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Home My WebLink About2014-00437 - plumbing ` CITY OF ORONO �0 1 4 - PJ 0 4 3 7� � 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 18t0 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 : FIXTURE APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE,MN 55379 TOTAL 22.00 (952)445-4803 Payment(s) Minnesota State License#: BUIL-057209PM CHECK 20996 22.00 OWNER RICHARDSON,JENNY 1810 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due causr ��,� / / Applicant Permitee Signature Date Issued By S' atur e ` FOR CITY USE ONLY �O`Y P.O Box66l'O�O Daoe Rxeived: Permit# O i,'„, � 2750 Kelley Parkway ��►�.� � �� t Crysml Bay,MN 55323 Approvcd By: Amount$: .�d`� (952)249-4600 CITY OF OItONO—PLUMBING PERNIIT (All Co�ial permits must be approved by ffie Buildiog Official a Iaspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person a#the City offices. Applicadions will be reviewed and a pexmit will be issued within two working days. 2. Permit cards will be s�t by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMIT CARD IS POSTED ON THE dOB SITE. 3. Plumbing permits may be issue�ONLY to licensed plumbing contiactors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building ptrmit must be obtained. 5. All work must be done in accordanc�e with State Code re�quirements. 6. All work must be inspected and sir tested before it is covered. Call(952j 249-4600. (24-48 honr notice required) TYPE OF PERNIIT (Check All That Apply) �Residential ❑Commercial(Approval Required) v ` ❑New ❑Additional ❑Repairs Repiace ❑ In Accessory Structure? *You will need orior aooroval aad may need C��P_(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: � Owner��I��,,�_ Mailing Address: �_ City: Zip: �� Home Phone: �� Alternate Ph�ne: Contractor Information: Contractor: Contact Peison: � , Address: �PP�iarN�C01MNNtionS IAD.State Bond#: � , t�'e11�11qE=��11t�l. City: ��N�,�� Elcpiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 , , P , . Ii'�TG�TC��B��:Ii'�fii� '�',�T�sL�3. -:.. . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTI�R 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 ��r;��:�:�.Ct�..�.�Q�v(s� ^ .B.�'SED Q�F 2�02 S'FA'I`E ST�Tf3� , . — ❑ Yes,this section applies The replacement of only one Residential fixture or apoliance 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�r less;excluding 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 $ s.pp Mail-In Fee(If Applicable) � Total Permit Fee (Permit Fees Continned On Next Page) 2. If above dces not apply;follow guidelines below: 1. r0 RACT PR�CE "is 125%of contract price with a(Minimnm Fee of 550.00) , x.0125$ (�atract price) . (minimum 550.00) 2. �TATE SURCHr�tCE *"Add the State Bldg Code Div.Surcharge(Misim m Fce of 55.00) � x.0005 $ . (contracc price)' (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Maii-In Applications) $ 2•00 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ r • + CpTTI'RAGT PRICE or JOB COST means the actual or estimar�ed doilar amount charg,ed for the permitt�yvork including matcrials,labor,Profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipmezrt,labor or installations are fumished by the owner,tenant or aay other party,ttie 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 STAT'E SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For vak�ations over 51,000,000 call the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing 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. ' i ` I � Applicant's Signa _ Date: � � . . , . � � � � '� • ' '�. � , � . , ' ' - , , . * 3 � �—� � � G�—D�T _ TIME ✓ CITY OF ORONO CALLED IN J L �� INSPECTION NOTIC HEDULED F-� �� PERMIT NO � OMPLETED ADDRESS �� -- - OWNER �'"�Ei ONE NO. ��"7�-� 9 CONTRACTO � DESCRIPTION V�/��/!"�/ � �� ❑ FOOTING �.F'LUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS VS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PFiOGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL v D PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICOKTRACTOR TO MEET Y'OU:�1fES_NO ° coMMENTS: ��`�� h�f� � r�l.�.��..�� , � . � EXt��iK T�s liKc o �x�st t:� � v�.�`«s -- /1��QL .�ra.{�' �. � 0 � wQ �K •cols-e�•-s r'•yrrele.��. W � Q � 2 c�b.•c r�' /C"�il¢!G� � W � j � O WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT VIbRK 8 PROCEED ��I�1E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 �Dwne br�tractor on site: �C K'zy Inspector: �`� White Copyllnspector's File Canary CopylSke Notice DATE T�� CITY OF ORONO CALLED IN INSPECTION NOTI E _ SCHEDULED PERMIT NO. y� �� COMPLETED 7'��"A5 ADDRESS ��d ��.l�� - OWNER TELEPHONE NO.�l�� y� ' ��-�� CONTRACTOR ��a4Il4�/`� t'o•t� Pc�«'-c s � DESCRIPTION �i1fG��"e� �E?��/ r��'L��-�(2�G� � ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �EOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/FEMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ` c�i� COMMENTS: :c�L` Ll6l�P�' ��1P�0 � L�L� �✓ � a �;�� •i�ir�c�� O �i(JA�i�/C'� /��/6v G .rt t.A �' � _L n � � e�LtJ`t...e. G�4/ G�/' �." e�G�<ic '� W . Q ��1�'1 ��l s i'!E - Q/e h W � r!� a � Co /�e — � ` _ �e.� -� � W ❑WORKSATISFACTORY:PROCEED �JECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WOFK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN �NSPECTOR WILL REfURN �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 OwnerlContractor on site: Inspector. � White Copyflnspector's File Canary CopylSite Notice