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Home My WebLink About2005-P08553 - plumbing � PERMIT '�CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Posss3 Crystal Bay, Minnesota 55323 Permit Type: FiX�es (952) 249-4600 Date Issued: 3/30/2005 SITE ADDRESS: 1265 Shoreline Dr Way7ata,MN 55391 P I D: 02-117-23-34-0010 DESCRIPTION: Proposed Use: Kesicienriai • Pernut Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 187.50 Valuation• $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT' General Plumbing&Heating Inc. (See Con OWNER: Terri Jenstad&Gary Petersen � 5541 Highway 12 S.E. 1265 Shoreline Dr Delano,MN 55328 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �v APP ANT PERMITEE SIGNATURE I SUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1 FOR CITY USE ONLY � ��, City of Orono P.O.Box 66 Date Received: Permit# �`� � 2750 Kelley Parkway ��d '� Crystal Bay,MN 55323 Approved By: Amount$: ��f �'�a� (952)249-4600 �� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernrits by mail or in person at the City offices. Applicarions will be reviewed and a permit will be issued within two working days. 2. Pernut cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL TAE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pemuts 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 pernut 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. (24-08 hour notice required) TYPE OF PERMIT , (Check All T�iat A 1 ) ��esidential ❑Commercial(Approval Requued) ❑New ❑Addirional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site L Owner Informarion: Site Address: /�lo s S�le��,2� Y/�IGJEr �/�r��1' `y�/U Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ' Contractor: �e�� G<��(!� Contact Person: /1�.� �- ��U Address: �S�/l u�1��/(�� /Z��State Bond#: j�? 31�D'� City: „� Zip:��Expiration Date: � Phone: ��3-al� 3�/6/ Alternate Phone: ��,3 /�� CQ�/ ❑ Insurance—Current: 1 ,<; �,:�PLT�IVIB]NG FIXTURES BEING INSTAI:LED ..` � '': ti � . ;; . � :" FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER ' TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavatory � � Sewer Ejector BathT�,b � Laundry Tray f I Shower � Washer / : Kitchen Sink � Water Heater � Disposal � Water Softener I Dishwasher / Wet Bar Sillcocks � Miscellaneous <s, -� R , :PERIVIIT,FEE CALCLT�;A,TION(S) ` � . : ; :'�, � � ' � „ .BASED QFF,-204��,STA�;E STATUE}= _ k � , �' � ;€ , ❑ 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;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Pemut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 : PERM�T;FEE=CA�,CULATION S =;JOBS OVER.$SQO 00. ;:; . ..:; , � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) r d� 5 � � x.0125$ (contract 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) $ • * CONTRACT PRICE or 70B COST means the actual or estimated dollaz 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 pernut 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. - : ;�PI:UIVIBING:PERMIT`APPLICA'T,ION�AGREEMENT; ,. 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: � � C� 3 DAT TIME V CITY OF ORONO c�r, � INSPECTION N�TI SCHEDULED � �Z�� PERMIT NO. COMPLETED ADDRESS �a�0� d" �� OWNER CONTR.�G�'c�ce�-r ��"1vL TELEPHONE NO. 7Co,� 9 7 Z `3 �� DESCRIPTION ��' V� /?71�c,�u u 1�� 01 FOOTING 11 MECHA C L RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � O � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next in tion 24 hours in advance. (952� 249-4600 OwnerlContractor te Inspector. — White Copyllnspector's File Canary CopylSNe Notice •�� DATE TIME � CITY OF ORONO A �C E�iN � _S ^�" INSPECTION NOTICE SCHEDULED � T • "�� PERMIT NO. �' COMPLETED ADDRESS � � �- OWNER CONTR. /�-� TELEPHONE NO. �CD� � �� Q l � � DESCRIPTION �� Y�.— / T� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � D O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ 1NSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-4600 Owner/Contra site: Inspector. White Copyllnspector's ile Canary CopylSite Notice