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Home My WebLink About2009-00045 - plumbing CITY OF ORONO PERMIT NO.: 2009-00045 ` � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 02/10/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2680 SHADYWOOD RD PIN : 21-117-23-24-0046 LEGAL DESC : SHORE HILLS : LOT O15 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WATER CLOSETS,LAVATORY,BATHTUBS,SHOWERS,KITCHEN SINKS,DISPOSAL,DISHWASHER,SILCOKS,FLOOR DREIINS,LAUNDRY TRAYS,WATER HEATER,WET BAR,GARAGE DRAIN&STEAM UNIT FOR SHOWER. VALUATION OF PLUMBING 39995 APPLICANT PLUMBING FIXTURE FEE 499.94 WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 20.00 6501 COLJNTY RD 15 TOTAL 519.94 MOUND,MN 55364 (952)472-4966 OWNER SEWALL,BARRY 2680 SHADYWOOD RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be � revoked at any time for due cause. E�� d.t-tr.i�. � / !o / �� C�//��%C!/ `"�� '-� �/�� / / Applicanf Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' FOR CITY DSE`ONLY , O,¢p�O City of Orono , P.O.Box 66 Date,Recai�ed; Permit# 2750 Kelley Parkway � �. � Crystal Bay,MN 55323 Approved By:? Amount$: � (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL FNFORMATION 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. Pemrit 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 PERNiI� (Ch��k Al�That A 1 : �Residential ❑ Commercial(Approval Required) �New ❑Addirional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior auproval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Infarmation: Site Address: `��o � d ��+ �� w cs o 4 �� Owner: Mailing Address: City: �/-� h.c) Zip: Home Phone: Alternate Phone: Contractor Information: ' (,l1...a,g�'d h q /17..Q Contractor: Gd � * �►^ � Contact Person: ��ctiq r d� i'1')orn isa� Address: �S d � c fi�,�d �S State Bond#: City: �/V)duhd Zip:SS3(o'� ExpirationDate: Phone: �l S2-`-17Z- f-,l 4S9 Alternate Phone: (.0l`2-2c�2-2P�i2, ❑ Insurance-Current: 1 . � , . ,� �, .... ti m, . �� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet 3 � Floor Drains � Lavatory � 3 Sewer Ejector Bathtub � Laundry Tray � � Shower � 1 Washer Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher r Wet Bar � Sillcocks Miscellaneous � Gqra ar ', 1 S-�e 0.*r� Ll�n�-�- � -�v1^� `IOWCN ❑ Yes,this secrion applies The replacement of a Residential fixture or apnliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner ar licensed contractor. Skip next section,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 Negt Page) 2 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� Q s tl� x.0125$ (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 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 pemut 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 hereb.y 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: �, �'yl oww.. Date: 2� ��1 �9 3 �! � >�� D TE TIME � CITY OF ORONO (' cALLED IN Z l4 09 INSPECTION NOTICE SCHEDULED i% PERMIT NO. ��(�S COMPLETED ADDRESS ZCo �D S�iGe�� f,��Dc�oP � OWNER CONTR. TELEPHONE NO. Q �? o� �"Y'�.�. — LL�� DESCRIPTION ,��4��'�'..� Q� 11 -.� . � p FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _�PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO�YES_NO c� COMMENTS: � W a � � O � � c.�� CT�f�L�� C'� A �� l W � � Q � Z W � W � � d ,��/ W��M1fORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. 1 .l/ � Lr . White Copyllnspector's File Canary CopylSite Notice � �g D E TIME CITY OF ORONO CALLED IN Q� INSPECTION NOTICE SCHEDULED � d-.'� PERMIT NO.�bO4'�� COMPLETED ADDRESS �Z D c� o 0 OWNER CON R. �1�,Ld_�<« TELEPHONE NO. � � — S � DESCRIPTION ' L• � ` � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ 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-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP �LUMBING RI ❑ SEP IC INAL ❑ HARD COVER REMOVAL N ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO :_YES_NO c�., COMMENTS: � W a j o 'j�St- -� • Q� a � 0 � W � Q � Z W � W k � d � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on s' e: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED ' PERMIT NO.�/?IJ�I —DOD �SCOMPLETED ADDRESS c�C�t�D �S�LR-��► GcJ�oc� yi� OWNER CONTR. � f�'t�C./LJ TELEPHONE NO. 9�2 �7 2. �4$� � � DESCRIPTION � ❑ FOOTING � MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ 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. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � d!ti✓�,n r�rr.�t�' �z' S� �� o -T� � 0 � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANC.,E ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ,_� White CopyMspecto�'s File Canary CopylSite Notice