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Home My WebLink About2015-00019 - plumbing .,,� CITY OF ORONO * z 0 1 5 - 0 0 � 1 9 * r 2750 KELLEY PARKWAY DATE ISSUED: O1/07/2015 ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 3895 SHORELINE DR PIN : 20-117-23-22-0004 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 008 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: I WATER CLOSET, 1 LAVATORY, 1 BATHTUB VALUATION OF PLUMBING 2100 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.05 VERSANT PLUMBING CO. TOTAL 51.05 5601 331 AVE NW Payment(s) CAMBRIDGE, MN 55008- CHECK 6734 51.05 (763)238-4703 Minnesota State License#: plbg-643677 OWNER RAUSCHENDORFER,JOE& SANDY 3895 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances goveming[his type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be � revoked at any time for due cause. _ r� , ) ' i � � . � /'/ / � � �-� S ��-=t C �`�1'1,��r r i il f Applicant Permitee Signature Date Issued By Signat re Date ♦ ) FOR CPI'Y USE ONLY "` �O� TO City of Orono � 1 y P.O.Box 66 Date Received; Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:, Amount$: (952)249-4600—Main (952)249-4616—Fax y�' �` CITY OF ORONO-PLUMBING PERMIT tqKFSHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mu. 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 wiil 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 work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERIVIIT (Check All That A ly) �Residential ❑ Commercial(Approval Required) ❑ New ❑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: �g� s S �o� e 1�.-� �. Q�.- Owner: �p e Q. c, � �G1. e v��o,-�l�.Mailing Address: � 8�j S S�.6� � I,`� �„- city: �"� ,,-6►�� zip: S S 3 Z 3 Home Phone: Alternate Phone: Contractar Tnformation: Contractor: �/�,r.s�_-{ P 1 u�I�.�S�� Contact Person: M, �.� ��I�O�� Address: 5�61 33� Au�� "``� State Bond #: �� 3�7� City: GG-.._k,.-,�� Zip: SS��Expiration Date: � 2- 3 � - �5 Phone: ,� 3- Z 3�- y7o 3 Alternate Phone: ❑ Insurance-Current: �,,� �s .� 1,�.�.,,,d 1 r � t , , s� '� �� '��t44,�";di knl t ��.��k_��"�� F � 1��``�'��.wt§e'��°Y"�* rY e ,,a, ,§.`' 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 Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous .s_ . �, ��,� �: : �,��, � � ; _ . � � ,� m .� �� , , , _ _ �� - � .,:.� �� < . � ��_U � �,�_ � t ��_. ,.� . .4.�. _ � • ❑ 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 $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � iut k'��A`��"{�s. A �'�z..�:��.G`.I��Vt��1�.��`�.;�rl'31; ��t°u�� '17�� x�'�a� ��s��' c�"`�t�s � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) e� � 2 � �� x.o125 $ (contract price) (minimum$50.00) 2. STATESURCHARGE x.0005 $ (convact 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. .'�a , � ��3"�x� `�'�'�,�°' i �t:,. . .., �� .. r y '.:.� �f " :� � ^�� ,ai":�+ �a`�a+��a t v 1�.3. � . .. . . , - . .z .:��s , i .- , , ., .}..d. 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: I` 1 —I S 3 , ��O DATE TIM L.ITY OF ORONO CALLED IN INSPECTION N TI SCHEDULED - - a = Q PERMIT NO. � �� co PLETED ADDRESS �fS� { �%{� JT.`�� s7�' OWNER TELEPHONE NO. , ��"��`7� CONTRACTOR �-� ` � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADINGlFILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 W ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL LUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL 2 OR TO MEEf YOU: YES_NO � �� COMMENTS: � � i � l � �-.�2 v 0 11r�, N 0 v' � 0 � W � Q � 2 W � W 2 � J GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali forthe next inspection hou��va 952) 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopyfSite Notice �-C� � � �J E '�, TIME , CITY OF ORONO CALLED IN � �/ � INSPECTION OTI SCHEDULED ��. ' PERMIT N . �� OMPLETED - ADDRESS �� '�� h OWNER � PHONE NO� ' � `� CONTRACTOR �� DESCRIPTION � � � ❑ FOOTING PLUMBING FI � EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 CHANIC RI ❑ LAKESHORFJWETLANDS y p FRAMING ❑ MECHANIC AL ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W a j W SATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ CT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ...-f Call for the next inspection 24 ho in adv ) 249-4600 pwnerfCoMractor on site: Inspector: White Copyllnspector's Ffle Canary CopylSit�Notiee