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Home My WebLink About2013-00177 - plumbing '' ' ' CITY OF ORONO * 2 0 1 3 - 0 0 1 7 7 * 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1225 SHORELINE DR PIN : 02-117-23-34-0002 LEGAL DESC : AUDITOR'S SUBD.NO. 169 : LOT 001 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WATER HGATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 12850 CHEST'NUT BLVD SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-4803 TOTAL 22.00 Minnesota State License#: 057209PM OWNER TUTTLE ET AL TRUSTEE,EMILY A 1225 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. (`�til.��.�,L�'�� l �' � /�, .�--��f'� ,;,`� �� ' �/3 Applicant Permitee Signature Date ' Issued� y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . , . RE��I�i'1�� MAR 18 2013 FO CITY USE ONLY ,--¢�� City of Orono � O O P.O.Box 66 Date Recei ��_�_ Permit# �'!"" (� %/ � .� ,,. z�so xeueY p�e} ��ORONO � �� x� Crystal Bay,MN 5�323 Approved By: Amount$: '`�� '�' 't ��:�•o�' (952)249-4600-Main �---A ``�+*�� (9�2)249-4616-Fax — CIT'Y �F QRnN� — PLUMBING PERMIT (All Commercial Permits 1Vlust be Appro�•ed by the State Prior to City Approval) :�tt�JI��.ali_i�3�i.��o��/CC�i:t3;`N!)I�� c Iurnt�ailar3s�e�auE�.pdf GENERAL INFORMATION 1. You may apply for plumbirig permits by mail cr 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 RECETVE 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 invd,ved,a cerar�.t�bui:di::g pe:-^i;t r;,nst�e 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 PERMIT (Check All That Ap ly) �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs (�Replace , ❑ in Accessory Structure? *You will need prior approval and may need Ci'P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: I �y�� V'�Z��1�"�� Ci�� Owner: �:U"1��`� I��t� �C Mailing Address: IZ1-h �I�c;',c` `<<<� �)t� \�1�,� � C1tV: V V�� Z(�i.�� 7jn• �� r• Home Phone: "J'�2' y��F""y C� ;� Alternate Phone: �'I� Contractor Information: Contractor: Contact Person: J c",� �Yl�� '�r� /dt��lYtlt�B 011i'1@GttOf18 f1C. - T— Address: 12850 Chestnut Bivd. State Bond#: ��Z�`� I�i�1 �'h`=1�c�'te �"1�� `�h 37`� City: 952-445-480�ip: Expiration Date: Z" '� ' I 3 Phone: �1�'��"y�h -��'� ; Alternate Phone: [� Insurance-Current: tj t;f C � l�-<i t I � 1 PI�UMBING FIXTtJkES BEING INSTALLED FIXTURE BSMT 15 2 ° OTHER I FIXTURE BSMT ls 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater I Disposal �Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous i PERMIT FEE CALCULATION(S) - � BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does no[require modif cation to electrical or gas service. 2. Has a total cost of$500.00 or less; excludine the cost of the fixture�r 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 $ L�•Li: (Permit Fees Continued On 1�1ext Page) Z If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) • x.0125 $ (conuact price) (minimum$50.00) a 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) ' (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��'��'�� ■ * CONTRAC'I' PRICE or JUB COST means tne actual or estimated dollaz amount cha�•ged 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 aze 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 STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. �� '< ';'PLUMBING PERMIT APPLICA'fiION'AGR�EMENT ,,: � 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: ��1'L� ��Q k �--� Date: ')�'� h �j�' ; Reset For'� " �._. �..; � � , � .. , � .,� , . � , - . , � 3 � . �`�� DATE TIME ( / CITY CALLED IN �� INSPECTION NOTICE SCHEDULED ,�-�,�/� --�� PERMIT NO.��O�3 "�� co PLETED ' ADDRESS 22'-� �� OWNER TELEPHONE NO. � CONTRACTOR � >; DESCRIPTION ��i%�� 'T//j/IL�i � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED ,�',eROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. 1(�, � � White Copyllnspector's File Canary CopylSite Notice