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Home My WebLink About2014-01320 - plumbing CITY OF ORONO * 2 0 1 4 - 0 1 3 2 0 * A ' ' 2750 KELLEY PARKWAY DATE ISSUED: 1 U12/2014 ORONO,MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 1810 SHADYWOOD RD PIN : 17-117-23-21-0027 LEGAL DESC : SHADY-WOOD : LOT 022 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 SERVIN PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 1.25 24752 705TH AVE TOTAL 51.25 DASSEL, MN 55325 Payment(s) (320)275-0190 CREDIT CARD 4098 51.25 OWNER RICHARDSON,CHAD&JENNY 1810 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any ti for due cause. �_. � " �� YV�e�.�t ��/l � /Z � /�/. Applican Permitee Signat re Date Issued By Signature Date I � FOR CITY USE ONLY O City of Orono � P.O.Box 66 Date Received: Permit# (��g • � �� 2750 Kelley Parkway r( �J Crystal Bay,MN 55323 Approved By: Amount$: � (952)249-4600—Main � .� (952)249-4616—Fax y�' �`� CITY OF ORONO-PLUMBING PERMIT tq'�ESHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.clli.mn, ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wiil 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 A ly)' �esidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace ��k ) ❑ In Accessory Structure? *You will need prior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Iriformation: Site Address: �� 4 U 5��1►�Uq� IC�� , Owner: .� A �C � Mailing Address: 0 � l2.�� City: � 2� � Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �r R�� '�✓� Contact Person: ''� ��'�� Address: �,�lZ S� 7 d�'� State Bond#: pG 6��7�1 �( City: �2' Zip:��31�Expiration Date: � 20! Phone: ,�2.� -�1�� Alternate Phone: 3�5-�2S d ❑ Insurance-Current: O��pv�e-�� MJ}✓� ( 1 � a ��: y� � ` .A � � � , � �ia v��v�5�. �i,'�.� t?"�, .:m��kY, .��x�^ FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory /� Sewer Ejector .G. Bathtub � Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of ohly one Residential fixture or appiiance 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;excludine 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 Gontinued On Next Page) 2 . 'ksr �+,i s�. M��c- s � �.."u 3 ",� i �... ' � y� �..sa ,y.. s ..�' �.c= y ,�.u��'� �.� x�.. x.,��#�`" � � '��. ?��KIr,T„ � ,'�'��en"ii�: If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �Sd�• 0O x .0125$ (contract price) (minimum$50.00) 2. STATESURCHARGE 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 pariy, 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. t, �� f .. .. . . , �� ,� �... _., � � " �_:� . .� �� , — . e �� a � : � a. .., ,�:� .� �� .st ��. �� ,. b.. �. .. �� , . . .x .f, :�;, �,.�,; 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. , � ! /G�'' � ^ ^ � �,,/ Applicant s Signature: Date: � �� !" 3 � I � �� DATE TIME � � � CALLEDIN j� 7 �ITY OF ORONO INSPECTION NOTICE � SCHEDULED �-.�'�� PERMIT NO.��4'L'��L COMPLETED � ADDRESS � �/ 11 S L�c�cal� L�,'�Y`c� �� OWNER TELEPHONE NO. �� L�� CONTRACTOR ��V /� ��u�� — �: DESCRIPTION �l �f�� g` � L � tu ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS H Q ❑ 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 ❑ FOUNDATION/REMOVAL 2 OWNERICONTHACTOR� TO MEET YOU:_YF.S�NO � COMMENTS: �: W`.. a � � �� '� `� f� O ' W i } � , Q � Wf � W � j W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCV w 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � ,l; ,...-. Call for the next inspection 24 ho in advance. � ''��9-46�� -, r' OwnerlContractor on site: Inspector. White CopyAnspector's File r/ , Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED __ PERMIT NO.�/r/"Gl�t�O COMPLETED ��S ADDRESS J�`v S��'c�war�°��' OWNER � TELEPHONE NO. CONTRACTOR s�''v��'�- l��1�� ; DESCRIPTION � � ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � ❑ 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. c�QLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: P�'m�� lo�G�e� �G��e� � GtlC^ � � ` �' ., t � ��✓ .l( T ll/�G� �/�Ci /J i/��ila�C. � � � QG►.^-OcQL � � � Ms��'� ��Ofil1 — � �l't ' � 0 � � �� K c�-�al�� ' Q � � :� --� a W � w � J /' � ❑WORK SATISFACTORY:PROCEED /�r�I.P ECT COMPLEfE � ❑CORRECT WORK&PROCEED �! ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnedContractor on site: Inspector.�� White Copyllnspector's File Canary CopylSite Notiee