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Home My WebLink About2017-01638 - plumbing �. 4 CITY OF ORONO * z � 1 7 - 0 1 6 3 8 * 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2017 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 PERMTT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSETS(1)LAVATORIES(1)SHOWER(1)WATER HEATER VALUATION OF PLUMBING 4550 ' APPLICANT PLUMBING FIXTURE FEE 56.88 STATE SURCHARGE PLBG(VALUATIOI� 2.28 TRADESMAN INC MAIL-IN FEE 0.00 PO BOX 26731 MINNEAPOLIS,MN 55426- TOTAL 59.16 (612)581-4472 Payment(s) CREDIT CARD 6587 59.16 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 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 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 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 revok d time for due ca � �y �,� �� i i pp ic t Permitee Signature te Issued By Signature Date � �"�pN� City of Orono FOR CITY USE ONLY O '�, P.O. Box 66 Date Received: �'� 2750 Kelley Parkway `., ;� ;, Crystai Bay,MN 55323 Permit# ^;. ��^ � (952)249-4600—Main App�oved By: �4sHo�`` (952)249-�616—Fax � Amount$: 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 pfumbplanrevapp.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) �sidential ❑ Commercial (Approval Required) [Backflow Device: Q AVB ❑PVB] l � ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? "You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: c�l�o� `f ��G�E'�`t} IN��KI `� Owner: � c=lr�/ xl�,�F��- Mailing Address: ��`� �d-f�9--�Y' ��1 � - City: d��v Zip: �S3�i 1 Home Phone: (a Alternate Phone: �/Z � 7� 1 -sl// Contractor Information: Contractor��- i�5 l�-t��1 �w� . Contact Person: �ll�-��{Q-dL-1L{ T�'� Address:� (� �C �t��3 � _ State Bond #: � l 3�lv^7� �v City: �'T1��%.1 S ��9-�-eL Zip: �5-��-�- Expiration Date: � � �� Phone: �l Z `� �> ! � �-1 � �- Alternate Phone: �Insurance - Current: c3��nl�i�� "`�l �E�,e�� i�Z3 ;��g Page 1 FIXTURE BSMT 1ST 2''� OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Fioor Water Closet � Floor Drains Lavatory �/ Sewer Ejector Bathtub Laundry Tray Shower Washe� Kitchen Sink Water Heater Disposai Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous K {�'�F�..Y��.•y_g�,.t'.: �,�k _ i h y ,' _ j^�thA�7'p",�.i`� � �,��,,,. 1. CONTRACT PRICE " is 1.25%of c�ontract price with a (Minimum Fee of a50.00) ��,CD� �o X .o�2s $ -'�(contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Appliqtions) $ 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 worlc done. If any material, equipment, labor or installations are fumished 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. ��t'`, � k R `v: 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 ma on this application a e complete, true and correct. --* ApplicanYs Signature: Date: 1� /� i ? Building OfficiaU Inspector: Date: Page 2 I �/� DATE TIME CITY OF ORONO CALLED IN —��-�— INSPECTION NOTICE , scHe�u�E� ��-�%-/7 ��.�� PERMiT NO. �17��✓I�3B� COMPLETED ADDRESS �b��-I ;,Y�VI.c�(�[�� OWNER TELEPHONE NO��2�� 7 7�a CONTRACT�R , /� S� ��(�2i � DESCRIPTION �� `� 4~j ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: .�� • W C o �� -- � � �f�� r� . �� T� ° ,f ri- G►1'�ys .� ��G cf� �'•�3/ttc�"d-�— W � Q / - � / 2 S' '� �� '�'J3l�L��i[s /�iY+�- o�'��C�ir.utl�- S�xit�ir�I� w l/�� -� f� � � �� S l�,�rr� ��.�a��-.3r �`,.�9-_` Y ��., -- j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � -�CG�RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ��CORRECT WORK,CALL FOR REINSPECTION TEMPORAflY V BEFORECO'�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next in ion 24 hours in advance. (g52) 249-4600 OwnerlContractor s' . Inspector: White CopyllnspectoPs Ffle Canary CopylSfte Notke c , v ,� DATE TIME �J CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED Ta-��7 y PERMR NO.��7��, CO�qPLETED ADDAESS ��`� /�-� OWNER TELEPHONE NO.�I�� ! 7� CONTRACTOR ��-�- '-(J � DESCRIPTION � ��- 4~j ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z 01MNERICOI�ITMCTOR TO MEET Y�OU:_YES_NO y COMMENT'� � Il•�• ' � kJ U ' �I�S �il• -li� f /�� 64s�E�— o — L.L . ��6t aeP�� — '' ��v��J � r14:G ,p 1�6c� � ° O�L � COvG✓ W � Q � W W � J � �2,JAIBlIKSATISFACTORY`.PROCEED ❑PROJECT COMPLETE � ❑OORRECT NfORK 8 PFiOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑OORRECT WORK,CALL FOR REtNSPECTiON TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN H��• ❑pF{pTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneNCoMractor on site: Inspector: �� a WMte CapyAnapector'a Flk Canary CopylSMs Nodeex