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-
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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.
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2750 Kelley Parkway „_ ��`� �� �� ���������a'���ih ��,z��x����
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
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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)
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['�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)
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Owner� Mailing Address:
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Home Phone: Alte�e Phone: ��i J�bLo '"31p��
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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 • $
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(Permit Fees Continued On Next Page)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
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x.0125$
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�
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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
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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
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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�
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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
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❑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
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CITY OF ORONC� CALLED IN / �aa
INSPECTION NOT CE SCHEDULED �
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TELEPHONE NO. �1�����J —` ��L��
� DESCRIPTION_��,�L� P'Yl� �� / �L-'t��
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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
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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