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Home My WebLink About2013-01297 - plumbing ♦ � CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 3 - 0 1 2 9 7 * DATE ISSUED: 12/16/2013 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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)KITCHEN SINK,(2)DISHWASHERS AND(1)DISPOSAL VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 HILLCOR PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00 53 TERRACE RD NE TOTAL 51.00 ST MICHAEL,MN 55376- Payment(s) (763)688-0342 CREDIT CARD 2293 51.00 Minnesota State License#: BUIL-PC645327 OWNER ENGLER,JEFF 3330 MARTHA LANE MINNETONKA,MN 55345- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for onty the work described and does not grant permission for additional or related work which requires sepazate pertnits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is respo ible for assuring all required inspections are requested in con ce with the State Building Code.This pertnit may be revoked at ' e for ie cause. � � �� /Z �(o � pplicant ermitee Signature Dat sued y Signature Date A � � � t Zi C Y U3E ONLY , �O� City of Orono I �I�rb ZG�� P.O.Box 66 DateReceiv d: ! Permit# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By; Amount$:�_ (952)249-4600—Main (952)249-4616—Fax y�'tq ��` CITY OF ORONO—PLUMBING PERMIT 'YESHO� (All Commercial Permits Must be Approved by the State Prior to City A 1) htt ://www.clli.mn. ov/CCLD/PDFI 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 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 PERIVIIT _ ' (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) r� ❑ New �Additional ❑ Repairs ❑Replace � � ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� `�!�(��V t,c�ao� �� Owner: �l��M �1sf`��C Mailing Address: c�ty: �,e�O zlp: SS3�/ Home Phone: �P�a - ��D—ZZyZ Alternate Phone: Cantractor Information: ' Contractor: ��l�0 1'jv�S��t Contact Person: � N4/��'''� � q / Address: � 3 TP(r'Ac� Q� NF State Bond#: City: s'-E- �1�c�A�.t' Zip:�� Expiration Date: Phone: �3��'�''D 3�/� Alternate Phone: ❑ Insurance—Current: 1 r � � � � , , � ,� .�;��'��.��•�.6;�_�� '�, �. '.` ,... ..' . .._. � x� �.. �� . � � . , �� .� �� °; �. .. , , , � . ,_. ,., ,. .. ..� .Y . ... 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 ❑ Yes,this section applies The replacement of oniy one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electricai or gas service. 2. Has a total cost of$500.00 or less;excludinS the cost of the fixture or appliance: and 3. Is improved, installed 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 1 � I � � �� 3�.��' z. �x;. �'�''� � .� a ��.:�� `�u��.�� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � 2 On'O�= x.0125 $ (conVact 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 actuai 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. � ., � .,. _., � _ a , ; , . , � , ,�... `� n ;,s 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: f l 3 �� DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED / 2�9 / 3 PERMIT NO.��!'�-��Z�17 COMPLETED n ADDRESS �7�v �� a OWNER T PHONE NO.��—��S��J7� CONTRACTOR G G � DESCRIPTION � � ❑ FOOTING ❑ P M ING FINAL ❑ EXCAV/GRADING/FIWNG Q O POURED WALL O M HANICAL RI ❑ LAKESHORFJWEfLANDS vf ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ pRpC,qE$� � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO v�i COMMENTS: � 1 • a r� ; r-' �'��-N' � 0 � 0 W � Q � � W � J O W. RKSATISFACTOR1h PROCEED ❑PROJECT COMPLETE ❑CORRECT YYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING �—pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR NfILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwneHContractor Inspector: ----- Whits CopyAnapecto�'s File Canary CopylSite Notke ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �✓•�'��'1� COMPLETED "�c5 ADDRESS a�60 ��X s..rea.Q �� OWNER TELEPHONE NO. CONTRACTOR �/�� '- . � DESCRIPTION •C1tC'fs,� ��L�`'�a..- 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ,�FJDIAL ❑ WATER HOOK-UP �"�LLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 �NNERlCONTRACTOR TO MEEf YOU:_YES_NO � � COMMENTS: /��i�•G ��•i ��.lc.0 �D Gt<< �a.�4 � i•1 t ! ��s.o.r_��.- j � O A'' `- � /!v d�� /��c � O � � Q I�1e.�s� c�cGC' Oro.ce C.� !�� - � "�,� ��Q oQGfQ 4 �ii'GE[ /+�1-�47�CC 'l, W � � r 1.1.1 4 � rt� W � j d W ❑WORK SATISFACTORIP:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 j 249-46�� OwnerlContraator on site: Inspector:��— WhiM CopyAnapector's Flle Canary CopylSfte Noties " DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC ' �(a�.�sCHEDULED PERMIT NO. �� /COMP ETED 1� '��S ADDRESS � 5 � OWNER TELEPHONE�10. CONTRACTOR /T'�/l�� 1�- j DESCRIPTION �c��/� �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �BING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP OLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ H RD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 ONfNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a 0 �s�GO�t�I kiiF . - /S T�E� S��'1/G �. � � WU r� /Y>+�✓��n /.e_� W � r Q zvw�� t-�t•cl�P � W � j � ❑VYORKSATISFACTORY:PROCEED JECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR NALL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor�n site: Inspect . �^-� White Copyllnspector's File Cenary CopylSite Notice