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Home My WebLink About2013-00461 - plumbing � - ' CITY OF ORONO * 2 0 1 3 - 0 PJ 4 6 1 * 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 6/7/2013 ADDRESS : 2377 SHADYWOOD RD PIN : 17-117-23-44-0009 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (2)SIfAMP00 SINKS AND(2)PEDICURE CHAIRS VALUATION OF PLUMBING 1200 APPLICANT PLUMBING FIXTURE FEE 50.00 MR. ROOTER PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.60 5155 E. RIVER ROAD FRIDLEY,MN 55421- TOTAL 50.60 �� PAID WITH CC# 5936 Minnesota State License#: 58659PM OWNER Lake Country Corp Investments 2377 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and speciftcations,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok at any time for due cause. � ��2'i�LG l� �� 3 , `7 / .� Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t � �* �~ FOR CITY USE ONLY City of Orono ' '��_ ��/ g-�� P.O.Box 66 Date Received: ' Permit# � 2750 Kelley Pazkway ' Crystal Bay,MN 55323 Appmved By: Amount$:� (952)249-4600—Main y � (952)249-4616—Fa�t � �` CITY OF ORONO-PLUMBING PERMIT ��'�ESHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 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 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 dweiling. 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 PERMIT (Check All That A 1 ) ❑ Residential ['�Commercial(Approval Required) � ' ❑ New ❑Additional ❑ Repairs []�Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) 'Job Site/ 0wner Information: Site Address: � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: 7l0�3 ?'Z/ �8 2Z- Contraetor Information: Contractq�� B LK�ontact Person: ��"v'�v'C✓'�C� �126tate Bond#: �� lv'J�� .3J7' � City: �/Q �i��7J� Expiration Date: 2 Phone: ��i3 '�-'�S`' DSS`�- Alternate Phone: ❑ Insurance-Current: 1 ♦ •� � , � � � �� _ . �^' 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 Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �tt}rn.��ao —S'� �ss Z �d��e e �^��•e� z 0 Yes,this section applies � � - , T'he replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not reyuire 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 improvec�,inst..alled or replaced by the homeowner or licensed plumbing contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee . $ (Permit Fees Continued On Next Page) 2 ,� / ; .�. '' €� � . � � .:f ., � � ,_.: -r �, �• .,�. ..�� F a : �. ��._.� .. �� ; If above does not apply; follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1 / �� x.0125$ /Ccontract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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 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. .��h , ��._ , _ .. _. ___:. . , . � ,� ,. � _ , . � , .� ,� � � . , a�.� .� �+�� , � �� , ._��. �,�� . 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: �t 3 Cv� ��{ DATE TIME � CITY OF ORONO CALLED IN �—f 3 INSPECTION OTICE SCHEDULED ,�r�� •, PERMIT NO. I � 60� � c PLETED ADDRESS � OWNER T LEPHO r�o3^o3 � CONTRACTOR � � �`� � � `�� >; DESCRIPTION l� ❑ FOOTING ❑ PLU BI G FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ ME NICAL RI ❑ LAKESHORE/WETLANDS h O ❑ 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a ? I� ('.`�,� n.. 4� �f' � �� L-ln� C l�''C�..—' 0 a � � 5 � � � �( � -- � ' Q � < < � % � � � ��. !Q S��r/,e$ 'S✓ OIV � � p1�`�' W f� �t � \�cJ�-�%^`f � GW ❑WORKSATISFACTORY:PROCEED y�PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALlTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on sit : Inspector. ��,�� White Copy/lnspector's File Canary CopylSite Notice