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Home My WebLink About2011-00019 - plumbing . ' CITY OF ORONO PERMIT NO.: 2011-00019 27>0 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUEu: OU07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3403 EASTLAKE ST PIN : OS-117-23-14-0060 LECAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 001 BLOCK 008 PERMIT TYPE : PLUMBWG (>$S00) PROPGRTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NO"I'I',: I'LliM131NG I�IX'CURES: (1 I�,ACH) WA"fER CLOSLT,LAVAI�ORY.BATI I2UL3, KITCHEN SINK DISPOSAL. DIS[IWnS1fER. SILI.COCKS, WA�I�ER AND WnTI?R SOI'"rt�NElt VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 NORTHFIELD PLUMBING STATE SURCHARGE PLBG (VALUATION) 5.00 1 17 ARBOR STREET NORTHPIELD, MN ��0�7- MAIL-IN FEE -g� (65 I)248-7472 TOTAL 3�-96- PAID WITH CC# 4502 55�00 OWNER T') �� -�..y 1 'r'I � V t�C- W�117'MORE, KAYLEN � I� ` 3403 EASTLAKE ST LONG Lnl<E, MN »3�6- AGREGMENT AND SWORN STATEMENT fhe work for which this permit is issucd shall bc pertormed according to the approved plans and specifications.applicable City approvals,and the State Building Code. 'I�his pcnnit is fi�r only the work described and does not erant permission fi�r additional or related work which requires separate pcnnits. nll provisions of la��s and ordinanccs govcrning this typc of work shall be compicd��ith whether or not specified hcrein."Chis pcnnit�cill expire and becomc null and void if consVuction authorized is not commui�cc�l�vithin 1 RO da��s o�thc datc of issuancc,or if conslruclion is su,pcnded tor��period of 180 days at an}�time atter work has commenccd. The applicant is responsibic for assurine all required inspections are requested in conformance with the State[3uilding Code.This permit may be revoked at an �time for duc cause. /l �7 / /� ��a�� J l `7 / /J cant eri tee.'ignature Date Issu� l3y Signaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIE3ED ABOVE. � CITY OF ORONO PERm�T No.: 2011-000i9 2750 KELLEY PARKWAY ORONO, MN 55356- uATE �SSUE�: OU07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3403 EASTLAKE ST NIN : OS-117-23-14-0060 I.GCAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 001 BLOCK 008 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO�I�G: PLUMI3INC FIXTURI;S: (I I�:ACi l) WA"I�GR CLOSF;'l�, Li1V�"TORY. l3A"I�I IRUB, KITCHEN SINK,DISPOSAL,DIS[1WASHER, SILLCOCKS, WA"CER AND Wn I f R SOI'TI:NER VALUATION OF PLUMBING 1000 APPLICAI�IT PLUMBING FIXTURE FEE 50.00 NORTI IFICLD PLUMBING STATE SURCHARGE PLBG (VALUATI N) 5.00 I 17 ARBOR STREET NORTHFIELD, MN 550�7- TOTAL 55.00 (651)2�13-7d72 PAID WITt1 CC# 4502 � OWNER WHITMORE, KAYLEN 3403 EASTLAKE ST LONG LAKE, MN 553�6- AGREEMENT AND SWORN STATEMENT �I�he�cork t��r��hich this pennit is issued shall be perfonned according to thc appruved plans and specitications,applicable City approvals,and die State Building Code. 'I�his permit is for only the��ork described and does not grant pennission t�or additiunal or related work which requires separatc permits. All provisions of la��s and ordinances governine this type of work shall be compied with whether or not specified hercin.This permi[��ill eapire and hecome null and void if construction authorized is not commenced�vithin 180 days of the date of issuance,or if construction is suspendeJ for a period of 1 RO days at any time alter work has commenced. I�he applicant is responsiblc for assurinc all required inspections are requcsted in conformancc with the State Building Code.'fhis pennit may be revoked at an��time for due cause. / / / / npplicant Pcrmitcc Signature Dat� Issued}3��Signature Dat� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBGD ABOVE. .Jan OF 11 03:59p Microsoft i 5076457654 p,� �OR CITY USE ONLY �` ' ity of Orono / /go��. /,Q O•:� P.O.F3ox 66 Datc Roce ed:� �l! Permit# ��—G d�� I 2750 Kclley Parkway r� i�� q�'�> ��1 Crvstal Bay,MN 55323 Approved By: Amount$� 5/,� ��.i'��o�'� (952}_49-46W �__-=- 15��q-`�6 �� CITY OF ORONO—PLUMBING PERMIT (All Comrrercial permits must be approved by lhe Building Of�icial or]nspector) GENERAL INFORMATION 1. You rnay apply for�lumbing permits by maii or in person at the City oi�'ices. Applications will be � reviewed and a permit will be issued within two working days. 2. Permit cards�vill be sent 6y return mail after a review is completed. PERM[TS ARE NOT VALID UNTIL YOU RECEIVE A PERMiT. WORit MUST NOT BECIN UNTIL THE PERNiIT CARD IS POSTED O\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 permii must be obtained_ �. All work must be done in accordance with State Code requirernents. � 6. Ali work must be inspecte3 and air tested before it is covered. Call (952)249-4600. (24-48 hour notice requered) TYPE OF PERMIT Check All That A 1 i �Residentiai ❑ Commercial (Approval Required) �] New 0 A�ditiona] ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior annroval and may need CUP.(Per Orono Ciry Code,Chapter 78,Article IV} Joh Site /Owner Information: Site Address: � �l 0 -� � L-�,��J S f Ovwner: Ma�ling Address: � City: Zip: Home Phone: � Alternate Phone: i Contractor Information: Contractor: ��i��/�P�o�''�Contact Person: .�'S S "` .��1 �� o � Address: //7 �� s� State Bond #: �6 G�� ry: �� '�(�� 5�� Ci �U� � Zip:� xpiration Date: ��-S��,2�1/ Phone: �� `L �� 7�� Alternafe Phone: S o 7-��r�' ]�� Insurance—Current: 1 _ Jan 06 11 04;OOp Microsoft 5076457654 p.2 1 I PLUMBING FIXTURES BEING INSTALLED FIXTURE HSMT 1 ' 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL T'YPE FL FL � Water Close! j Floor Drains I Lavatory j 5ewer Ejector Bathtub � Laundry Tray Shower Washer � ( f�itchen Sink I V1/ater Heater i Disposal ( Water Softener i Dishwasher t Wet Bar [ � Sillcocks { Misce3lane�us � � PERMIT FE�CALCULA'�ION(S) BASED OFF -2002 STA1 E STATUE � Yes,this section appl�es The replacement o a Residenfial fixture ar annliance that meets all three oFthe fotlowing requirements: 1. Does ot require modi6cation to electrical or gas service. 2_ Has total cost of$500.00 or less;excludin�the cost of the fixture ar appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. I Skip next section,if this applies; Cost of Permit S ]S.QO State S�crcharge $ 5.00 i Mail-In Fee(If Applicable) $ 2.00 Tota[Pcrmit Fee S I I � (Permit Fees Con6nued On N'ext Page} Z i r Jan 0� 11'04;OOp Microsoft 5076457654 p.3 PERNIIT FEE CALCULAT�ON S —JOBS OVER$Sfl0.00 If above does not apply;follow guidelines below: � , l. CONTRACT PRiCE *rs 1.2�%of contract price�vith a(Minimum Fee oi$50.00) _ % G1U�. U �� x .O125 $ SU_G�C� (contract pricej (minimurn$�0.00) 2. STATE SURCHr1RGE **Add the State Sldg Code Div. Surcharge(Minimvm Fcc of�5.00) X.000s $ S - �� (contract pricel (minimum� �.00) 3. POSTAGE� HANDLII�TG(�nly on Mail-ln Applications) $_ �Q— �L� U� I 4. TOTAL PERMIT FEE(Add Lines t�Above) S � S_ �� ■ " CONT�ACT PRICE or lOB COST means the actual or estimated dollar amour►t charged for the permittec� work including materials, labor,profit,and other fixed costs. It is the amount to be chat�ed to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner, lenant 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 'ob cost, the City may request the submission of a si�ed c�py of the actual contract. ■ **The ST.AT SURCHARGE is.0005 of the contract price under$1,000,000 or�5.00—whichever is greater. For val�ations over$l,000,000 call the Building Department at(952}249-4600 for the price. I PLUMBING PERMIT APPLTCATTON AGREEMENT � ; The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all j wo£k in strict acco�ance K�ith the ordinances of the City and the regulations o�C the State of I' Minnesota, and cerkifies that a�l statements made on this application are complete, true and � correct. I J Applicant's Signature: Date: �"'�7�'�d�� I � Reset Fonn I � ` � �, � ! � ,� lJ� `� DATE TIME � � ITY OF ORONO <s "' CALLED IN �� /T�, �� INSPECTION NOTICE /`�; � scHE�u�Eo —i��' ,-1 : � �. PERMIT NO.��f I� _��"� r � COMPLETED ADDRESS � �� " �� * � OWNER TELEPHONE NO. � (�� J��1 CONTRACTOR Iv�%r�'��C' I� �I�a_� �: DESCRIPTION ?� �-�-��}� �`��=t I � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE T C FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � � O � � O � W � Q � 2 W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL{NSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on sit - Inspector. � _ /—� �) /�� White Copyllnspector's File Canary CopylSite Notice