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Home My WebLink About2008-00067 - plumbing CITY OF ORONO PERMTT NO.: 2oos-0006� � 2750 KELLEY PARKWAY , � ' ORONO,MN 55356- DATE ISSUED: 07/2 U2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2118 SHADYWOOD RD PIN : 17-117-23-42-0016 � LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE VALUATION OF PLUMBING 26000 APPLICANT PLUMBING FIXTURE FEE 325.00 LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 13.00 12469 ZINRAN AVE. SAVAGE,MN 55378 MAIL-IN FEE 1.50 (952)8947600 TOTAL 339.50 OWNER HANSSEN,PAUL&LEANN 2118 SHADYWOOD RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pertnit is for only the work described and dces not grant permission for additional or related work which requires separate pertnits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `J�'I�t-�'`-� �'''L- / / �yri..Gt-� 7 / 2� / O Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. � FOR CITY USE ONLY , ,.��". \ City of Orono . i ¢ ��" P.O.Box 66 Date Received: Permit# r4��„ �1� 2750 Kelley Parkway ,t !� � Crystal Bay,MN 55323 Approved By: Amount$: ��,�Q�o�'� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector) 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 A 1 �Residential ❑Commercial(Approval Required) [�New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: Owner: cr'��t�{�c,� , M� .D�:1� Mailing Address: 9y0� ��ti. P� c►ry: ��Q,. �co:.z;�. z�p: �534� Home Phone: Alternate Phone: Contractor Information: Contractor: �at�e. S:ae. �'uM6;nq Contact Person: ,J 'r Address: l a�loq Z.:nl'wr. �,iL State Bond #: �.(. � �"J�O `i"�v Jr� City: Zip:�� Expiration Date: ZD6� Phone: 9$�- 9�/""��aoc� Alternate Phone: ❑ Insurance—Current: _ 1 Pt u�� ,e.�.. 6 076 g p M PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet 1 ' � Floor Drains 1 I �,Qqo � d'� Lavatory 1 � Sewer Ejector Bathroom 1 1 � Laundry Tray Shower ' I Washer I Kitchen Sink 1 Water Heater ' Disposal ` 1 Water Softener 1 Dishwasher t Wet Bar 1 � Sillcocks Miscellaneous PERMIT FEE CALCULAT'TflN(Sj ; 'BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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 licsaseu�contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ' PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ac��000 X.0�25 $ �3a5 (contract price) (mmimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) a�,� X.0005 $ ,3 (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines i-3 Above) $_ 339 . �p ■ * 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 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. PLUMBING PERMIT APPLICATION AGREEMENT 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. ApplicanYs Signature: Date: �'11`O� Reset Form 3 <:. Y'. _ . . � . . . . - . � t�. _. . __ -. ..._ . . .. . . ..: '.-_ ..'_'__.._.-... - . ;�. � . ._ . _ .'___ . .. ..__.. . . __ . -. ._.. . __._ .. . ., �. ..._.___._,_....-.-. �. . . _.._ . . � . > . .:--.. .� ,._. , . c y, :.; ; . ti: ; c ; - - _ : ; } --- ` � � ._ . y € 1 ��,�„��,,�,��,�c*o� plur�b�n� F�+�nd & �rrsurance Ce�tifiCate � � x ��.��a�i�� `? . ' ��t N 3E Paul,MN 55155 * •, . . �SenrtGss #�q!tafayekte ,. '�'' C�,q'u��es an�ktq�+9�t��on .'��'r se+�r,r��n u� 'telept►o1f�`6s1�94-50s0 A s � � � � .�..,,rmr�+,re rnn.� ,, y: ' ; � YW� .�, � '�°�M)��a.�tatules§32�.40,.�subd 2 forcalendary�ar2008 and � �� tde cerh��ider��h ct�i�a � � � ` ��m�� : ,� �� ;�,,�11 areas,�a��'ofMmnesot�„ �� `�` � ° �� . .' � �� ~ .� � , . . - . � . . _. . t_ ` �/�1�1F,S� ��St��M005�S�0� , �. ' � ' �'Lt�iI1BIE�11G:�tlEATfN�I'NG�`�� , ` ,; _ f. LAl�� C' X � �, �. s. � '�2469�"��t�[��1�VE � '�� ,. g . �.: � ,� .� �78 , ' SAV/kE�� " ; � � � _ ; �. ' . . _ _ { � Liability Insurance ID: TRA1983620 • � Bond ID: RLI504652 �STFIELD INSURANCE CO . �oo� � � OLD REPUBLIC SURETY COMPANY _ � l _ � , _ .... . . . _ ._ , _ , � • _ . _ �. . ' �.'� ,:. '��ii,.ce�'d:�..,�1��. � -.._ . .-. . . S . - . � �� DATE TIME � CI OF ORONO �D IN 8 d� INSPECTION OTICE SCHEDULED ��' PERMIT NO? D 7 COMPLEfED ADDRESS S � OWNER CONTR. TELEPHONE N0. — a—�� DESCRIPTION <(-• �L- � ❑ FOOTING ❑ MECHA AL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAM�NG ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP W��UMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL _ ❑ PLUMBING FINAL v ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: W � �► 1.b �'e S T 1 �� .rN S dC � � O a � O � W � Q � 2 W � W � � � y��WORK SATISFACTORY:PROCEED ❑��FiOJECT COMPLEfE � O�bRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETItRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on s' e: Inspector. ,.)` White Copyllnspector's File Canary Copy/Site Notice ��—� DATE V CITY OF ORONO CALLED IN `--� �� INSPECTION NOTIC SCHEDULED �12 -� � PERMIT NO. a d COMPLETED ADDRESS Z- t l 8 .Sh�� e e�^ � OWNER TELEPHONE NO.'�'�"��- �6� CONTRACTOR LO��Si c� �1�•..r..��i�.. � DESCRIPTION �+ F �� W"�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: 4 �v � Ac�ss u.� : < < � �'��.� � � J O � /Ul Ait c� �,.,� T�r ��'s fi o C� 0 � W � Q � z W � W � � RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice