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Home My WebLink About2011-00097 - plumbing . . � CITY OF ORONO PERMIT NO.: 2011-00097 2750 KELLEY PARKWAY . ORONO, MN 55356- DATE ISSUEv: 03/OU2011 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(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: COMMERCIAL PERMIT-5 LAVATORIES NOTE: FOLLOW REQUIREMENTS FROM MN DEPARTMENT OF LABOR VALUATION OF PLUMBING 3200 APPLICANT PLUMBING FIXTURE FEE 50.00 DUDA PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 208 17TH AVE.N. HOPKINS,MN 55343- MAIL-IN FEE 2.00 ' (612)695-0845 TOTAL 57.00 PAID WITH CC# 8788 OWNER Lake Country Corp Investments 2377 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for du cause. �� a � � �� vt-�r�c_- �-� d� � �/ Applicant ermitee ignature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 02/10/2011 HU 11: 54 FAX I �001/004 � ♦ � 7701i Cl'1'Y:USF pNI,1' -;�0�, Ciiy of Oronu � OD / _T P.O.Dox[G Aale�teccrvcd t �Perznil# d ��1�,� , � 2750 Kcllcy Pnrkway � � �?�t�A�1,o`� O52)2 9HA60UN 55323 '.Approvocl By �� ' ':Amount$; ty° ir�lf�8� a+r�K°/ C7TY,OF ORONO—PLUMBING PERMIT (All Commcrcial pcnnils must bc upproved by thc 13uilding Ufficial or Iuspcctor) GLNERAI>1NF(ORNIP,TION l. You may apply i�or plu�nbing perxnits by mail or in person at the City of6ces. Applications will be reviewed�nd 1 pecmit wzU be issued witliin two wozking days. 2. I'ermit c�rds will be sent by return mail�f�er a review is completed. Pl'sRMITS ARG NO'1' VALID UNTIL YUU 1�C�IVE A P�i2MIT. WORK MUST NOT I3EGTN UN'I'1L'1'III. 1'E12MIT CAI21) TS POST�D ON 7'HL JOI3 SITE. 3. Yluu�ving permits may Ue issucd ONI,Y Yo licensed plumbing contractors and fo property owncrs residing}n the dwelling, 4. When an new construction or remodeliiig is involved,a sepurate builcJinb permit�nust be obtained 5. All wor must be done i�i accorda»ce with Statc Code rec3uireinents. 6, Al]wor musti be inspectcd and air tesEed before it is covered, Call(952)249-4600. (24-Q8 hPur noticc required) , `' TYP� Or..PERMIT � ` Check All That A `I � ❑Kesidential ' [�f Commerci�l(Approval Required) /� ❑ New ❑Additional ❑Repairs ❑Replaee ❑ In Accessoi�Structure? *You wilt n��pri r annroval and may need C�.1.[ .�.(Per Orono Ciry Code,Cl�apter 78,Art'scle IV) ,Tob Site/Ow� r Iiiformatiat�.: Site Address� �.� �'7 ��l�ti�, C�i�ni I/�` C'��j�r.:'i✓C> �/G� �7��%� � � �r� Owncr: /V C�- � Mailing Address� �� `"��'�°�� Cily� Di� ,�l"i /L �< Zip: �J 3�� G�/Z � 3�%`��G6�a I-Iome P ne: Alternate Phonc: ' Co�iti•act r'Inf rmation, _ . , ,.., / / � / ,/� � .. Contraclor: ��' ��( ��Li� �-` Contact Person; G(� �.. /v��`j4� , . �,�c 7 �`x- j � !�'(/, � 'Zr�v �t `'' Address: /i State Bond#: "7 �� Cily: ��i��. /"��Zip�� Y��xpiralion Date: �/ �� Phonc_ (. Z 1 G�7�� Cyc��/ Alternate I'lione: t ❑ Insurance—Currenl; ��' � �,�� d � l o� �C ��;�'� � �-,s �rv M � � /�-s� o � (.._ (� 3 v �' � � � � � 02/10/2011 HU 11: 55 Ax ', �002/OOQ . • � I I ?is;��' �ki' ';�. .i � . ^�r". � ,.: . , . �:�,i.i C+,%t�l�� i. i� ?�': v E. . ,y t�,.. r`..�,F�j,'V��.. �> > ��1".!�`r i :�';��:..,.•_r��:: _;_ :,�,.x";��,. ,��.: .�<�?'.-��:� �� L 4�.:�,�+�.•_ ��< '�.:;,.`�-a�';�s:.t: FIXTURE DSMT ] 2 OTFT�R � T'IXTUR� I3SMT 1� 2 OTHI3R r , , i rL TY � �, •r�rr� rL r� Water Closat Fioor Drains T,avutory � � Sewoc Bjeccor Batl�lub Laundry Tray Sl�ower Washer Kitcl�en Sink Wator Heator Disposal Water So(�ener Di�hwasher Wet Bar Sitleoeks Miscellaneous � I � i }��....,� . .c��'>>�, "�. '.i, T lii:..;.; ��t E• .;r ,y.�" ��Y'11��''" �.'•� �kv '� � x i'�' � ii. . . ',r'� a � x� :R,F;ay„ ;C.��J:,c�'�ea��. �k, �' i, •,�,'�,�. •,1 "r�..��5` . x:Y, '��"7 7Tj. • ti:.�=°a�'., !� ��<�,•A �.`�� U..!?�'. F�;' •:�a.(,�r : i ef�i �xC�x.Y�,`y c,k�. -3.h,�� '.+`� P i='a:' :�,' - $� 7f�� a" ' `i: :�.3`��..'ii �,.;�.�;.;;.`:�`:�� s;�s,�:�� '��i' `�`•,:I��. �k�.�2D �� ;��r�� ''��„-��,; .sr.. R'iH,�. ❑ Yes,this section applies Tha replacemont of only ono�2gsidential fixture or a�,pliance that meets all tl�ree of tlae following requiremen(B; 1. Do n t rcquire modircalion to e[ectri�al or gas service, 2. I�io ost of$500.00 or less;excludiue tlie cost of lhe f xturc or appliance:and 3. Ts i proved,installod or roplaced by the homeowner or liceused plumbing contractor, I Ski next section,if this opplies; Cost of Percnit $ ]5.00 State Surcl�arge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Tot�l Permit ree � � (1'crmft I?'ees Co tinncd On Nexl 1'A�;c) ' I 1 ?� 02/1�/2011 THU 11: 55 FAX I ' • . � �003/004 g 4`'.,� yi. '��}�y�,}��/�� .y� r x� �x p,� �,,k;,:,k.:t"�7?��..A'''�' '3. :�Li`...�y.�1+?'JeJ'wi\iFi7i�. .�� ° 1' s r, !c h /�� +�3,.,�+'k�'.4"',3<2 x" a4T�. :a• ,�$ a�?:,X.la.`�.'1�:�,�S:QlI:Q![,% .:t�s3:>t� �h..,:: f above does not apply;ti�liow guidelines Uelow: ' 1. CQN'�RAC7'PRTCF 'is 1.25%of contraqt price with¢(Minimnm T'cc of$50.Qj1) �Q� x.OI25 S (ooniruot rioc) (mim m�m S50.00) I 2. TAT�SURCI�'ARGF **Add the State Bidg Code Div,Sttrcltarge(Minimum Fe��f�5.00) V l.% vy' x.0005 $ (conlrsctpricc) (minimu� 3 5.00) 3. STAG�&1-iANDL1NG(Only on Mail-In�pplicalions) $ 2,0� 4. TAL ERM1T FE�(Add Line� 1-3lAbave) $ • * CON CT I�RICE or ]013 COST mcar►s the actuat or estunated Joll:ir a�n�unt clisrged for the pormi work i cluding matexiuls, labor,profit,f►nd other fixed costs. It is tho amount to be chArged to the cu omer f�qr tlia work done. lf any n�atorial, equipmont, labor or instellations aro furnisl�cd by the own ,tenant or xuy olher party, the reaso able market vslue of such icems must bo added to tha estimste cost or contract price for permit fee�purposes. In the eve►it that thet�e is a dispute on the am�unt of the job cost, the City mAy request the submission of a signed copy of Uie actual conttact. • **The STAT�S�1RCI3ARG�is,0005 of the contraet price nud�r$1,000,000 or$5.00—whicl�ever is gccater. For vulu�tions over$1,00O,OOU call lhe�uilding Dcpartment at(952)249-4600 for the price. �v..��?'Td�i..':z'✓'�,p`:!i •r: ''2 ��' �ry�� ,�`�j�t� - j�� a .+,� :�`tb,�:< �y�,nczc,`Y,C � �'&� Y�:. :�'Y,� s% ��3.R�1+ " iXi ay �3 S�;�a Si�i%: The undersigned hereby applies to the City for issuance of a Plumbinb Permil, agrees to do all work in strict accordai�ce with the ordin ces of the City and the regulations of tl�e Siate of Minnesota, and certifies that �•1'(�tale ents made on tl�is application ore eomplele, lrue and , corrcct. �/ ( � 1 '.-f';:,, � �•✓---_..----�'-"'"_•.. --.__.... . � APP;icant's'5igna�r�:, . '. ' ' Date: � �� p�/ � � ��y u J.r�; �, uy. ��.,�.e;,'� � T{'}$�tl�'.$'..�k.", b.�1,, �� Y, ,�k?kr��'S.R�$� y. a�'i��Y?:C�S,hJ�,•:�S .��"�� I � I 3 r 02/10/�011 THU 11: �5 FAX �004/OOa � • � Y., i � ' -r� �� I � � � � 1 a �. �.� '� �,- . . .. 43 � �c'ti �` �, 1 r / i � / / �� I I '? er' , . �� J �� h i � �' i � � . .__.. -- 2. � ^ __ • ^ _./?,�( "� i�,/ \` '^��.� • (J `/�" i� ' ,,-'� �G''�7 �. �i` , _�; ,�, � . � � .,-.�� ,�; ' ,,,�''�'� �l �,, f.. `r• ,, 1 i �� ;�, , ,,, ��s.,y � ,'� �` � � �, ��, ��, � .� . _�, � �, � � a'� 'f � �',� �. �o� �� ` , ' � �, , r,� S r � � r � 1 ', t I i �. 'i t"} .� '...,�f.� � . � . � �,_. .... �. � . �,y J ` 2.^ � a, '�� .r'•• � 'Z '�� ..., ao � �� j� Zr � J1'�, � s.. ✓► � �� i � � � I �, � ATE�/ TIME v CITY F ORONO CALLED IN �� ` ' ( INSPECTION NOTICE SCHEDULED // �`�O PERMIT NO.c�D�I '��C1� COMPLETED ADDRESS �� f / i( �-�/1Ll�d�� OWNER PHONE NO. ��'✓ CONTRACTOR � G �: DESCRIPTION U — � � ❑ FOOTING ❑ PLUMBING F ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA I ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o > � � �' o ' �-f' �f � 1 1 � i vvr /� �' ° C� �"� 1 �-� 5 /�� e��-�/a ��-��.� W Q ��<, ,grC�� i:� j�i �,.1-i I� ��^ s z L��C. � � .. W � W � � d W� � ,WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: ; Inspector__!,jo '"� ;� White Copyllnspector's File Canary CopylSite Notice C `� _� DA TIME �/ CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � r � � PERMIT NO.�D//--DDOg7 COMPLETED ADDRESS �� -��/ ��-1-��-- OWNER TELEPHONE NO.I��2�`S ��""� CONTRACTOR �/�� '>; DESCRIPTION �j�'L�� ""� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W a o _��, �� f1 t��-�� /� � � r � � � �� G'� ,� � S., 0 � W Q c...J.� � ( A�i �� ,v � i � z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O"CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �-c-J i o l�S White Copyllnspector's File Canary CopylSite Notice