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Home My WebLink About2014-01373 - plumbing • `° CITY OF ORONO * 2 0 1 4 - 0 1 3 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U26/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1700 SHORELINE DR PIN : 10-117-23-14-0014 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPF. : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO'I'E: PLUMBING FIXTURES: (1) WATERCLOSET (1)BATHTUB (1)SHOWER (2)LAVA"CORIES VALUATION OF PLUMBING 3200 APPLICANT PLUMB[NG FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.60 NRH PLUMBING INC. TOTAL 51.60 6460 153RD LN Payment(s) RAMSEY, MN 55303- (6 l2)245-7280 CHECK 4107 5].60 Minnesota State License#: plbg-067436 PM OWNER ETAL, IRWIN JACOBS 1700 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work for which this pennit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applican[is responsible for assuring all required inspections am requested in conformance with th�State Building Code.This permit may be revoked a[an time for due ca c.�, i I ^ �� Z� ��y7/1/t-��. l 2(�l A plieant Permitee Sig ur Date Issu y Signature Date .• � , � F R C Y USE ONLY City of Orono i � �j �O�O P.O.Box 66 DateReceive� Permit#�� J 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$:_� (952)249-4600—Main � � (952)249-4616—Fax y�' �` CITY OF ORONO -PLUMBING PERMIT ��KEs H o�`� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://H�w«�.dli.mu.rov/CCLD/PDF/�e �lumb�lanre��a� . 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 wark 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: ��(;� ��,.� v'��I ��-z- 1�/2° Owner: �iZu;r r�/ ,��5 Mailing Address: � 7G'L% --��'�� e ��' City: � ►2�r�/v Zip: Home Phone: Alternate Phone: Contractor Information: �, Contractor: l�l�E-� ��'��"'- � �`� Contact Person: �'<<�-lL Address: �� Z�r �-�v State Bond #: ��G �`�S�S� � City: � ►�1wtS��' Zip: SS3a3 Expiration Date: IZ �3i �zviS Phone: �!7 7�`S 7 Z �U Alternate Phone: ❑ Insurance- Current: I� � ��i�' `f 1 Z�� l2 �3 j /+�- ._ r . , ! PLUMBING FIXTURES BEING 1NSTALLED FIXTURE BSMT I 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bathtub I Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 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; excludin�the cost of the fixture ar 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 below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) 3c��-��CJ x .O125 $ (contract 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 PRIGE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 installarions 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 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: ��/o� �' �� 3 r � _ d-,- �- --� � D TE �T�'%. CITY OF ORONO CALLED IN �/-�� INSPECTION OTICE SCHEDULED �a a'� �•3� PERMIT NO.�� 3� COMPLETED ADDRESS � �� ~ OWNER — LEPHONE N��O��"a'��'� CONTRACTOR �J N �� ; DESCRIPTION Y � � � � ❑ FOOTING ❑ PLUMBING INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y O 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 � C3iPLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_l/L65l�A� � i �. �C.J.- ✓ �'� ` �(�'J� �/l`�!e�y . � �Li/�GiJ e✓ '� l,(J• C • l�jd� �/y10�/e� - � ° � rv v - �UG s�, �j0 -f-��`� f ��Sz<<ti� QG�l� �/e�t�%c� �- �te w� 1�►��ss�a:� z �°i,f�/��s � OK —t5r G6 a� ✓ W � � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ,O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4f)0� OwnerlContractor on site: r , Inspector. ' ��M White Copyflnspector's File Canary CopylSite Notice J�� DAT TIME � CfTY OF ORONO CALLED IN � —� INSPECTION NOTICE SCHEDULED �?-�:3 -�S O: PERMIT NO.ad��-0�3� COMPLETED ADDRESS �7� OWNER TELEPHONE NO� ' -7 CONTRACTOR � � � DESCRIPTION v'�'``'`-� r� 4~j ❑ FOOTING ❑ DEMO-F L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ P ING RI ❑ EXCAV/GRADING/FILLING �� ❑ FOUNDATION WATERPROOF MBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MEC ANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: � � j 0 � o� 0 W � Q � 2 � W � J O W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT YYORK 8 PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR NfILL RETURN D STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 52� Q� OwnedCoMractor on site: Inspector: White CopyAnspector's Fik Canary CopylSks Notice