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Home My WebLink About2011-00144 - plumbing . � CITY OF ORONO PERMIT NO.: 2011-00144 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUEn: 03/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2256 SHADYWOOD RD PIN : 17-117-23-43-0125 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(I)DISHWASHER AND(1)ICE MACHINE VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 BETZ PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 22667 NOLAN AVE N TOTAL 55.00 SCANDIA,MN 55073- (651)245-2455 PAID WITH CC# 5517 � OWNER BURKE,FORREST&RENEE 2256 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be rev t any time for due se. / / � �� / cant Permitee S gnature Date Iss y Signat Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 � � FOR TY USE ONLY � City of Orono O� �Q P.O.Box 66 Date Recei� Permit#�b 6( _(� �� t g 2750 Kelley Parkway �i� �'��r�� Crystal Bay,MN 55323 Approved By: Amount$: '�,'�' � L�_�''�?i� (952)249-4600 �Vs� CITY OF ORONO-PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df 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. Pernvt cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTII.,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 urior suaroval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information:> Site Address: �G��J(o �7�' ?A.�t� 4 �l,�o�Q IC� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �e,T Z, ��(,,l�1ry�� ontact Person: �h Address: v�oZ�o�� N Q�G�►'� IQ�I State Bond#: �oc3��$-P/'�7 City: � Zip:.�s6�Expiration Date: �� Phone: ��',2�,/S',2 y.S.S Alternate Phone: ❑ Insurance—Current: 1 r ' �l'�J`� � ��"�,��.A:�4��a,,=—�a,�=^M��'.�� } �� ;'', :. i, " FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower 1 Washer � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Baz Sillcocks Miscellaneous TCe i�'�c�,�H� � � .�ti�;� # � ,. � � � , ��,w ,� �` � .�� y� �` � � � � _ .. . _ . � a w , .-w � T , � " "� w,� ,, ` .. �L.��.�, < < ,,� i�nu,�u; . r ':.. ❑ Yes,this section applies The replacement of only one 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;excludinQ 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . ��:Ik?IlT:�'�� ' -=,� ��'�� .�. 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 55.00) x.0005 $ (conhact price) (minimum$ 5.00) 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 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. ■ **T'he STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is � greater. For valuations over$1,000,000 ca11 the Building Department at(952)249-4600 for the price. ,�3�.�� x �� i ,��A.�?�� x� 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 Signatu • Date: � —2- � � �,��. �@S+@'��D�17?# a � 3 C� D E TIME � � Z // TY OF ORONO ALLED IN =_� INSPECTION N T C CHEDULED PERMIT NO. -�� OMPLET ADDRESS d � OWNER TELE I�E NO. �- CONTRACTOR �6 � �: DESCRIPTION ' � 4��'� � � ❑ FOOTING ❑ PLUM NG INAL ❑ CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECH CAL RI ❑ KESHORE/WETLANDS y�RAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J�PLUMBING RI ❑ SE TIC INAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � T ; , � .�/.�-,f � ( � ,�k�S o -- _ � ��n .S /� ��,� 6�� 1� (-�pt�.�[� � �S , cf� O A � 1 ' !T /� � Q f c�A�vl �1(� '� ��,cJL�� z L �1�� '��c';,�,� �,�;.� �� ; r W �z<y�`�t� � � s� P��r T - �,. �-� � � �' �l:�S�5��. ✓ � � ❑WORKSATISFACTORY:PR6CEED + `�� " PROJECTCOMPLEfE W �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Noiice