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Home My WebLink About2008-00308 - plumbing * .. CITY OF ORONO PERMIT NO.: 2oos-oo3os 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssvEn: 10/20/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 795 BRIDGEWATER DR PIN : 33-118-23-12-0020 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 009 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(4)LAVATORIES,(3)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL, (1)DISHWASHER,(2)SILLCOCKS,(2)FLOOR DRAINS,(2)LAUNDRY TRAYS,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(2)WET BARS VALUATION OF PLUMBING 12860 APPLICANT PLUMBING FIXTURE FEE 160.75 K& S PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 6.43 9572 KNOX AVE.N. TOTAL 167.18 BROOKLYN PARK, MN 55444 (763)425-8760 Minnesota State License#: 065380-PM OWNER O.T. Development, LLC LLC,O.T. DEVELOPMENT, 2670 KELLEY PKWY ORONO, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The app ant s responsible for assuring all required inspections are reques d in onformanc with th State Building Code.This permit may be revo d any time r d e ca � ci l �� l�� „e � /U 1030 / D � Applic t Per � Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . _ FOR CITY USE ONLY ,�` City of Orono � �'�`v � P.O.Box 66 Date Received: Permit# � � ` 2750 Kelley Parkway ��`��, ��' Crystal Bay,MN 55323 Approved By: Amount$: `;�e%oe;,`� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial pertnits must be approved by the Building Official or Inspector) GENERAL [NFORMATION l. 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 UNTII.,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 reqaired) TYPE OF PERMIT (Check All That A 1 ❑✓ Residential ❑Commercial(Approval Required) ✓� New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need prior aanroval and may need('t_�P.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Slte AddiOSS: �95 Bridgewater Owner: Donald williams Mailing Address: Brooklyn Park Cl�y: Zlp: Home Phone: ��63)476-2302 Alternate Phone: Contractor [nformation: K&S Plumbing,LLC Scott Sydloski Contractor: Contact Person: 9572 Knox Ave N. 14770867 Address: State Bond#: Brooklyn Park 55444 12/31/O8 City: Zip: Expiration Date: Phone: (�63)425-8760 Altecriate PI1o170: ��63)238-5734 11/17/08 �✓ Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL T'YPE FL FL Water Closet % � Floor Drains I /r�� ,� � C� Lavatory � Sewer Ejector Bathroom S � Laundry Tray d � / � Shower / % Washer � Kitchen Sink � Water Heater i I Disposal i Water Softener ) < < Dishwasher � Wet Baz � i ( Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies 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 fixtwe 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above dces not apply;follow guidelines below: 1_ CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � �a, �� X.oizs $ �(contract price) (minimum 535.00) 2. STATE SURCHARGE '*Add the State Bldg Code Div. Suroharge(Minimum Fee of$.50) � �� gGv X.000s $ (��jce) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 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 fumished 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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. A licant's Si ature: Date: ��/ '�� UC� PP � Reset Form ; �I I�I 3 � � � � � ATE TIME C1TY OF ORONO CALLED IN � �� INSPECTION O E SCHEDULED / � OJ` � PERMIT NO. �"0�� COMPL�TED ADDRESS 7�1 S �`�--�t/�'t��, /(�� OWNER CONTR. � �� TELEPHONE NO. ��— 7�3 – `�'OIS`� ��PU � DESCRIPTION �� r�� ❑ FOOTING ❑ M HANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � '�, -`�° S''T C.JI� 0 � W � Q � Z W � W � � a W� ��Yt10RK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W O C6RRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: ) r Inspector.��/l' � /S � v White Copy/lnspector's File Canary Copy/Site Notice A E T�ME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE /� �j SCHEDULED _�D�i 7�1� PERMIT NO. a��—C/��Ol� COMPLETED ADDRESS �9�J !��- g'l-� OWNER CONTR. TELEPHONE N0. �O � Z 7 Zd g�S� S � DESCRIPTION � � ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAI ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � L C� ��S -��s �Q e �e� �c��' 0 � t,��U s-r-�.� � �� c� �S 1�� W�S 1.� �3�-��.J S �7`u�S' � Q Z —��1-�.�.�-� T�� d � W � W j �� Po �� (� A'S I�uP �,.� �Q1 . o� a � �.sc�sse�. W ❑WORKSATISFACTORY:PROCEED n PROJEC OMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOfl REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on sit : Inspector. � �S White Copyllnspector's File Canary CopylSite Notice 2 d"' D E,/ TIME " � „� CITY OF ORONO CALLED IN �" INSPECTION NOTICE SCHEDULED �l�S-oR 3=�O PERMIT N0. a00 -O�' 0�� COMPLETED ADDRESS 7gJ� OWNER CONTR. `�" � L�/ TELEPHONENO. Z�03 a�8 .57� � U � DESCRIPTION �'-'�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � ( � t� `�--� C�7 � 0 a � ;� ��r R, � . 0 � W � Q � z W � W � j W�IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: � Inspector. � White Copyllnspector's File Canary CopylSite Notice