The URL can be used to link to this page

Home My WebLink About2011-01591 plumbing z CITY OF OR NO PERMIT NO.: 2011-01591 � 2750 KELLEY PA WAY ORONO, MN 55 56- DATE ISSUEn: 12/30/2011 952 249-4600 FAX: 9 2 249-4616 ADDRESS : 4105 BAYSIDE RD PIN : 06-117-23-14-0023 LEGAL DESC : BAYSIDE RIDGE : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: I (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER VALUATION OF PLUMBING 8450 � - APPLICANT PLUMBI G FIXTURE FEE 105.63 PLUMBING SERVICES, INC. STATE S RCHARGE PLBG (VALUATION) 4.22 7938 NORTH SHORE TRAIL FOREST LAKE,MN 55025- MAIL-IN FEE 2.00 Minnesota State License#: 58570PM TOTAL 111.85 PAI WITH CC# 8362 OWNER BURKE,NICK& SUE 4105 BAYS[DE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned 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 pennission 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 j 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 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 a ny time f�pr due cause. GQ /zl� l �� 0� � l Applicant Permitee Sign e Date Iss d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. 12/21/2011 13:41 7637809681 PLU BING SERUICES IN PAGE 03 ;�Q�,, City of Orm�o �'nR CT['Y U5E ON,t,,Y O. 4 �.V.B�x ae uato�t000ivcd; r.crmit�1 _,_ ryq;.;,,,, 2750 Kallcy P;�rlcwny � ,��1�-;�,'�. t Crystal L3�y,�iN 55323 APproved By� Amount S: « '{�!��a��;�;j�o`-� (9,52}249•4G00—Muin �!ss!�' (952)249-4ti1 G—Fax CrTY OF O:ROZVO PLUMSING PERM.iT (l�ll Cu�urr,crcial Permits Muct be Approveu . tlic 5iate P�ior to City,Approval) p�.�t..�://ra�w�v.�11i.��an.+��,��/(''4:;f.�l')fd"�r�/ � 1urt�l�.E�rno-evso > >. �df GENERAL 1.NFORMA1"ION 1. You may flpply for plurnbin�pennits by mail or in erson�lt the City of�ces. Applications will bc r�vir.wr..d and a permiC rvi11 Ue ieeuod within two wo Icing days. 2. Permit cflrds will l�e settC by return mQil A:f�cr a revie v is completed. PERMTTS A.RE NOT VAL.ID UNTTi YOU R�CEIVF,A.P�RM1T, WO. K M ST NOT B� .iN UNT.iL TT-iT P�RMTT , �ip 1.5 pOSTTn ON T.HE JOB SLT. . 3_ Plumbing penmits m�y bc issued ONLY to licensed lumbing conttActors and to property ow��ers residing in the dwelling. 4. Whcn any new cons�ruction or remodchn��s imolv d,a sepa.ro.tc buiidin�;perniit must be c�btAincd. 5. nll work must Ue done in�ccordance with 5t�te Co TCquircment,5, 6, A.II work mtitsl bc rospected and air testecl.bcfotc it is covcred, Call(9S2)249-460(,l. (24-4$hour uoCice requircd) --.. TYQC OF PER T Chcck Al:l.That A ly) �E�csidc��tial ❑Commcrcl.Al(Approva.l Rec�tiircd) [] New ❑Additional ❑ [i� lirs ,�l�eplAcc ❑ r„A.cccssacy Snvctu�-c? �`You will need arior aporoval and may n¢ed 1;;,�,�:1?,(p Orono City Code, Chapte.r 78,Article TV) Job Site/Uwner lntor��nation: Sxie Address: —71 D� ��51�; �� Ownez; �U��-�' Mailin Addr.ess: _��Y1h� City: Zip: _. . T-�o.me Phone: Altenta Phonc: Coatractor Infor..mat.ion: Contractor: ��1��M(�1�C� 5��2i�1(.�S Co�atacc Person: _ A?(,�' Acicl.ress: �3 t I`� 51��t�1'�-� (r�Statc B r�d#: �`�]�I'� City: �'� ��' zip S-��bZ Exp9zati n Uate: � Z r j� �'" �i� PhOrie;'L��'� '��Z'� Alt�rnat Phone: � Insura�xc —Curr.ent: 1 � �� ' � 12121/2011 13: 41 7637809081 PLU BING SERVICES IN PAGE 04 � ,; ., ),,tl'i�llj!ii'� ,'jii':l�n�`..�i',:iil; ��''�� `��II �.� �� .1�r,'. ,, -;}Jii�El#;��„� ,;;. �;,, ,�T:�L91�vT1�'�f`,��i„ � � -,"" ,;��,;� ;;� `;:�,��,�,ii,;sp ,,� , � >., „��,) „- , r:, '�'� ,, ,,, �C "��all?� ��!� , ,�a„��:�, �,,li'„j�„ ,;, �;i!`� „ � , , , � , , f � �" ,� � � �� ,�� „ ,p, �IXTURE BSMT 1' 2 OTHER r1X tRF. BSMT 1.� ? ' OTHER TYPE Fi FL TYP FL Fi_ Wn.tct C:1��•r.t � Floot Drains Lavatory Z 5ewe L'jectoT BathtuU LAim y'iYay � Showcr ` Wosh r ti Kitchcn Sink Wate� [lealcr Disposal � Wt�tor Soit�nc�• � Dishwashcr Wct r Sillcocks Miscc luncou3 _ _ _ 1��,' '' : ,,� ti4 ,l(��i��i '��;��1i�4�i,-';1�1t�( , a i � ; � '{ E I� i l ,i '� � {ri ii „�,n�i� ��i�;��:,�r .��,,� ,.,�� '.�� ,i � ��{�+� t;�,;st lu� ;.,,,,�� '.�'��;( `�++�1�� '�'�fi'��'�,'�S�j�`��' ` I„J�} {{�i i`,1� ,i, �;;��, ,,a i> >>t r' oj i ! '�i� �� i S �)�� u ! y}� � � �� I fk Ifl�i �iilb ,� ly�ih� (i� ,Y I� t^I �I iI � l �,` `�,� �(, '� I � i,. i � E��, f "�� 1��j ��'�+'f�?�i�S��j 13�1fJ��`i;�l�1Pti�J��li/,�,1�-�!`�� .2C/Ul��l !'ll��' i, �� ;�r d. f��`��i�f��y, 1 ( �i��j( � ,�'��n '�j�i i , ❑ Ycs,this sectinn aDDIiC9 Tlie replacement o'Conly nne�.i_dcntial Fxturc ar a.iy�j�� cc tl at mceta all threc of the Collawin� requiTc:mcn[s: 1. D�es not r.cquirc modification to eleetricll or gas ervice, 2. iTas a tut�l�os6�f'�500,00 vr l��s;cxcludine the sC oYthc fixture or appliancc: and 3. Ts improved,installed or replaeed by the homeo cr or liccnsed plumbing contractor, S'ktp next section, if Ch1s apphcs; Cose oi'P it $ 1.S,Q0 St�te Sur arge $ 5.0(1 Mail-]n r c(If Appl;caUle) $ 2.Qn Tots1 Pe it Fee $ (Pcrmit Teev Conti�aned On Next Pagc) 2 12/21/2011 13:41 76378e9081 PLU BING SERVICES IN PAGE 05 �!;il�i''il:;;- �'�i1'a�"'1'`�`?rl{f��.�.J', i/.��'}1'%'�.f'�5�vll��' �Sj 3f i�}i!!{ �� ,..; �.,, �, � � �, �F �� '.��; ' 1��!�' ,� `°�� ►��z i;;��;�i�;�;,�,��,;,,�;;,;,,�;;;�;;;,;�-�. Tf nbovc dooc not appl.y; fpllow guidclines Luluw: 1, CONTRACT PRIC.�+ *is 1.25%of contrac� t' e with A(.Minimum Fee of$50.00) �� x.0125� Id�� +U� (contraat pri e) (minimum$50•00) 2. STATE SIJRCHARGF �Q�� x ,000s � `�� Z 3 (conhacG pri ) — "� 3, POSTAGE&iTANDLING(Only on Mail-In Ap iieations) � ,. 2,00 4. TOTA,�.,PERMTT�E�(Add I,.ines 1.-3 AUove) $ � �I ,�b • °" CONTR�ICT PRICE or ;fO.B COST means the actufll or estimat�d dollar amount charged for the � pc�initted work including matcriafs, l�bor,profit,and otl� fixecl �ntts, It is thc smounc to bc charsod to the customcr for thc work d�ne, l.f any materi�l, cqui men.t, labor o.r, in.sCaliations arc furnishec{ by the owncr, tcnant or any otl�er party, thc reason�iblc marl et vA)ue of such iccros must bc �dded to thc esnmated eost nr conr.rar.t�,rice for permit fcc purpoeos. In the cvcnt ch.At thcrc is a.d.isNut� uii t��c lmount of the jpb eost, the Ci,ty may request Che submis ion of a signed capy nf dte t►etual contr��l.. �;�'��'��;:";i,";,1,.,,, <;�;o-;;,��.,.,y� , � „ ��- ,,,. . , ,3,, .,, . ,;,,,,,,;,, ,,, , � �� f ,,�,l�� ,� � E� ,� � , �;� . �,.. ,, ,;.:,,, . , �.,�. ,, , � : , ��,, ��, ,,,,,, ,,,,,,;, ,,;,, ., , . � ,,, . � � .�,.Y� '.� ' '� I i�'�l i� �,�1�.,;:.��r�; � � ,l_,.....��t�.,,.1.�. .,. I��?, ';I�{;it!�:'��f � � . ., „ .... ... .n i�„'-i�.,��..i ., . � . � ..�. , , �.. �:%„ ..:.,�:,.�,.,.,��•:.� ••,',...;• ,..�.,.;'..:;f. . .'. . .. � , � .. , . �� , . . , . . . , . �. S`:;. ,.,.ti q;�tc,:��ou i �i�,1:..�t.. Tl�e unfler,i,gned hereby a.pplics to kb.c City fui i.��uan�c oT a Plu.mbing 'Pcr.mit, agrees tq do alJ work i.n. stri.et aeco.rdance wirh th.e ordinances of the C'ty and the rcgu]a.tions of tl�e State of Min.nesota, aud certi�fy,es that all. seatements made ou t 's a�plication ar,e com.plete, lnze and corrcct. Appli.ca:nt's Signatur.c: Vl.� (ti � Dalo; � � Z� " 2-� 11 ;��,�li;;`;li)11�#��'�'li,�r+��i '' 1 I"1�''"�'!Q1�� ':,1��i�„� ,�l I,,�„�:.,',�'�'��E�S,�;�.�'��{�i 3��;!�'� �}i;:';:iiv:ii;�iu�c�;E��i��F."��`�,��;�jlil�It�iS:C'EE�4��;'��,'��t�?��jf;;��lrl I I II 3 �� DATE � TIME J CITY OF ORONO CALLED IN �'a INSPECTION NOTICE SCHEDULED � �� PERMIT NO. ��//—dl S`�� COMPLETED ADDRESS l OWNER TELEPHONE NO. � � � ��Z'r CONTRACTOR � �D/�cn� ��5 >; DESCRIPTION S�r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE ETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER EMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/ EMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O >. � O � W � Q � 2 W � W � � � d W �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OC UPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANE�NT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ' ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. , Call for the next inspection 24 hours in advance. �95Z� Z�49- 60� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notic@