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Home My WebLink About2009-00034 - plumbing -• CITY OF ORONO PERMIT NO.: 200�-00034 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: OU29/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2304 SHADYWOOD RD PIN : 17-117-23-44-0107 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACING FIXTURES ONLY -KITCHEN SINK -DISPOSAL -DISHWASHER VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 35.00 P&D MECHANICAL CONTRACT CO INC. STATE SURCHARGE PLBG(VALUATION) 0.50 4629 41ST AVE N TOTAL 35:50 ROBBINSDALE,MN 55422 �) Minnesota State License#:PM004023 OWNER RUSSO&LISA CONTADELLCI,COREY 2304 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 sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This perntit will expire and become nuil and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction 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 conforman 'th the Sta Building Code.This permit may be revoked at any time du cause. � � � 7� �^ �� i 2� i � ` -� ��C G�'YI-C�-�'� / / 4�� Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ! r. *,L�.'�t r x� ��,��u .�, � . �� CI Of�l'OIIO ��x'.`i"��'�'C�n't y rt�r�S��`i.�s s��'�l�"3'�? ,��'��, �`� ri � � � � � �� O � P.O.Box 66 �EE�4`�Ret'rB�tN'�..��Bu��i=��^� etsn�t �-��' ��'. � � 2750 Kelley Parkway ��.��''x�' ��'�� '�` ;��`�'�" i � � �� (952�9a4600 55323 ,��prx�u�q��`"X }"�� '��`�rxw z,,1F4�vu��`` `��d�; CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu must be approved by the Building Official or Inspector) ,< , , , . r {�'-'u '�.� B"" 4''�� i�€� 3 '. � � �r .r &s�.�'� :v >�,.. �_.<.... ..<, .... . .� ., _r,�-� r :``��'".�.'��'��'�.. . -�'�� s �.. � �.� �� 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 RECENE 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) ,s h �S'� k5�.�r�' l��."� � NMp fd�n� �`�5�t€ ��,, ., ^ ��"e,{�t �' � �it°�"n u�#��;Z,i��k�{��'4t*r't� Fz � c r�` .. �` e,,, e Y '��} F-I 4 hl�� '�''w ;�° s "�'� .�. s �� P �G rt � � A �'�i �t�: �, �n i ��y�I��s�e'� P� i a� �'. e �'�..�� °� r"` �.�� t T"�[i u '��m� 7 S t 1 � t B ti y �`£�a'^n�b ,� ! s��4#'��i � �y�"i � "��x , a 's'�' ,.. �.`�Y' �.o k§GN i b h`E��w, r� '#'z�ili> 6 y y '�,�,s*.ee+.�, �` ��'�d I� � �y� ,�k4� Y Cd��tn1 . �s�a�... e a� � � '�',�3n�. f�Residential ❑Commercial(Approval Required) l ❑New ❑Additional ❑Repairs �Replace � ❑ In Accessory Structure? *You will need arior aoaroval and may need CLJ.P.(Per Orono City Code,Chapter 78,Article N) .,�Y3:'$ 2`s £ } � Y :� �,."� � . ��i�'�.�� ... ��h'�� '�'�- ff'V�{F.�`'s�?N��Il�� . N .,� -a:. �; -- - ,. . � g:� ,�..: .., s..'. ., ._.-. -.,_ is',�..t,. ,. �. .... Site Address: 23 d 7 S��'°r� L�-c��! �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: ��.�c��a�� ,� , � �w f � "� /�� /� Contractor: �J'�,(/ /�'� e v� Contact Person: /�- � l�4c��'�ti� / s Address: y(v Z� �� GL��"'"� State Bond#: .�c!' 2 s Z City: /`��'`��%"s�wl� Zip:JN� Expiration Date: � ��l�o� Phone: 76} ��" 2-2�� Alternate Phone: ❑ Insurance—Current: 1 ..t . ! FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTF�R T'YPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink ) Water Heater 1 Disposal / Water Softener ( Dishwasher � Wet Bar Sillcocks Miscellaneous � �� ❑ Yes,this section applies T'he 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 fi�cture 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 $ (Permit Fees Continued On Next Page) 2 � 2`° �. . .. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) �P dG�- �'`� x.0125$ (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 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 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: 1 Z � � ,� ,, p , 3 � �� TIME �� CITY OF ORONO CALLED IN � ��1� INSPECTION NOTICE SCHEDULED � PERMIT NO. 7�f�n �'�'3y COMPLETED ADDRESS � �I��I' �V��-�-( �� ec�- OWNER CONTR. �� l�Y1Pr`� TELEPHONE NO. � �' � ^� � � '� ��-�� DESCRIPTION � ��`�-'�--t�`"-� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ P BING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIOIV REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on sit� Inspector. � - � White CopyMspector's File Canary CopylSite Notice