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Home My WebLink About2012-00995 - plumbing CITY OF ORONO * z 0 1 2 - 0 0 9 9 5 * ' �+'' 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2012 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2760 SHADYWOOD RD PIN : 21-117-23-24-0040 LEGAL DESC : REG.LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 2ND FLOOR: 1 WC, 1 LAV, 1 SHOWER, 1 WET BAR, 1 STAND PIPE FOR FURNACE DRAIN VALUATION OF PLUMBING 3400 APPLICANT PLUMBING FIXTURE FEE 50.00 CROCK'S PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 1.70 9037 ARCHER CT MAPLE GROVE,MN 55311- TOTAL 51.70 (763)494-9160 PAID WITH CC# 5767 Minnesota State License#:060723 PM OWNER ENGLER,JEFF 3330 MARTHA LANE MINNETONKA,MN 55345- 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 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 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 a y time for du use. ``� � �� / / A pli an ermitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABO . � � � , � �x��r��s��,� City of Orono ' �� P.O.Box 66 Date�Reaei�!ed'� Perr�at#E � �`�� 2750 Kelley Parkway � � ;:, � Crystal Bay,MN 55323 �F��Ji " �� p4y (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df ��3.�:L��'I>3� � 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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 dwelling. 4. When any new construction or remodeling is involved,a separate building pemut 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) T�'1'Ea(��F,�RI�tIT ��cck A��:�l'h�.t A 1 'A °;f . . ` �Residential ❑ Commercial(Approval Required) �New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Siructure? *You will need prior anaroval and may need CUP. (Per Orono City Code,Chapter 78,Article N) u��'�i�`1"��/��'��3�Y'.�fiT3�T1�:�1�1: t ' �' Site Address: Q � Owner: Mailing Address: ' City: �!�('J/7� Zip: Home Phone: Alternate Phone: zCo��r�tor�or�a�t�pn:; . Contractor: � ,.,��jC, Contact Person: J/Gt�✓'i'G// //�''ll�,.�- Address: �D.3��i��T. State Bond#: �Z�J(,��j �i 6 City: � ip,�/�Expiration Date: �;,C T .3�^�f� Phone: �6.�'-yy y��6D Alternate Phone: ��,,�' �y�—�o26 ❑ Insurance—Current: 1 � � f ►. . - 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 ' �� P-Pe �r �=ur��c� . a�ra. � ❑ Yes,this section applies The replacement of only one Residential fixture or ap lp iance 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 plumbing contractor. Skip next secrion,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 � f If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �J yd�, dd X.oi2s$ (contract price) (minimum$50.00) 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 pernutted 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 fumished 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 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: �� - 3 �� '1 DATE TIME ✓ CITY OF ORONO CALLED IN I L � � INSPECTION NOTICE /��[� CHEDULED 'Z __�� PERMIT NO.�,�fl�. -' OLI 1-I�OMPLETED ADDRESS a��-` S�A-�t-F � L`�(�Gc� �fZ--c�. OWNER TELEPHO E NO. �� — ��' �^��j CONTRACTOR �_I�� V��Y1� >; DESCRIPTION �� " l U`�� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: '1� �� W a � � O a � O � ti � Q � 2 W � W � � GW �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W1LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� Owner/Contractor on site: ' Inspector. � ', —, White Copyllnspector's File Canary CopylSite Notice