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Home My WebLink About2008-00350 - plumbing t�� + CITY OF ORONO PERMIT NO.: 2oos-oo3so ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 10/30/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2745 SHADYWOOD RD PIN : 21-117-23-31-0003 LEGAL DESC : REG.LAND SURVEY NO.0500 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: MULTIPLE PLUMBING FIXTURES: (5)WATER CLOSET,(6)LAVATORIES,(1)BATHTUB,(2)SHOWERS, (1)KITCHEN SINK,(1)DISHWASHER,(3)SILLCOCKS,(2)FLOOR DRAINS,(1)LALJNDRY TRAY, (1)WASHER,(1)WATER HEATER,(1)WET BAR AND(1)UTILITY SINK. VALUATION OF PLUMBING 10000 APPLICANT PLUMBING FIXTURE FEE 125.00 JOHN MYERS PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 5.00 10090 75TH ST N TOTAL 130.00 STILLWATER,MN 55082- (612)723-6930 OWNER ZIMMERMAN,JAMES 2745 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 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 aze requested' conformance with the State Building Code.This permit may be revoked at y time for due cause. D / 3c) l �� !O/ 3v/ 4 � App' ant P ignature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. -�' J� r � � ;,�� a ; � � O�fl�O City of Orono '`��` ' �� " ��,_��' P.O.Box 66 '�itet � � � �otm� ;�, 2750 Kelle Parkwa ` k � Y Y A�r '�''� 3 � "� �� ..� '"' .w � 3� � Crystal Bay,MN 55323 ��eii�,�"�' ��,.� �ra�� § 7� � (952)249-4600 ^� '�" � � � ....a . .�= .� .�:..Y - f,a.. � CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) # �" B � i �skt.5..��'� . �a r L �" ��fv+ � �`� .4� "f�x ��§ r'�- ey'�� a Sx`.€ s: � � .. ��F�3��i � � ,�',:�L'y;{�"'z,�.�#t'. �+E $� .,�,� t� '�c.?��s-��yp,�1 '��'a"�: ��'��'?a�"z�,s�V�"�,�r� %3;,?�'x�.h3�.<.a;�,. �s � '3 �,,.�" tAs�., .�� 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 retum 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) y �9, ��.�.�� r�� .a � _: � �^�� '�� .'�k� � . 2 k i� �4't�; ��'�C {+� �e 4t�� j 5 +nP� r Yt� r`�'# �� "r u„i�,. 'f�� rtr m�,,,.4 i �� ,��k��r��.' `y° � . � a - � ' - "� . c�hy�G�ir�'"��i;�.� W r-s'�''�� , �� ,'�� "� ,��;� ° �� .��f a - .� �-t . 5, x�� . . . , .a..e_:. , w... �. _ . . . , , � .. ,.,�, x .,,�� r<..�.,, e... .. �,,»'a r Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior aoaroval and may need CUP.(Per Orono City Code,Chapter 78,Article N) {J'�� .��aY�l�'�i�YNfl3��h�� :a�"�r'k �'.��'... . - �s � s 4 kv��?.�z:t�Y,',�z�`�;*��_ Site Address: Z.�`'(S� .S��„ ,,,,,,, �J Owner: Z�,,�,.,,,,,.qf,,�.,,� Mailing Address: Zr1`'�� `.�(� �L� 1� City: (J��rv Zi � P• Home Phone: Alternate Phone: �� ',�A�9c(7� �I��. �t��, x't R��.Vr M� �d i �,� . Contractor: -��n.� IM,�� {��,,y,�,,.��ct Person: .�c3�... �-/ Address: l C�cJ�U '1 S ,�h �� State Bond#: � C 7�j�� City: 'f-, t Zip: ��•I�ZExpiration Date: �Z-� 1-r�� Phone: (p I Z -"j? . - �1"iv Alternate Phone: ❑ Insurance-Current: ��,��,,�'r',,,5� 1 � � FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OT��R TYPE FL FL TYPE FL FL Water Closet � � •z Floor Drains .Z J Lavatory l � ,j Sewer Ejector _� Bathroom / Laundry Tray 1 Shower � / Washer / Kitchen Sink r Water Heater � ! Disposal Water Softener Dishwasher / Wet Bar / Sillcocks Miscellaneous 3 / ��,�c.�� S.4� ❑ 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,instailed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .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$35.00) i �✓ Gv�� x A 125$ � ? j �" (co tract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ � � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1 � � ■ * 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 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. C � Applicant's Signature: '"'`� Date: i 0 �� U �� v h 3 C�� <d'� / D Q� TIME V CITY OF ORON CALLED IN ` ��`/v INSPECTION O/T'�ICj 2�CHEDULED ��v�D PERMIT NO. ��/ � O✓J COMPLETED ADDRESS � u-� ��-- OWNER CONT . - TELEPHONE NO�/ - �� DESCRIPTION r ` U -1�'v v � ❑ FOOTING ❑ MECHANICAL I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 � ,❑�.,/D'EMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = la•eLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO y COMMENTS: � W a � � �5�-- � C�N IJ C�3 � o ��c3f� 5 W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContracto on si : Inspector. � White Copyllnspector's File Canary Copy/Slte Notice C � DATE TIME ✓ CITY OF ORONO �,�,,�,q� CALLED IN ��D INSPECTION NOTICE l��,C,��IT�-r��-� SCHEDULED _� PERMIT N0.o20rJ 8'�lf�b/ COMPLEfED ADDRESS 7 OWNER CONTR. D�l�lit. _ TELEPHONE NO. 1��'7�-�� DESCRIPTION / ` �7��t � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLA�NT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ►,��UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a o � ��IDMvF� ��'� 7` ('T� � 0 � W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY V BEFORECQVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice