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Home My WebLink About2013-00969 - plumbing . � � CITY OF ORONO * Z 0 1 3 — P1 0 9 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2080 SHORELINE DR PIN : 15-117-23-21-0006 LEGAL DESC : HARTWOOD : LOT 007 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER, 1 WET BAR BSMT: 1 WET BAR VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 DON BROLL PLUMBING STATE SURCHARGE PLBG(VALUATION) 3.00 5760 DRAKE DRNE MAPLE PLAIN,MN 55359 TOTAL 78.00 (612)270-1483 Minnesota State License#:058365 PM OWNER STALOCH&MICHAEL STEWART,ROBIN 2080 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pertnit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The appiicant is responsible for assuring all required inspections aze requested in c o ance wi the State Buil ing Code.This permit may be revoked at y ti e for cause. � �/! l / / / �ppl�cant Permitee Signature Date Issue y ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED OVE. ,< . � FOR CITY USE ONLY �O ` _ City of Orono 1Y P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway `' Crystal Bay,IvfN 55323 Approved By:, Amount$: (952)249-4600—Main (952)249-4616—Fax ��'t ��` CITY OF ORONO–PLUMBING PERMIT qkESHO� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCGD/PDF/ e lumb lanreva . df GENERAL 1NFORMATION 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 A lyj esidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner information: �O�a ShOr.e l i�� Site Address: r 1 U,�.� Owner:��j �Q -r/ eu/�-�°'f Mailing Address: �� ,s�'10 YQ�I h� �(/h City: Zip: .�� f' C Home Phone: �l� '��— �1�l�' Alternate Phone: C:ontractor Information: Contractor: ✓� ` � �"��Contact Person: y'� `/ � � Address: ��I 6v D�"'�u� �f` State Bond#: ��. C° �� ? � �l� City: � �(` U��Zip;�s�;��cpiration Date: � �� Phone: �p `�'�zU"�1 �� Alternate Phone: [y�nsurance–Current: 1 - ?: � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavatory r Sewer Ejector l Bathtub Laundry Tray Shower Washer I Kitchen Sink � Water Heater Disposal Water Softener Dishwasher � Wet Bar ) ! ` Sillcocks Miscellaneous � - L �� h 1� i�� C� �� o�fie�� -f ❑ 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;excludinQ 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 < ' �. �� z � . ,. �.. _ . � � 3 , �� ,�r,t '�`n.,«x.;: n„{,ab., r, . , i...s, �F..�- �,.. a....., . ..#.:�� ,.. .e .,-.a ' ...,� .n If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �aDO �' —' X.oi2s$ (conuact 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 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. ,.v �. �m �v ,��,. .. . _ . .. . , _ �.,. , , , . �_.. . - v .�, . ., 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: 2 �''�� Date: �—C ��, 3 �� DATE TIME V CITY OF ORONO `(/ CALLED IN �_ INSPECTION NOTICE l� SCHEDULED q-�R-13 /D'oa PERMIT NO.��3 '��9� / COMPLETED ADDRESS �� g� �'��-^-e �'l� OWNER TELEPHONE NO. ��- Z7� � �g3 CONTRACTOR ��1 e�[�— � DESCRIPTION � �I � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO . � COMMENTS: � W a J 0 �� O � W � Q � 2 W � W � � d W� -�W J( CSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE GERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT QCORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on te: Inspector. White Copyllnspector's File Canary CopylSite Notice /� ��D�`/ /� TIME V ._..-�CITY OF ORONO CALLED IN � � �� INSPECTION NOTICE SCHEDULED % '� PERMIT NO. ��/3 CX-�GA -�� COMPLETED ADDRESS `��'/2�' �/{�1�� OWNER TELEP NE NO. �a� 7c �� CONTRACTOR �D L� �� r" ,. � DESCRIP�ON ` �f�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC /GRADING/FILLING Q ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS 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 v ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/fiEMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMEN - � W a � J O �. � O � W � Q � 2 W � W � J d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours i advance. (952� 2 -460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copyl Notice