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Home My WebLink About2009-00894 - plumbing ,, CITY OF ORONO PERMIT NO.: 20o�-oos94 . � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/15/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2377 SHADYWOOD RD PIN : 17-117-23-44-0009 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 003 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURE NOTE: KITCHEN SINK APPLICA1�iT PLUMBING FIXTURE FEE(<$500) 15.00 CENTER POINT PLUMBING STATE SURCHARGE PLBG(<$500) 0.50 20129 WOLVEWNE STREET TOTAL 15.50 ELK RIVER,MN 55330- (763)516-4295 OWNER Lake Country Coffee,Inc. INC.,LAKE COUNTRY COFFEE, 2377 SHADYWOOD RD WAYZATA,MN AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo ed at an time for due cause. � �� l �,�lU�'j l l p i t Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i -t � FOR CITY USE ONLY � O,¢p�,O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � � ,�`� Crystal Bay,MN 55323 Approvad By:: Amount$: � (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts 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 VALID 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 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 PERIVIIT Check All That A 1 ❑Residential .�Commercial(Approval Required) ❑ New ❑Additional ❑Repaus ❑Replace ❑ In Accessory Structure? *You wili need arior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 2 � 77 S��Y L"G� �� Owner: �-� � � Mailing Address: City: Zip: Home Phone: ��Z ��— �'�`S� Alternate Phone: S�-��-- Contractor Information: `: ` Contractor: C�✓l�tr �O�r�d- ��s�"� Co� �-- Contact Person: -�,`✓� Address: ��L� ��°Y�K�` S� State Bond#: 7 4'C�C> 3SG �2,f �w� � �� City: �� Zip: s'� 3 Expiration Date: � �� U Phone: ?�3�s�(o""�Z�(� Alternate Phone: �' �'�`' � ❑ Insurance—Current: 1 r * r � �w' rm. , , . � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of a Residenrial 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;excludin¢the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . .t If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ,��b X.oi2s$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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 esrimated cost or contract price for permit fee piuposes. 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. A licant's Si ature: "�CJ"v . f Z� � —�Gl PP � Date. � 3 �.- � S�-- �/ DAT TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE A SCHEDULED �� PERMIT NO �Q ' DO v COMPLETED �� ADDRESS 7 7 �-- �� OWNER ON R. /`�/!�Z TELEPHONENO. vl Y✓I —��D�' ��(p' �a /� � DESCRIPTION • � ❑ FOOTING p ME A ICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MEC ANICAL FINAL p LAKESHORFJWETLANDS 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. ❑ COMPIAINT J O DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? �UMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL{NSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the n t inspection 24 hours in advance. (952) 249-4600 OwnerlContra ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice