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Home My WebLink About2017-00335 - plumbing -� CITY OF ORONO * z 0 1 7 - 0 0 3 3 5 * , 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2024 SHADYWOOD RD PIN : 17-117-23-31-0011 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 004 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSE"[',(2)LAVATOIRES,(1)SHOWER VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.25 ELK RIDGE PLUMBING MAIL-IN FEE 2.00 18162 HUDSON STREET NW ELK RIVER, MN 55330- TOTAL 53.25 (320)438-0296 Payment(s) Minnesota State License#: plbg-PC718892 CHECK 30638 53.25 OWNER KIEFFER,JOHN& BENJAMIN 2024 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 specitications,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 rype of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if cons[ruction 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State uilding Code.This permit may be revoked at an time for due cause. �� ) i�� ' � � _ r/ ��. I`_7 K-(:,'G,��1_ ,'� � .1�rt5�:' / _-_ <> Applica ermite ignature Date Issued By Sig ature Date cLp� City of Orono FOR CITY US �ON Y� �7 O P.O. Box 66 Date Received: -�� `�� / � 2750 Kelley Parkway � � Crystal Bay, MN 55323 1, �� Permit# o2D� dU,3�,,5^ �' o` (952)249-4600-Main a � �qkfSHOR� (952)249-4616-Fax �� Appfoved By: — Amount$: .��, S CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapn pdf GENERAL INFORMATION 1. 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 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 Apply) �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑ Additional ❑ Repairs ❑ Re lace , / P , ❑ In Accessory Structure? V �h is� U'n`��h�i,� , �h �n *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/ Owner Information: Site Address: �GZ�/ S�/W�y �'�a� �� Owner: �� c=�=i�� '�c�> �� S-�w� � ^ � Mailing Address: y wceQ (�J City: Q C��N� Zip: Home Phone: Alternate Phone: Contrac#or Information: Contractor: ��L►� l�r��c�r� �Cv��t�.�,s�tl�',Gontact Person: (J�zU"� �--`�t��C,``S Address: _ � $ �� Sc�.� ST �� State Bond #: _ 1-��7 � g g `�� City: �� Z v�� Zip: �S33� Expiration Date: ( Z- 31 "�� Phone: 3 2 G �L(3 �,Y � U�2�'�' Alternate Phone: ❑ Insurance — Current: Page 1 „ . . .: . �• ' . FIXTURE BSMT �sr 2ND pTHER FI�TP�E BSMT Floor Floor OTHER NpE Floor Floor . . . :,_ , Water Closet 1 Floor Drains ' Lavatory �. Sewer Ejector Bathtub Laundry Tray Shower f Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 1. CONTRACT PRICE ” is 1.25% of contract price with a (Minimum Fee of$50.00) �SG � x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� 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. 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 t Cit and the regulations of the State of Minnesota, and certifies that all statements m on this a plicat' n are complete, true and correct. Applicant's Signatur . � Date: L� —� � l � Building Official/ Inspector: Date: Page 2 Ci � � � J .i"-� DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE �- SCHEDULED �f-7� PERM�T NO. "�r /�7`�� COMPLEfEO ADDRESS `� �%� �I �/��c'�c�(�'�'l`c� I� OWNER TELEPHONE NO. _ � c-�V � J�' CONTRACTOR - C �' � DESCRIPTION � C��` �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i OMfNEAICONTRACTOR TO MEET Y�OU: A ES_NO � COMMENT'� � � �/ �. w a� �- -� o � P� x s �,A � �., � � 0 W OC Q � W W � � � �K SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑OORRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPI�NCY O O CORHECT NlORK,CALL FOR REINSPECTION TEAAPORARY V BEFORE CdVERINO PERMANENT ❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. CaM for the next inspection 24 hours in advanoe. (952) 249-4600 Owr�erlContra s . inspector: Whlb CapYflnspectors Fil� C�n�ry CopylBM�NoNc� / �� DATE TIME CITY F ORONO CALLED IN � INSPECTION C �✓� �HEDULED PERMR NO. OMPLETED ADDRESS OWNER TEL E NO. 2-7��5/�� CONTRACTOR " � DESCRIPTION ��" `' t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI ILLING O ❑ FOUNDATION WATERPROOF �LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q O'WNEWCOI�ITRACTOR TO MEET Y�OU:_YES_NO • � COMMEN7�: �- G- �Gc�1 /'�e h✓��-�/e�J �i.�Z`lr/�- � t��t,l ri'S ' .Sc.� � -`x�E�' j � ✓��t'..�y ��14�i o� `14K�.EdlirG �44LGt3 �... OO . � S ti.o�� h�w� �i��.��'Lo� av�e��.�{,��, V 0 Q �S� �t G�C ✓� �`�-sw,dlGL�� `. � - � ,pc�...-� �..,rt�� , W ❑WORKSATISFACTORY:PFiOCEED OJECT COMPLETE � ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑COftRECT YYORK��R REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT O CORRECTUNSAFECONDITIONWffHIN HOURS. p prypTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTiON REQUIRED_CALL TO ARRANGE ACCESS. csn ro�u,��xt�,s��2a no��aa�►a�. (952) 249-4600 OwnerlContraator on site: Inspector: �� T White CopyAnapecta's Ffa Canary CopyISIN Notke