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Home My WebLink About2008-00267 - plumbing ^ - CITY OF ORONO PERMIT NO.: 2oos-oo26� '' , 2750 KELLEY PARKWAY t ORONO,MN 55356- DATE ISSUED: 10/02/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2455 SHADYWOOD RD PIN : 20-117-23-11-0017 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 002 BLOCK 004 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WATER CLOSET 1LAVATORY 6 SINKS 6 MISCELLANEOUS ALL ON FIRST FLOOR VALUATION OF PLUMBING 22000 APPLICANT PLUMBING FIXTURE FEE 275.00 STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 11.00 112 E. STH ST., SUITE 101 CHASKA,MN 55318 TOTAL 286.00 (952)361-0128 Minnesota State License#:License 00 OWNER ERIC ENGLUND,DDS 2455 SHADYWOOD RD NAVARRE,MN 55392- 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,arid the State Building Code. This permit is for only the work described and dces 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 Buiiding Code.This permit may be revoked at me for due ca � / � 2r d �o, �, �' pl ant Pe �tee Signature Date Issued By ' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. �' - � � ` � . ��Py�I�aV+�+ik�yt.9�Y41� � � � � �� }y . k � ;' 0�� CityofOrono E��gf��4�� 4. , � p �. t P.O.Box 66 �,d�� s�,�i� � , f�r "x� a� �sz� ar��r � 2750KelleyParkway ��. �, c.� ��,��y°�,�,��''r �`� Crystal Bay,MN 55323 '� � ,.� ��, %a�� s� �� ,�� (952)249-4600 �;,_�`�� ,s�. _�*�'�i4,;�'`� ��,J��; ;�,.��'�''...";,�z" �°�.,�� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) ,�, �.�, , � , ,w � ,� ., . _._. r .. . _ y • � � , . ^ ... �..�:x � ,,. " t , _ _ 'u�'�a4,i+..t� � _ :L �+ �� ; 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 cazds will be sent by retum mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plnmbing pertnits 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 sepazate 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) 3 q j'� °�5a S L ., � � � t� � a � � � s m�, ;r.- x �� ^�� x _ � nk+,�t �.. .. .§,'y ..'.. . � �x,"� ✓" ' ` � ..ik. ,&:.. , a..��,73.,�-..1s� .;�; ,:-s• � ❑Residential �Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need orior aoaroval and may need CiJP.(Per Orono City Code,Chapter 78,Article N) �� ," �° � �. ` �� s � � ,,; �� . .�,�� ;� �,�n��-��,��.��z��,,� �� , � Site Address: SS S"�C ��J` l\(� Owner: �' �� (,�� Mailing Address: CiTy: /�/C(U�✓�v�� zip: Home Phone: Alternate Phone: - � .�R .: sr4 5�*r¥� �f� x ��ir,�MM1� �,»�a�tw�.�� .-.`Fs` '.ri,irt.� � - ��E.rtia.,ir ,wN,crr�x.. .:wr«r� l.,J�'c^Ytiss. ��y�..�`sL�'��;n�''�'�'� y=q'§�3f Contractor:��►'��k5 ��v`tl��Contact Person: , lS /./��r l� Address: (�2,�v�-4 6r. ��i�. �4� Staxe Bond#: �� r tY: �, ' Ci C4 Zip:Ss31g Expiration Date: �a � �—� � Phone: �So�-`�r��Z-� Alternate Phone: ❑ Insurance—Current: 1 .� - '� , � ) FIXTURE BSMT 1 2 OTf�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet � Floor Drains - Lavatory I Sewer Ejector Bathroom Laundry Tray Shower W asher I�i�ar►Sink Water Heater Disposal Water Softener Dishwasher Wet Baz Sillcocks Miscellaneous " ❑ Yes,this section applies The 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 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 Surchazge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 �• _ , � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �a��C504°-� X.oi2s$ (contract price) (minimum$35.00) 2. STATE SURCAARGE **Add the State Bldg Code Div. Surcharge(Mioimum Fee of$.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 chazged 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. ■ ** 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 t dinances of the City and the regulations of the State of Minnesota, and certifies that s tements e this application axe complete, true and correct. � /�Z-'� � Applicant's Signature: Date: 3 DATE TIME " CITY OF ORONO CALLED IN INSPECTIO�OTI�E �0�6.� SCHEDULED /O -O /:at� PERMIT NO. ��8 COMPLETED ADDRESS ��S � d /�' OWNER CONTR. TELEPHONE N0. �a,�.°- �i�°2 - 3�03'go�� DESCRIPTION �L�m��n ��' � ❑ FOOTING ❑ MECHANICAL I ❑ EXCAV/GRAOING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 p SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a � J � � � '�L�� D� � 0 � W � Q � 2 W � W � � d W RKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTtON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. Idi� White Copyllnspector's Ffle Canary CopylSite Notice � AT TIME +' CITY OF ORONO CALLED IN �� INSPECTION N TICE -7 SCHEDULED 1/�� /-�.�0 PERMIT NO. ��/ COMPLETED ADDRESS a cS� OWNER C TR. TELEPHONE NO. !a 3 `�a � DESCRIPTION G��6 � ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING y ❑ FRAMING p MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o �°�'�l �-�C� G S� O�ll � �! S�e � 0 � W � Q � z W � W � � � �WORK SATlSFACTORY:PROCEED ❑ PROJECT COMPLETE W�O�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice L$ � DAT TIME CITY OF ORONO CALLED IN �� INSPECTION OTI E SCHEDULED //-Lo-p 3:.3� PERMIT NO. '�� COMPLETED ADDRESS ��S tS�'��u1D�J4� �L OWNER CONTR. _�� '� TELEPHONE NO. 9S2' .310/ �/�� DESCRIPTION '`�' �`G� � � O FOOTING p MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q p FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAI ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING ❑ FOUNDATION/REMOVAL � OWNER/ NTRACTOR TO MEET YOU:�YES NO v�i COMMENTS: � W a j � � S � nK � . 0 � W � Q � z W � W � � d � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑COR ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITlONWITNIN HOURS. p pHOTOTAKEN INSPECTOR 1MLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on sit : Inspector. A� �r r White Copyllnspector's File Canary CopylSite Notice � I o �" DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��'LY2. PERMIT NO.�D�-OOa(D� COMPLETED ADDRESS_ a �`S 5 '��'`�'1.�l�'c� � OWNER CONTR. c��'�/'��°`� /�� TELEPHONE NO. /�J��Gt�'i �i�/� - ��03 -'�a�7 � DESCRIPTION `f"'`'t�..c-t/�G f�'!/�Gt.� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO c�., COMMENTS: � W C � � O a � O � W � Q � Z W � W � j � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED O�SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTtON TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUN$AFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAII INSPECTOR ❑ IIYSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: i inspector. White Copyllnspector's File Canary Copy/Site Notice