The URL can be used to link to this page

Home My WebLink About2015-01351 - plumbing �r . CITY OF ORONO * 2 0 1 5 - 0 1 3 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1432 SHORELINE DR PIN : 11-117-23-22-0014 LEGAL DESC : UNPLATTED 11 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(1)BATHTUB,(4)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)D[SHWASHER,(I) FLOOR DRAIN,(2)LAUNDRY TRAYS,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 KRAHL'S PLUMB STATE SURCHARGE PLBG(VALUATION) 2.00 3508 LYRIC AVE TOTAL 52.00 WAYZATA, MN 55391- Payment(s) CHECK 5005 52.00 OWNER JOHNSON, MATTHEW& SUSANNE 1432 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming[his type of work shall be compied wi[h whether or not specified herein.This permi[will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for uring all required inspections aze requested in conformance with the tate Building Code.This permit may be revoked at any ti for d e cause. . -2! � /D i�i � Applicant Permitee S n � Date Issued Signature Date � ' � � I � FOR CITY USE ONLY � City of Orono �/�/� /3S . � �O P.O.Box 66 Date Received: Permitfip+EiJr 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: ' �." (952)249-4600—Main (952)249-4616—F� y�'�� `� CITY OF ORONO—PLUMBING PERMIT kFSHo�` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://w��w.dli.mn. 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 UNTII.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 PERMIT Check All That A 1 �esidential ❑ ommercial(Approval Required) ❑ New dditional ❑ Repairs Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP.(Per Orono City Code,Chapter 78,Article I� Job Site/Owner Inforrnation: ' Site Address: !�� I� � � Owner: �1�! � D Mailing Address: bl�� City: v�v� Zip: ��.�.5�' �� Home Phone: �� '��v Alternate Phone: Contractor Information: � S Contractor: { �`��`W' h- Contact Person: �� Address: �SU �� `'y State Bond#: City: L-� Zip:� Expiration Date: � Phone: � � Alternate Phone: ❑ Insurance—Current: 1 � 1 . � �`-� �' �g��,iY�� z� �''�.,,; ., ,�" i_. y�.,.: ,r , ; ,�. .;,�„r`,�c�"-.'� � ;�:t: FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL y FL Water Closet � Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray � Shower ; Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar /,� , l� Sillcocks Miscellaneous / �� _ . ,. , , ,. . ,: � -. � - � �- „ .- . � . , � ., ; .. _ : ❑ 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;excludine 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 Pernut $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ! t � � / � . , �+. :,��c ,�'1.�' :+ ', ,"�. �," s;:'�� i . ::�..� �" � _ �*'��"�, ,,� �.w.x� w� . If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contra�;�ce with a(Minimum Fee of$50.00) �V x.0125 $ ontract 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 permitted work including materials, labor,profit, and other fixed costs. It is the amount to be chazged 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. ::� � . . �- � , . � ; � ��.,� � . . , � • : �,�� s � �,�_ �� The undersigned hereby applies to the City or issuance of a Plumbing Permit, agrees to do all work in strict accordance w'th the ordinan s of the City and the regulations of the State of Minnesota, and certifies tha 11 statement ade on this application are complete, true and correct. � �_ � Applicant's Signature: Date: 3 J� �.c� ,� � ----- q E TIME CITY OF ORONO CALLED IN I�/ �S INSPECTION N QTICE SCHEDULED ��-t _�� PERMIT NO. � �S—�� / MPLETED ADDRESS 3 v►�Q- OWNER TE HONE NO. ��1 CONTRACTOR �� S � DESCRIPTION U� � � W ❑ FOOTING ❑ DEMO-FIN SEPTIC FINAL � ❑ POURED WALL �pLUMBING R Q ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z �IYNERICONTRACTOR TO MEET YGU:_YES_NO � COMMENTS: �I�J V� ��/G ��.fi-� '7�'�� - � _ �edc�st,�c c /�vc �/� �1tl j .�'tt �¢•,: �c sfi -- �� l2 ol�P� .cc _ 0 o� o . �� ✓bv�rJ�i ly��'l,� cL�ursL 6�'✓.c� �lit �t�e i rra,� W � L�.�cc !l sr l./•� •ETi/( � �S G �1'S� - Q 2 v va t�� .� l � �i�J�'6r. � 3 Gt� e.�c< <r �i a�•�r� �3`` s�� .:.. �.G. � Gpr ve��f � � ��✓ J O W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE �CGRFIE6T�K 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pMOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: Inspector: > "--' White Copyllnspector's Ffle Cenary CopylSite Notke �� /�� L/ AT /�, TIME CITY OF ORONO�L��D/3S/c�►LLED IN � ��` �� INSPECTION�O11 E SCHEDULED =�JL= �ERMIT NO. r COM�LETED ADDRESS ��7-�� ,`D/��/�1.2 � OWNER TELEPHON NO. ro�a ~�J D�3 CONTRACTOR ��r\ � S ��e�2� � DESCRIPTION �� f�bi� �i�� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF �L,UMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB � LJ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ TIC INSTALL Z OWNERICONTRACTOR TO MEET Y'OU: YES_NO c�.� COMMENTS: �r � �e��eL - V�5u�� ' o � � ��,�.� �v.� - .�o u��. �a.�� '' �e�� a�Jor� L� w�-�� - � ,�� ,�EP�. �`.� Q � W W - � `o v�i � J � ❑WOIiKSATiSFACTORY:PROCEED �$QJECT COMPLEfE w ❑CORRECT WORK S PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑COFtRECT UNSAFE CONDITION WITHIN HOURS- ❑pHpTO TAKEN INSPECTOR WILL RETURN ❑�TATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. " 24 hours in adva�e. (952) 249-4600 ��,s�e� 5�t�� 5�«: � White CopYdnapectw's Fik Cenary CopylSke No/kx