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Home My WebLink About2013-00496 - plumbing ' CITY OF ORONO ` 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 4 9 6 * DATE ISSUED: 06/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 1910 SHORELINE DR PIN : 10-117-23-42-0017 LEGAL DESC : REG. LAND SURVEY NO.0096 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT:2 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER,3 WATER HEATER, 1 WATER SOFTNER 1ST FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,3 SILLCOCKS, 1 WET BAR, 1 HOTTUB 2ND:3 WC,3 LAV,3 TUB,3 SHOWER VALUATION OF PLUMBING 23563 APPLICANT PLUMBING FIXTURE FEE 294.54 GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 11.78 2200 HIGHWAY 13 BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 (952)767-1000 TOTAL 308.32 OWNER &H MOUSAVINASAB,MAJID FEHRESTI 1910 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the�State Building Code.This permit may be revoked at any time for du;cause. `�'1/L�-t.•� �-- i i i i Applicant Permitee Signature Date Issued By Sig ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO ( � FOR CITY USE ONLY �O . `O City of Orono 1�� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main y (952)249-4616—Fax F �� CITY OF ORONO — PLUMBING PERMIT ��kEsrto��` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://w�v�s.dli.mn. o�•/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION l. 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 retum 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 remocteling is involved,a separate building permit nmst 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 esi ntial ❑Commercial(Approval Required) �� ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: I� �l� ��'�;�('L� I �I,�-Q J/Y 1�r'��- Owner:`N�1� lL)V1.S�('! C'/►/� Mailing Address: City: _ Zip: Home Phone: Alternate Phone: Contractor Information: �lU�'��+V � . Contractor�Y�� t�,� Contact Person: �� J Address:�(�� li State Bond#: 0��U��D City:�y��j1�1 �� Zip:��xpiration Date: Phone: � �� V� � �J f Alternate Phone: Insurance— Current: � 1 . � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1`� 2��' OTHER FIXTURE BSMT lsr 2ND OTHER TYPE FL FL TYPE FL FL Water Closet /'� � Floor Drains � O� Lavatory n Sewer Ejector O� Bathtub � � Laundry Tray � Shower ` � Washer I I Kitchen Sink I Water Heater �� Disposal I Water Sofrener I Dishwasher ' Wet Bar ' I Sillcocks ,/� Miscellaneous I � }-)�'�� J PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or ap�liance that meets all three of the following requirements: I. 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 belo��: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) c=�� `��"3 X .�125� �� S�I (contract price) (minimum 550.00) 2. STATE SURCHARGE �� I � � 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 ��ork including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the wark done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market va]ue 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 aniount 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 ardinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on tbis application are complete, true and correct. Applicant's Signature�� ,Q�"C�� '�- �l Date: � l� � 3 / � !D j� TIME � CITY OF ORONO CALLED IN � �� INSPECTION NOTI E SCHEDULED -�' � �� ;00 PERMIT NO '� COMPLETEow ADDRESS �- �v OWNER TELEPHONE NO. gSZ 7�7 l � 7. CONTRACTOR F—�/� � DESCRIPTION � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV RADING/FIWNG � ❑ POURED WALL O MECHANICALHI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � � o � �. � 0 � W � Q � � W � j O RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑ RRECT VYORK�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOH ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �i/ White CopyAnapector's Ffle Canary CopylSite Notics 5 � DATE TIME V CITY OF ORONO cnLLED IN INSPECTION OTICE SCHEDULED � '� PERMR N0.�3'W��O COMPLETED ADDRESS 4'� �9 Co S�Y� ��,s (�'� OWNER TELEPHONE NOG� �� CONTRACTOR � �'''�'L--r�.+rt�►-� �t�-�•� � DESCRIPTION ��``"'�`�"`� - � �""'� � � � FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL �AECHANICAL RI ❑ LAKESHORFJWETLANDS 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 v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �LUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA710N/REMOVAL Z ONfNERICOMRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � � • �4�£i t.�C - F�r cS/1oG��`r �k o� � �U/La Q�Qa. � o • �n - l�� K �� S�fawer avea. � � �,,,, ; �� a,� � ��er 0 � 1 �r1S K��t� — � Q - /�ca�E s��.�/�� /'e�E t�-�-►� �l�,e �_ ? We��. et/�G�✓1 O� � — PL - �.r-G • P�s��y� — ��.�fawe� l/�t/�e.. � �l< � �RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE .�ORRECT YYORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ��O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiT10NWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGEACCESS. br the nex ion 241�ours in advance. (g52) 249-46�� Owne r on site: �� Inspect . White Copyllnspector's File Canary CopylSite Noties "" !� � �� DATE TIME CITY OF ORONO CALLED IN =-�� INSPECTION N TICE SCHEDULED `��; l� PERMIT NO. - � � COMPLETED ADDRESS 1 `'-Tf �. .��j��'�,LJ,/� .[//� OWNER TELEP NE NO.�� 7�'�✓�� CONTRACTOR �'"� L ' � ., � DESCRIPTION -'�-�- 2 � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE�C FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO .�___._.. __.___._..._. � COMMENTS: � ` i /'fLIiG� <S sl��c ' J � l� f v O �" � G �r f �' i � o � � c,�L - �w -- W � Q z ' ��w+olv'e � �( ra� -fa� ve„� �s - W � � �/✓O!(L d��fc,Q.�f CD iM�Q(��i J d � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4lL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�1 for ion 2a hours in advance. (g52) 249-4600 Own ontractor on site: ��Sa Inspector. e Copy/lnspector's Ffle Canary CopylSfte Notice f ��J DAT TIM � ' "CITY OF OR - CALLED IN INSPECTION NOT E SCHEDULED PERMIT NO. � `��a�COMPLETED �'� ADDRESS f �� c�i�`-v��Q- ��n-- OWNER TELEPHONE N . ��7 1�� CONTRACTOR � �� DESCRIPTION L`�� l� ❑ FOOTING ❑ MO-FINAL SEPTIC FINAL � ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING � Q ❑ FOUNDATION WATERPROOF MBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4J ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO M�U: YES_NO � COMMENTS: � W a � J O �. � � O � W � Q � 2 W � W � � GW ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. ) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice