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Home My WebLink About2011-01413 - plumbing CITY OF ORONO PERMIT NO.: 2011-01413 � 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISsuED: 1U08/2011 • 952 249-4600 FAX: 952 249-4616 ADDRESS : 2010 SHORELINE DR PIN : 10-117-23-31-0001 LEGAL DESC : LJNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPAIR FLOOR DRAINS IN BASMENT VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 PIPELINE IND STATE SURCHARGE PLBG VALUATION 3.00 2270 CAPP RD � � SAINT PAUL,MN 5510& TOTAL 78.00 (651)645-0622 PAID WITH CC# 6308 OWNER HUDSON-WINER,MICHELLE 2010 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Buildi Code.This permit may be revoked at any time for due cause _--�- l �� i i pplicant Pe ' e Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � FC��t GA'1'iJS��NLY � �,¢0�� City of Orono � �� P.O.Box 66 DateRece�uea: Perrnit#� 2750 Kelley Parkway f � -, � Crystal Bay,MN 55323 Approve,�l By; � ` Amouni$: � (952)249-4600—Main �aso� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://wwwr.dli.mn.6ov/CCLD/PDF/ e lumb lanreva . df '��R.�Z°:��;1��I��'3 ',:: �. 1. You may apply for plumbing permits by mail or in person at the City offices. Applicarions will be reviewed and a pernut will be issued within two working days. 2. Pernut 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 perxnit 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 PERI�+ZIT (�1�eck A�I:That A` 1 ) ' ;: �Residential ❑Commercial(Approval Required) ❑ New ❑Additional �Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior apnroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) �Job S�te/�Uwner�t�imation: SiteAddress: .20/0 S1-�D�FLSNC � Z Owner:l�L��HEL1E l,c.?rNNEZ Mailing Address: city: o�o N 6 zip: 3�3ci / Home Phone: g 5�.- yy9- �/L Alternate Phone: Cc�ntra.ctor:Ir�for�ation: : Contractor: P.z'PEl.t�vESNDUs�'�'Contact Person: TbNN 1A,1�4KC t�M d� w�s c t��.rs Address: 22y'1 CA�? RD State Bond#: S9o��SSG City: .S'T t��4Jt- Zip:S'�'//'/ Expiration Date: /1 l3/�� Phone: �,S/•!d�lS 0(e Z Z Alternate Phone: ❑ Insurance—Current: 1 � � � 1 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains � Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � . ❑ Yes,this section applies � � ' ;,� �-. � �: � �i� , ; _t. � ��a .._ � . . .. . .. , --a The replacement of only one Residential fixture or appliance�ha,,t�n�ets a�l�hre�pf the followinjg requirements: ��✓t.� :T:. ; + .._i d�.:,`,-�.;,� 1., rT�bes�io��equire modificarion to electrical or gas service. �> �t��'; .: 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. Is irnproved,installed or replaced by the homeowqer�ic� u�Fontractor. ... - , ��.. , Skip next section,if this applies; Cost of Pemut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 �K ��'�, ,=!'.l:1 � +.xc�r�, ,' -Ta�L.P��,l�� 3'l�Z��i�t`�r $ .,.��. . � - � . .. . , �.3� , ':`�. �t�t4\�.. �;�:'h,C� ... ;: "�' "'+ � , �c„ . i t�1� ,... (Permit Fees Continued On Next Page) _� ��` __�;��, �Vy 2 / . � If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) l�, (JCS'a x.0125$ r�(contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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 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 coniract 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 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 DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � U PERMIT NO.�a/�- °� �� 3 COMPLETED ADDRESS �o/O `Sy!D'1�.�•�-2 �L� OWNER TELEPHONEN0.65 � ��S nbZZ-- CONTRACTOR P�p��- >; DESCRIPTION ��G�� '�'� � � ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. �-�./ White Copyllnspector's File Canary CopylSite Notice