / �---�� r'�` �' White Copyllnspector's File Canary Copy/Site Notice