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HomeMy WebLinkAbout2008-00140 - plumbing �, CITY OF ORONO PERMIT NO.: 2oos-oo�ao 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 08/18/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2264 SHADYWOOD RD PIN : 17-117-23-43-0124 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WC 1 1ST FL 2 2ND FL LAV 1 1ST FL 3 2ND FL SHOWER 1 1ST FL 1 2ND FL KITCHEN SINK 1 1ST FL DISPOSAL 1 1ST FL DISHWASHER 1 1ST FLOOR SILLCOCKS 3 1ST FL FLOOR DRAINS 2 1ST FL LAUNDRY TRAY 1 1ST FL WASHER 1 1ST FL WATER HEATER 1 1ST FL WET BAR 1 1ST FL BATHTUB 1 2ND FL VALUATION OF PLUMBING 16000 APPLICANT PLUMBING FIXTURE FEE 200.00 MR.ROOTER PLUMBING STATE SURCHARGE PLBG(VALUATION) 8.00 5155 E.RIVER ROAD TOTAL 208.00 FRIDLEY,MN 55421- �) Minnesota State License#: 58659PM OWNER ZIEGLER,THOMAS 2264 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 fot 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 type of work shall be compied with whether or not specified herein.l'his 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. 'fhe applicant is responsible for assuring all required inspections aze requested in confo ce with e State Building Code.This permit may be r�ked i or due se. / / / l�/ `� Ap cant Pe 'ee ignature Date Issued By ' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES BED ABOVE. _ . 1 ,. � • F ��4� '�� �;-�g���� ��� ��� p�,�` City of Orono �` 4����� �Z ° �a !'� ���i� � � �� ` ��` `�O P.O.Box 66 i� ���.t���' �e ��,� s 3� 2750 Kelley Parkway „_ ��`� �� �� ���������a'���ih ��,z��x���� � yh Crystal Bay,MN 55323 ' ,. �zu�� �"�.�otm#�=bt � K � � b` (952)249-4600 '��,.�-��'',�: ���p'��. ,�A�."�4�a ..��:�' 4 .;>i�����.�,� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) �� Y .,..� .J .�,.��.'. i A � � �' �.�� "�b .. .... /. .+.. .:. �n ., , t.a�.,Y.,.ai .I � 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 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 properiy 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 6our notice required) � �� � ,� � � � � �� w= ��'��� t���xt� } � t u$�� � � �`� � � � s � � ��. � , a � �, ��' ��� '� �r � ���>� �� � �U. A:_ .f .���, � _ �o�q a �".��.�,:��.��.���`�,�.��..�� R���p i,E. ['�f�Residential ❑Commercial(Approval Required) - Q New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need orior aoarovai and may need CUP.(Per Orono City Code,Chapter 78,Article N) � , � �u � . • .L��'a0'FF�.i'� av't-a�(r_'e'Sm�'4.-4ix.*E�Xd;j'i"` :a�.+dkY0.Y'bAY:« 'ri✓J.: ��C3�irY�R Y"+�a {�v Site Address: Owner� Mailing Address: City: Zip; � Home Phone: Alte�e Phone: ��i J�bLo '"31p�� ,�,����� � ��'�",���s�.�i 2� ,-:�d'�,� Y - `�r�.�'�`, ... . . . .+x�c�€a.a��r ..rve;� .,�.8u�. , �'!�„'��F:i� ��<,�', Contractor: � .��ic�onta.ct Person: � ✓ Addr ��S�G. /'�-�U'�I��a State Bond#: �� y�G �7�� y%2 - �j/ City: _=���`7 Expiration Date: �/ Phone: (p�.?i � Alternate Phone: ❑ Insurance—Current: 1 � � r. FIXTURE BSMT 1 2 OTf�R FIXTURE BSMT 1 2 OT'HER TYPE FL FL TYPE FL FL Water Closet / � Floor Drains Lavatory / � Sewer Ejector Bathroom Laundry Tray / Shower � Washer � Kitchen Sink � Water Heater / Disposal � Water Softener Dishwasher / Wet Bar / Sillcocks iscel o ❑ Yes,this sectjon applies , . • •, The replacement of a Residential fixture or appliance that meets all three�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 licensed 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 • $ t (Permit Fees Continued On Next Page) 2 f � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) r x.0125$ contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 aze furnished by the owner,tenant or any other pariy,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. 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: lj� 3 V TIME 7� CITY OF ORONO CALLED IN �� INSPECTION N��,�! SCHEDULED d'4 lD-'D'D PERMIT NO. COMPLETED ADDRESS OWNER CONTR.��/�vU� TELEPHONE N0. �a� – `f Q ��n 3� � DESCRIPTION �`'""— � ❑ FOOTING p MECHANICAL RI ❑ EXCAV/GRADING/FILIING Q ❑ FRAMING ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C o �, 1 C�'� Q+C, �. � 0 � W ' S � Q � R Z W � W � � ��\�fORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE W O iiC)RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITHIN HOURS. OPHOTOTAKEN INSPECTOR WFLL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�1 for the next'nspect' n 24 hours in acivance. (952) 249-4600 OwnedContractor on e: Inspector. �' White Copylinspector's Ffle Canary Copy/Site Notice `�- - DAT TIME ✓ CITY OF ORONO ��,(p CALLED IN g- 6 INSPECTION NO ICE SCHEDULED - /.'� PERMIT N " COMPLETED ADDRESS a�T as G� � OWNER CONTR. /�` 7� TELEPHONE NO. �lZ �`�� lD�� � DESCRIPTION L���l'n6 , � ��� r� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAI ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o �n � � L � ! (- �S�' � ��1 A -� .v- � � �� 0 � W � Q � z W � W � � � d ��k.S�ATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IPlSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. ! White Copyllnspecto�'s File Canary CopylSite Notice �r � O � � DATE TIME V � j CITY OF ORONC� CALLED IN / �aa INSPECTION NOT CE SCHEDULED � �P MIT O. O� I �� COMPLETED ��� ' fi � �- OWNER CONTR. TELEPHONE NO. �1�����J —` ��L�� � DESCRIPTION_��,�L� P'Yl� �� / �L-'t�� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ 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 _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL 1/� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�L YES_NO ✓� � COMMENTS: � W a 0 � � A 17 1 � t � � � _ � � O �^� � ��/l r�7 /�� �.�CT ��S� l.J W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � /�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on si e: Inspector. •t i �. __ _ White Copyllnspector's File Canary CopylSite Notice