HomeMy WebLinkAbout2015-00551 - plumbing ilium
CITY OF ORONO * 2 0 1 5 - 8 0 5 5 1
2750 KELLEY PARKWAY
ORONO,MN 55356-
DATE ISSUED: 05/07/2015
' 952 249-4600 FAX: (952)249-4616
ADDRESS 3445 WATERTOWN RD
PIN 32-118-23-43-0009
LEGAL DESC UNPLATTED 32 118 23
LOT 000 BLOCK 000
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: KITCHEN SINK/WATER SOFTNER/IRON FILTER
VALUATION OF PLUMBING 4294
APPLICANT PLUMBING FIXTURE FEE 53.66
BERGERSON-CASWELL INC. STATE SURCHARGE PLBG(VALUATION) 2.15
5115 INDUSTRIAL ST. TOTAL 55.81
MAPLE PLAIN,MN 55359 Payment(s)
(763)479-3121 CHECK 99148 55.81
OWNER
Gordon James
P0BOX 306
MAPLE PLAIN,MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with th State Building Code.This permit may be
revoked at any time for d e.
Applicant P itee Signature Date d ByWignature Date
FOR CITY USE ONLY
NQ
City of Orono
P.O.Box 66 Date Received: Permit#2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
(952)249-4616—Fax
CITY OF ORONO —PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
htti)://www.dii.mn.aov/CCLD/PDF/i)e olurnbolanrevapp.pcif
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 ❑Replace
❑ In Accessory Structure?
*You will need Drior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 3445 Watertown Rd
Owner:
GJ Property Management, LLC Mailing Address: P.O. Box 306
City: Maple Plain Zip: 55359
Home Phone: Alternate Phone:
Contractor Information:
Contractor:
Bergerson-Caswell, Inc. Contact Person: Mark Klein
Address: 5115 Industrial Street State Bond#:
Maple Plain 55359
City: Zip: Expiration Date:
Phone: (763) 479-3121 Alternate Phone: (612) 685-2528
❑ Insurance—Current:
1
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
1-R.O.Umt
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
1-Iron Filter
❑ 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
PERIVtIT FU CALCULATION(S)—JOBS OVER$500.0
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
4,294.25 x.0125$ 53.67
(contract price) (minimum$50.00)
2. STATE SURCHARGE 4,294.25 2.14
x .0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $55.81
■ * 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.
MION AGREEM
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: 05/07/15
,11®
3
e � 50—
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N_ TICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS �J L�)—Crf�n &�
OWNER TELE P NE NO. fo-) g"
CONTRACTOR —
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPT FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
15FWAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
SITESEPTIC INSTALL
OW ONT CTOR TO MEET YOU: YES_NO
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❑WORK SATISFACTORY:PROCEED 6,0o�OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
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) 249-4600
Owner/Contractor on site:
Inspector. —,
W ite Copyllnspector's File Canary Copylsite Notice
CITY OF ORONO
* 2015 - 00154 *
2750 KELLEY PARKWAY DATE ISSUED: 02/05/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3445 WATERTOWN RD
PIN : 32-118-23-43-0009
LEGAL DESC : UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: ESCROW FOR NEW HOME PERMIT#2015-00065-PD BY:GORDON JAMES CONSTRUCTION$2,500,CK#11942
APPLICANT ESCROW FEE-BUILDING 2,500.00
TOTAL 2,500.00
GORDON JAMES CONSTRUCTION Payment(s)
5159 MAIN STREET E CHECK 11942 2,500.00
P.O.BOX 306
MAPLE PLAIN,MN 55359-
(763)479-3117
Minnesota State License#:BUIL-20531961
OWNER
G J Property Management,LLC
P O BOX 306
MAPLE PLAIN,MN 55359-
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.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. p
W()i-1 NA L
Applicant Permitee Sign ture' ate Issued By Signature Date
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2015-00065
• AGREEMENT made this T'4 day of rFBR'41' -?,Y , 20 15, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") GJ Property Management("Owners").
Recitals
1. A building permit application has been filed a new single family home located at 3445 Watertown
Road the ("Subject Property"), legally described as Section 32, Township 118, Range 23, that part of the W 159.7
feet of the E 1677.7 feet of the SE %Lying S of the Road.
2. Owners request the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal
consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the
Owners would be responsible for under a building permit application. The escrow will also guarantee
reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in
accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79.
The financial security may also be used by the City to eliminate any hazardous conditions associated with the
work and to repair any damage to public property or infrastructure that is caused by the work (including planning,
engineering, or legal consultant review) associated with building permit #2015-00065 if compliance with the
approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow
agreement two times per year to determine whether the requirements of the project have been successfully
completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CITY OF QRONO OWNER:
B Y: G';S ?koPERr Y 144AA-1c,6111fVT,CLC
Its:
Vo
,. . . � 041
.
GORDON JAMES CONSTRUCTION CENTRAL BANK 11942
P.O.BOX 306 6640
PRAT IR E,N SHADY OAK ROAD
5159 MAIN STREET
MAPLE PLAIN,MN 55359 75511.919 DATE
2/5/2015
E PAY TO THE
ORDER OF City of Orono $ **2,500.00
Two Thousand Five Hundred and
E
DOLLARS
City of Orono
2750 Kelly Parkway
Orono, MN 55356
MEMO
3445 Watertown Road p.
II'011942a' 1:09 190 5 1141: 24 433 II■
GORDON JAMES CONSTRUCTION 11942
City of Orono 2/5/2015
1000 General Conditions:01000 Permits 2,500.00
Central Bank Checkin 3445 Watertown Road 2,500.00
CITY OF ORONO
* 2015 - 00430 *
2750 KELLEY PARKWAY DATE ISSUED: 04/15/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 3445 WATERTOWN RD
PIN 32-118-23-43-0009
LEGAL DESC UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,645.00
NOTE: 1 HEAT N'GLO GAS FIREPLACE
APPLICANT MECHANICAL 58.06
STATE SURCHARGE MECH(VALUATION) 2.32
FIRESIDE HEARTH&HOME
2700 FAIRVIEW AVE MAIL-1N FEE 2.00
ROSEVILLE,MN 55113 TOTAL 62.38
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 6238
OWNER
Gordon James
P O BOX 306
MAPLE PLAIN,MN 55359-
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.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
6( fc�ncu� I /
Applicant Permitee Signature Date Issued By Signature Date
04-14-'15 16:05 FROM- T-722 P0001/0004 F-886
City of0rono
O 3I. f5'0� 30
P.O.Box 6b /� Dirte,Reaeivtld,;�;,`„(�Pyrmit#; �
Q 2750 Kelley Parkway li/�.� " ` "r,r/�
Crystal Say,MN 55323 Approvod$y:, AmotintS; Y� � `
Phone(952)2494600 Fax(952)249-4616 i
s�11 CITY OF ORONO—MECHANICAL PERMIT
KFS H 0� (Al I Commercial permits must be approved by the Building official or Inspector and/or Fire Marshall)
. I11��4�'INF�It1v�ATXO;`l '' :, ;.�,.,�'•,=...,, _ ;.,
i
1. You may apply for mechanical 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. Mechanical Designs—Complete calculations,details and specifications are required for each j
heating,ventilation,humidification-dehumidification,and air conditioning installation including i
heat loss/hcat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
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 the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4604.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
r ' , '�hedk.,�+1�•�'hat A '1' .,� ,.
21/esidential ❑Commercial(Approval Required)
ew ❑Additional ❑Repairs ❑Replace
�rab�Site/O,v!rie'r Tiif�rria�iop,
Site Address: J 1—f 14 5 Il a► -P,rior4n
Ownew
r:�(,�`""_ Mailing Address: 0(0
City: \Jit 2C ��r� Zip:
Home Phone:
Jy`7 �J Alternate phone:
Contractor:Information:
R
fi6t3HNOL,��
ContraM' FT kIDE HEARTH &HOME Contact Person: �y c
I_it SC662650
Address: 2700 FAIRVIEW AVENUE N State Bond#:
ROL114 55113
City: 651.633.2`61
Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
04-14-'15 16:05 FROM- T-722 P0002/0004 F-886
Ey, } MEMO
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official, ;
IS THIS GEOTHERMAL? ❑Yes ❑No
BEATING SYSTEMS
Quantity:
Make:
i
Model:
Fuel:
Flue Size:
Input BTUs-
Output 13TUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H,Power
FIREPLACES I
Gas Factory fireplace Brand Name:
Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry f
f
VENTILATION
i
❑ No. kitchen Exhaust duct recirculating cfm �
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by nre Marshall U proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground C]Inside ❑Outside I
LP Gas: gallons
Other:
GAS UNE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
t
04-14-'15 16:06 FROM- T-722 P0003/0004 F-886
�.. f. �li�� ,. �!i: . +SJ K• �b ' .s
M-i�f2 '�. rldmu y
Yes,this section applies
i
The replacement of a 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;excludin the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(1f Applicable) $ 2.00
Total Permit Fee
� % +i Na.4 .,', Ye1�F.�Go >-�.�ar".:;ixw'
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50,00)
`4 U`'I o X.0125$ 58 c)
(contract price) (mioilmum 550.00)
2. STATE SURCHARGE ' r { I c
0005 $
` .
x
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add sines 1-3 Above) S
■ * 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,
i
i
•i, '
The undersigned hereby applies to the City for issuance of a Mechanical 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 1
correct.
Applicant's Signature: Date: 1
3
6_; ` I C�Z-- DATE TIME
CITY OF ORONO CALLED IN -
INSPECTION N TIZCA-� SCHEDULED —
PERMIT NO. COMPLETED
ADDRESS
OWNER TEJLjEPHONNOAk5/_
CONTRACTOR
DESCRIPTION y G�
W ❑ FOOTING ❑ DE O-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
" COMMENTS:
cc
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c
O '
W
QC
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W ��RK SATISFACTORY:PROCEED O PROJECT COMPLETE
QC RECT WORK Ik PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN 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 ip advance. (9 9-4600
Owner/Contractor on site:
Inspector.
White Copyllnspectoes File L Canary Copy/Site Notice
DATE TIV
CITY OF ORONO CALLED IN 7
�
INSPECTION SCHEDULED 5`-/.S /�•'-3�
PERMIT NO. �� MP ETED 7�1
ADDRESS �� l
OWNER _TrELEPHONE NO.�`S�-�j3 -Z 5�0
CONTRACTOR / D
DESCRIPTION
W ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
J
0
cc
o
W
cc
Q
2
W
W
cc
W [I WORK SATISFACTORY:PROCEED �7 PROJECT COMPLETE
W ❑CORRECT WORK S PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 urs in advance. ( 249-460
OwnerlContractor on site:
Inspector.
White CopyAnspector's File Canary Copy/She Notice
CITY OF ORONO _
00064 *
2750 KELLEY PARKWAY * DANE ISSUED: 01/20/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 3445 WATERTOWN RD
PIN 32-118-23-43-0009
LEGAL DESC UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 564,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 564,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00065
APPLICANT ADVANCED PLAN REVIEW 2,577.63
GORDON JAMES CONSTRUCTION TOTAL 2,577.63
5159 MAIN STREET E Payment(s)
CHECK 11895 2,577.63
P.O.BOX 306
MAPLE PLAIN,MN 55359-
(763)479-3117
Minnesota State License#:BUIL-20531961
OWNER
G J PROPERTY
P O BOX 306
MAPLE PLAIN,MN 55359-
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.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
Cit%, of Grono
275u Keiley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.012630 Jan 20, 2015
Gordon James
Previous Balance: .00
Permits
2015-00064 3445 2,577.63
Watertown Rd
101-34410
Plan Check/Site Exam Fees
---------------
Total: 2,577.63
PSN CC 2,577.63
Payor:
Gordon James
Total Applied: 2,577.63
---------------
Change Tendered: .00
---------------
---------------
01/20/2015 04:19PM
City of Urono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.012630 Jan 20, 2015
Gordon James
Previous Balance: .00
Permits
2015-00064 3445 2,577.63
Watertown Rd
101-34410
Plan Check/Site Exam Fees
Total: 2,577.63
---------------
PSN CC ---- -2,577.63
Payor:
Gordon James
Total Applied: 2,577.63
---------------
Change Tendered: .00
01/20/2015 04:19PM
111111111111111111111111
CITY OF ORONO * 2015 - 00378 *
2750 KELLEY PARKWAY DATE ISSUED: 04/02/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3445 WATERTOWN RD
PIN : 32-118-23-43-0009
LEGAL DESC : UNPLATTED 32 118 23
LOT 000 BLOCK 000
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: MULTIPLE FIXTURES,WATER CLOSET 3,LAV,4,BATHTUB 2,SHOWER 1,KIT SINK 1,WTR HEATER,WET BAR
VALUATION OF PLUMBING 28900
APPLICANT PLUMBING FIXTURE FEE 361.25
B&D PLUMBING&HEATING INC.
STATE SURCHARGE PLBG(VALUATION) 14.45 4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- Payment(s) TOTAL 375.70
(763)497-2290 CREDIT CARD 8094 375.70
OWNER
G J Property Management,LLC
P O BOX 306
MAPLE PLAIN,MN 55359-
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.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
9 f �5
Applicant Permitee Signa re Date Issued B Signature Date
From:7634974263 04/02/2015 06:23 #609 P.001 /005
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Air Commoning
4145 MacKenzie Chart HE E S#. Michael, UN 55376 763-467-2290 Fax: 763-497-4263
Fax Transmittal
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From:7634974263 04/02/2015 06:23 #609 P.002/005
A� City of Orono
�O1 V P.O.Box 66 1 if
2750 Kelley Parkway �
Crystal Bay,MN 55323 r
(952)2494600—Mains
(952)2494616—Fax
s ��G'S CITY OF ORONO—PLUMBING PERMIT
kf5li (All Commercial Permits Must be Approved by the State Prior to City Approval)
htti)://ivww.dii.nin.gov/CCLD[PDF/pe glumb 1a nrevagR.
Of
GENERAL Ii�1EO12VlTIQZ . ..'
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)
1�
A TY'E 01Y'F� � ?d kk�'3 Pa'
�)Residential ❑Commercial(Approval Required)
New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Situ Owner Information F
Site Address: 3L/L1,5 L,���►u��� 1�
Owner: Joe rS o Mailing Address: P(') box ao- 1' fa' I
City: or t->ria Zip: 5 5`3 5 4
Home Phone: Alternate Phone: (Ce!as ?)&q
CflkltraCtOT OriYla):10)tI> .,:" .` .. '
Contractor: �1�r T! ';L\,, Contact Person:
Address: q1 of 5/)jd&dL e LL Al State Bond#:
Qy0 11�3�tIS
City: i c 1,G1 e...( Zip:55'3'7(o Expiration Date:
Phone: 76-5) y jDaci'L Alternate Phone: (7/n 20 V 9 7_7`6 H ct
❑ Insurance—Current: ✓v; 1 f l 1
3
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From:7634974263 04/02/2015 06:24 #609 P.003/005
FIXTURE BSMT IST 2 OTHER FIXTURE BSMT IST 2 NO OTHER
TYPE FL FL TYPE FL FL
Water Closet ( Floor Drains I 1 Rtu r�
rcLq
Lavatory ' �T� ( Sewer Ejector J
Bathtub Laundry Tray ,
Shower Washer
Kitchen Sink , Water Heater `
Disposal Water Softener
Dishwasher r Wet Bar
Sillcocks Miscellaneous 0.
❑ 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
From:7634974263 04/02/2015 08:24 #609 P.004/005
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(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.
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: �/0,1 �Com• Date:
3
v
� DATE TIME
CITY OF ORONO . ALLED IN
' INSPECTION NOTICE SCHEDULED
PERMIT NO. I (COMPLETED
ADDRESS 4 '5 f,j ck_a
OWNER TELEPHONE NO.t//fZ 3 �✓?-3�
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
r ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YO YES_NO
COMMEN
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W
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W
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Q
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WWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
A
Call for the next inspection 24rs in adva 249-4600
Owner/Contractor on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TIE SCHEDULED
PERMIT NO (6 WS-l ' COMPLETED
ADDRESS 244 k-b;e/ I ,
OWNER TELEPHONE NO. LL Sax 0333
CONTRACTOR 'YID
DESCRIPTION
W ❑ FOOTING ❑ DEMO-F\IRJ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF `�2LUMBING 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARDCOVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO .
COMMENTS:_ d+S �5 hO"®'''S
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❑WORK SATI CTORY P ,WEED ❑PROJECT COMPLETE
C ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W —
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 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.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerfContractor on site•
e rag
Ins k•^•'
White CopyAnspector's File Canary Copy/She Notice