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Home My WebLink About2013-00793 - plumbing CITY OF ORONO * 2 0 1 3 - 0 0 7 9 3 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2013 ORONO,MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS 320 WAKEFIELD RD PIN 36-118-23-31-0014 LEGAL DESC WAKEFIELD FARMS 2ND ADDN LOT 005 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: 1 ST FLOOR: KITCHEN SINK,DISPOSAL,DISHWASHER,WET BAR VALUATION OF PLUMBING 950 APPLICANT PLUMBING FIXTURE FEE 50.00 NORTH SUBURBAN PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 0.48 28221 144TH STREET ZIMMERMAN,MN 55398 TOTAL 50.48 () Minnesota State License#: PM60369 OWNER CIBUZAR,MARK 320 WAKEFIELD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. e applicant is responsible for assuring all required inspections are requ ed in conform a Building Code.This permit may be revoked a time for e. Applicant Permitee Signature Date Issued Ey Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono FO CITY USE ONLY ecei e �T � �O1 VO P.O.Box 66 Date R1 Permit# aQL3 71--- 2750 Kelley Parkway �( Crystal Bay,MN 55323 Approved By: Amount$: UUU (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO—PLUMBING PERMIT !qK@SHO �� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://wwN,v,.dli.iiiii.gov/CCLD/PDF/pe plunibp1anrevapp.Pdf 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 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 Apply) [Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs KReplace ❑ 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: Owneruo,(K- C i Invt 2G✓ Mailing Address: �AM� City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: u >/ Address: z—aLz/ 194$4e' - State Bond City: Zip: -S-S378 Expiration Date: 12 Phone: Z — Alternate Phone: 612- ❑ Insurance—Current: 1 PLVIBING FIXTURES BEING INSTALLED I,q FIXTURE BSMT IST 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink i Water Heater Disposal / Water Softener Dishwasher f Wet Bar Sillcocks / Miscellaneous ❑ 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;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 r . OVER$ _ .. . If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) Q I5c) • oy x.0125$ (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 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. ,r 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, ancertifies that all statements made on this application are complete, true and correct. 6' Applicant's Signature. Date: 3� 3 — 3 DATE TIME CITY OF ORONO '� / !/ CALLED IN INSPECTION NOTICE �aT SCHEDULED — PERMIT NO.,--W XZ�J3JCOMPL�ETEED' ADDRESS 3v2d j, �ai°6� OWNER TELEPHO NO.//4 -3/9- CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ BING FINAL ❑ EXCAWGRADING/FILLING [I POURED WALL ElCHANICAL RI ❑ LAKESHORE/WETLANDS y O El FRAMING El 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QC W CL cc O cc O U_ W CC Q Z W z W CC Z) LU11 WORK SATISFACTORY:PROCEED IMWJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice