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Home My WebLink About2016-00025 - plumbing CITY OF ORONO * Z 0 1 6 - 0 0 0 Z 5 * ` � 2750 KELLEY PARKWAY DATE ISSUED: OU08/2016 r ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDR�SS : 1185 FERNDALE RD W PIN : 02-117-23-43-0025 LEGAL DESC : REG. LAND SURVEY NO.0397 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL C01�1STRUCTION TYPE : FIXTURES- MULTIPLE NOTE: ADD&REPLACE PLUMBING FIXTURES: 2 WATER CLOSETS,4 LAVATORIES, 1 BATHTUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 LAUNDRY TRAY, 2 WASHERS, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMBING 35000 APPLICANT PLUMBING F[XTUEZE FEE 437.50 STATE SURCHARGE PLBG(VALUATION) 17.50 SILVER TREE PLUMBING MAIL-[N FEE 2.00 3185 TERMINAL DR #200 TOTAL 457.00 EAGAN, MN 55121- Payment(s) (651)955-2987 CREDIT CARD 8447 �_ _ - 457.00 Minnesota State License#: mech-MB005441 OWNER WYMAN,JAMES&KATHLYN 1185 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � ��; , � �� , �� l %__�_�_�-�e �� -- � �� r'1.�._�t I �� f ��--�: �� - � �� Applicant Permitee Signature Date Issued By Signatu`r`e Date FOR CITX USE ONLY � , �O�O City of Orono P.O.Box 66 Date Received: � ��;?+�yPermit# ��i'��-L .� �� 2750 Kelley Parkway ' � C�' Crystal Bay,MN 55323 Approved By; /1 P1 Amount$:� (952)249-4600-Main �— (952)249-4616-Fax yF �`fi CITY OF ORONO—PLUMBING PERMIT ��k�Fstto�`�` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wili be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by returr►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 A 1 �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior aEnroval and may need CUP. (Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: ��(�5 � �� Owner: J1�(V1��Nt('A.1(� Mailing Address: City: Zip: Home Phone: �V�� q�! Alternate Phone: Contractor Information: Contractor: � 1 �- � Contact Person: Address: ��L('Ytt,►ha�,� �� State Bond#: M�,�SL-f Ll� City: Zip:�( Expiration Date: � �f Phone: (o`�� S Zrj�7 Alternate Phone: �� 1 3�� I�D_ ❑ Insurance—Current: 1 � �`;PLUIvIBING FIXTURE5 BE1NG TNSTAT;LED � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT lsr 2 OTHER TYPE FL FL TYPE FL FL Water Closet ' � Floor Drains Lavatory � � Sewer Ejector Bathtub ' Laundry Tray � � Shower 1 ' Washer I � Kitchen Sink ' Water Heater ' Disposal j Water Softener l Dishwasher i Wet Bar Sillcocks Miscellaneous :PERMIT FEE GAL�UI:,ATTON�S� ,� � - i ': F .''�.� � . .'-:. $ASED OFF:_-2002�'STATE STATUE` ' ' � ❑ 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 .♦ f ''�g "��-x .:' PERMIT�F��CAI�CUL;ATION S =JOBSrOVER$500.00. ` : �_ , - � ��_. �. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) � � X .oias$ �'f:3;J, j (cont act price) (minimum$50.00) 2. STATE SURCHARGE ��^� "-- x.0005 $ I 7� � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J�J � ■ * CONTRACT PRICE or 70B 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 conh�act ptice 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. ; - PLiJMBING PERMIT-`APP�;IC.I�TION�A.�REEIvIENT , .'`=` . � <;: .. 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. , r//'�� ' / � Applicant s Signature: Date: �� 3 . �_.�' C� DATE TIME CITY OF ORONO CALLED IN � --�— INSPECTION NOTICE ` SCHEDULED �/J C�►" PERMITNO.'�(��I�'"��-� coMP�erE� ` � ADDRESS 1 � �S � � i`-'�.� � , �{� OWNER TELEPHONE NO. (�'_�__(Z- �;?"��In CONTRACTOR � , � �,��? I f'-��- 7� � DESCRIPTION �I(c`/�1'� �—L--- tl� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL � PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ P MBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTAACTOR TO MEET YOU:�ES_NO � , � COMMENTS: �� f��.r�Q�C� —6 ��,��. a ��lJ v " �vG �1't � 9t- c= , J �/L�Q/ �7il1 O� /�� I'►'1�S.f'�'�'' �`O�c%J�i r/�� O ' � � � _ � A1¢�'�� /irles crre 1�tst,+�� — 0 � Q �14.f .2 �i' , q�.�.s,.-.`, �.�5 OZ �� 2 r-ew�v�'Q-6/e '�� " ��.�� ,.,, c.-� W � � � � Cj.'"" '6C� �S �ll��'/rl4 � � ' W KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspect e Copyllnspector's Ffle Canary CopyfSite Notice V � f � �— DqTE J TIME CITY OF ORONO CALLED IN �J � INSPECTIO OTICE ��Z�t��'�HEDULED � PERMIT N '� OMPLEf D ADDRESS �� `�2��-�'�-- � OWNER TELEP E N — � �7 CONTRACTOR � �� DESCRIPTION ly ❑ FOOTING ❑ M -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ BING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF �LUMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � /"�� / '� 1�/V�� /7 s� � " � �r„�z c4��1 r s;�� ' � — Gcc l�� l'6 re�/��a.i — /� N��i5�E5 Q � ° G�/� oi ✓'��^so��a'� W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR //�U$�ECTION REQUIRED.CALL TO ARRANGE ACCESS. / ` Cail for the next inspection 24 hours in advance. (952 j 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice � - S ��- ; D TE_� TIME`` CITY OF ORONO CALLED IN - INSPECTION NOI��E ODO �7 C SCHEDULED —�b �'� PERMIT NO. �� J COMPLEfED ADDRESS � �-S /2G� � OWNER TE ONE NO. l—��`Zy�7 CONTRACTOR � �f �� ' � � � DESCRIPTION / � 41 ❑ FOOTING ❑ D, - INAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4! ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED W r�❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. E Call for the next inspection 24 h urs in advance._� � �-46�Q OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice