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Home My WebLink About2014-00806 - plumbing ' � CITY OF ORONO 2750 KELLEY PARKWAY * � � 1 4 - 0 B 8 0 6 * DATE ISSUED: 07/29/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1265 SHORELINE DR PIN : 02-117-23-34-0010 LEGAL DESC : REG. LAND SURVEY NO. 1 123 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WC,2 LAV, 1 TUB VALUATION OF PLUMBING 5400 APPLICANT PLUMBING FIXTURE FEE 67.50 STATE SURCHARGE PLBG (VALUATION) 2.70 PALADIN PLUMBING LLC TOTAL 70.20 13963 45TH PLACE NE Payment(s) ST MICHAEL, MN 55376- (763)432-5260 CHECK 3163 7020 OWNER MCCABE, ROGER 1265 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buildine Code. This permit is for only the work dcscribcd and does not grant permission for additional or relatcd work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein."I�his permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I he applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. �-�:.�'�f�G��'�� ' — �—�`—� l l A plicant Permitee Signature Date Issued y Si ture Date / � 7 � FOR CITY USE ONLY `^ ' v ✓ �O� City of Orono P.O.Box 66 Date Received: Permit# 0 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$:� (952)249-4600-Main -� � (952)249-4616-Fax y�' �` CITY OF ORONO—PLUMBING PERMIT �qKESHo��" (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://ww«�.dli.nui. ov/CCLD/PDF/ 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 UNTTL 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 ar 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 PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs [�,Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 1.��"� _�4�'�-��'� �'�� Owner: 1(.�, �"'�'t (�� Mailing Address: �d/�'►t-�t-� City: (1,�?.� Zip: �� j Home Phone: Alternate Phone: Contractar Information: Ga, /',_ �� / � Contractor: �(,Z�G�d�t'r� �Ui,ti►�G�=� Contact Person: `� L"� ��'� Address: /.1�l�3 ys 7��'L �'� State Bond#: � , � _ City: � ��t-�r'.�-�� Zip: �_ �r Expiration Date: �� 1�� c�d% 5 Phone: /��''�3��C-' Alternate Phone: �1,�- �77�%" /�`5 � � ❑ Insurance—Current: 1 � � � PLUMBING FIXTURES BE1NG 1NSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Cioset � Floor Drains Lavatory r� Sewer Ejector D` Bathtub / Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � ��ti�-t,.v:.��j �;��:��;� /��:�-�'`L� :�=�-� 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 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 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 ♦ � ��-� °� �� PERMIT FEE CALCULATION S)�—JOBS�OVER$500.00 If above does not apply; follow guidelines be]ow: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �( �/,,� o L .��-Tc. �` x .0125$ (co�tracC price) (minimum$50.00) 2. STATESURCHARGE 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 permitted work including materials, ]abor,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. PLUMBING PERMIT APPLICATION AGREElV1ENT 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 J� ✓� D TIME v CITY OF ORONO CALLED IN 7 �� INSPECTION Iy,OTIC _D��SCHEDULED _�� 8''� PERMIT NO. o� COMPLETED ADDRESS �z�O 5 S '�-� OWNER TELEPHONE NO. �3z CONTRACTOR p�Q��"'''L �'�- `� p �: DESCRIPTION PC �_ � W ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS � Q O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI I ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � -� J O �. � O � W � Q � 2 W . � W � J W RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours i dvance. (J� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � E TIME V CITY OF ORONO CALLED IN � INSPECTION OTI E SCHEDULED � l� � PERMR NO. �� COMPLEfED ADDRESS �� h�� OWNER TELEPHONE NO.b�a ��9 r�3i�. CONTRAcTnR ,�f��t�l � DESCRIPTION � �"� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z O INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v �LUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 �NNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENT5: aS ��r.le � ' �bw6r� S�.►k . I�/�C . �o� a�,. � ° � W� � �l/G �!• �t0 � � 0 W d x �-- C'bva r � Q � z � W aC , W O WfORKSATISFACTORIF PROCEED ❑PROJECT COMPLETE � ❑CORRECT W'ORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT VIfORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 f xt inspection 2a hours in advance. (952) 249-4600 ctor o�site: �� Inspector: White CopYllnspector's File Canary CopylSite Notiee Gi� 8 AT TIME ✓ CITY OF ORONO CALLED IN � � INSPECTION NOTI SCHEDULED '� PERMIT NO. � �00�� COMPLETED ADDRESS l°��S ��'�`'� � OWNER TELEPHONE NO.��Z �5 �37'? CONTRACTOR � � � � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y �E9eMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERJCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �.��G- �- �-�K W � � Fr�� k — � / ��-�'fs o �' L�a .�c��/ - ` WCbi r��f�b K ��s�( • � Q � z � W � j � SFACTORY:PROCEED �PROJECT COMPLETE W RRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINC, PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOFi �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 ctor on site: �� — Ins�ct . �"`� White Copyllnspector's Ffle Canary CopylSite Notiee a�� ✓ �'�'� D TE TIME CITY OF ORONO CALLED IN O INSPECTION NOTICE SCHEDULED � PERMR NO. `�� COMP ED ADDRESS OWNER TELEPHONE NO. �G3-y3��'x� CONTRACTOR P�w�n � DESCRIPTION � � ❑ FOOTING �PlUM81NG FIN ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WAIL ❑ MECHANICAL RI p LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 2 ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNbATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOUt_YES_NO � COMMENTS: II't,��i � a - C��e�.. — ��lf•iQ'6� � j L / � � O � r � b�a a�./ " o � �CCeSS• o W L� `G✓ G�fd� �G��R��ti� � ��u✓�c — �t .� �l,� — Q . - 2 F � � � l� � -ir t �¢ ' � �S� d� k10 r.� L'aMD�,eL� — W � f �livl�ri ��trllil� J � ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. inspection 24 hours in advance. (952) 249-4600 Ow IContractoron ' �r�`�1 Inspector. Whits CopyAnspector's Ffle Canary CopylSfte Notke