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Home My WebLink About2009-00515 - plumbing CITY OF ORONO PERMIT NO.: 20o�-oos�s ~ 2750 KELLEY PARKWAY �' ORONO,MN 55356- DATE ISSUED: 08/24/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2178 SHADYWOOD RD PIN : 17-117-23-42-0009 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 017 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT WATER HEATER 15.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 2905 GARFIELD AVENUE S. MINNEAPOLIS,MN 55408- MAIL-IN FEE 1.50 (612)827-4033 TOTAL 17.00 OWNER ANDERSON,MR.&MRS. CURTIS 2178 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 permiu. 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 consVuction 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 wj�h the State Building Code.This permit may be revoked at any time�r due cause. %/��'".� �1t' l l �G�-�,��►+'(, l l Applicant Permitee Signature Date Issued B gnature Hat�-- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � �ox crrx t��E oFn,� �r . 0,��,Oj City of Orono �; � "; P.O.Box 66 Dade:lteceiued F�er�rriit# , ' � 2750 Kelley Parkway � I i , : � �� Crystal Bay,MN 55323 �ppro�ed B,�c r�mnunk'�� , (952)249-4600 �� x.�� , .��: ` CITY OF ORONO—PLUMBING PERMIT �I (All Commercial permits must be approved by the Building Official or Inspector) 'GENE � �I�1F�ORM:��ZOl�T ; 1. Youj may apply for plumbing pernrits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VA�ID 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 cons�uction or remodeling is involved,a separate building pernut must be obtained. - 5. All work must be done in accordance with State Code requirements. 6. All�vork must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) ' �,r T� .� E�OF�ER1��' �� ' �' , �f_L �,,I �� a ' �� 1 ri -�+�°�.l'il�+{+li�:k�" �l� � )�` i.:. h i �Residen�ial ❑Commercial(Approval Required) ❑New ❑Addirional ❑Repairs ❑Replace ❑ In Acce�sory Structure? *You will need urior auaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) � tk J � I �Li �.. 1 k� i • ;';�'A��'S1�Pi�-�'t,�T�(Ql�l�`��+Q1T�'"�'��F�t�{�,��1�� i'`�,; Site Address: Curtis Anderson � 2178 Shadywood Road Owner: Orono, MN 55391 iress: 9524718$95 City: I Home Phorie: Alternate Phone: �C.ontraetor.�nfoimatipn•�,:,, ,� . .. ;" �; . , ,� - Contractor:l' IVQrV�O� a��V�� Contact Person: Address: ' 2qo5 C�ar��d � sti, State Bond#: ��_J� � City: � � �S Zip�d$ Expiration Date: � � 3��b9 : �t�r21$2?- �{a33 ..� Phone: Alternate Phone: I, � Insurance—Current: 1 �- � � , � / J FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2� OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejectar Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater ( Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous i � ❑ Yes,this section applies I The replacement of a Residential fixture or appliance that meets all three of the following reqv4irements: 1. Does not require modificarion to electxical or gas service. � 2. Has a total cost of$500.00 or less;exciudine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernrit $ 15.00 State Surcharge $ I .50 Mail-In Fee(If Applicable) $ i 2.00 Total Permit Fee $�° (Permit Fees Continued On Nezt Page) I 2 r . l � ' If above does�not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ' x.0005 $ (contractprice) (minimum$ .50) � 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 xnaterial, 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 coniract price for pernut fee puiposes. 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 valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: " I�� D� 3 � � <� DAT TIME C TY OF ORONO CALLED IN � ' � INSPECTION I I�G�SCHEDULED ` PERMIT NO. — O��/ COMPLETED ADDRESS OWNE�I/�G��I ONTR. TELEPHONE NO. �s�..�—��—a a� � DESCRIPTION �'vGC.Ti Y ��PG�� — � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WAI,L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ING FINAL ❑ FOUNDATION/REMOVAL OWNEIU TRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED ��ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CqRRECT UNSAFE CONDITiON WiTHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑IN$PECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice