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Home My WebLink About2010-00384 - plumbing r ` CITY OF ORONO PERMIT NO.: 2010-00384 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 515 FERNDALE RD N PIN : 36-118-23-14-0006 LEGAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURES: (8)WATER CLOSE7'S,(9)LAVATORIES,(1)BATHTUB,(5)SHOWERS,(3)KITCHEN SINKS, (4)DISPOSALS,(2)D[SHWASHERS,(4)SILLCOCKS,(6)FLOOR DRAINS,(4)LAUNDRY TRAYS,91)WASHER,(1)WET BAR,AND(1) MISCELLANEOUS VALUATION OF PLUMBING 46278 APPLICANT PLUMBING FIXTURE FEE 578.47 PALADIN PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 23.14 13963 45TH PLACE NE ST MICHAEL, MN 55376- TOTAL 601.61 (763)432-5260 OWNER GRIFFIN, ROBERT&KIMBERLY 125 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok t any[ime for due cause. � � �l�S/ao/� �%� �E' � �Zl� /z�" .�`"l . � l /O Applicant Permitee Signature Date Issu� By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � , � FOR :I"f 'USF..ONLY p City of Orono O4 �O P.O.Box 66 Date Receiv : 5 Permit# � � �� 2750 Keiley Parkwa} a •- F Crystal[3ay,MN 55323 ApFxoved By: Amount$:�� + ' o` (952)249-�16W �rt�e� CITY OF ORONO—PLUMBING FERMIT (Al!Comznercial permits must be appro��e�by the 8uildiog Offic;ial or Inspector) 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 wilhin 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. F�umbing permits may be issued ONLY to licensed plumbing contractors and to properiy 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 don�in accordance with State Code r�quirements. 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 Q Residential ❑Commercial(Approval Required) r�New ❑Additianal ❑Repairs ❑Reptace ❑ ln Accessory Structure? *You will need arior aparoval and may need('_l_P.(Per Orono City Code,Chapter 78,ARicle IV) Job Site/Owner Information: Site Addre5s: 515 Femdale Road North OWIte}': �fF�� Mailing Address: ��5 Ferndale Road North C� ; Wayzata Z� 55391 ty p: Home Phone: Alternate Phone: Contractor Information: Contractor: Paladin Piumbing, LLC Contact Person: �erry Olson Address: �3963 45th Plar�NE ��e Bond#: 2Q39517 C��,: St. Michael Zip:55376 �xpiration Date: 06/14/10 Phone: (763)432-5260 Alternate Phone: ��12� 7�fl-2282 Q Insurance—Current: 1 , - • � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT I' 2 OTHER FIXTURE BSMT i' 2 OTHER TYPE FL FL TYPE FL FL _ _ _ Water Cioset 2 3 3 Fioor Drains � 1 4 Lavatory � 4 3 Sewer Ejector - _ ___- -- Bathtub � Laundry Tray � 1 1 1 St�ower � � 3 VJasher � Kitchen Sink 3 Water Heater Disposal � � Water Softener Dishwasher 2 Wet Bar ,� Sillcocks 4 Miscelianeous � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies Th�replxcem€nt of a I�esid�ntia7 fxiure or appliart�€that m�ts all tl�r�€of the folk>tiving requirem�nts: 1. Dces 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. ts imprvved,insEallecf or replaced by the homeowner or licensed contraetor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On lYext Page} 2 , i � ' PERMIT FEE CALCULATION S -JOBS OVER$SOO.UO if above does not apply;follow guidelines below: 1. CONTRACT PRECE * is t.25%of contract price with a{Minimum F�e of$SQ.�O) 46,277.67 x.0125$ 578.47 (conaact price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(ltinimum Fee ofS.50) 46,277.67 c.Q005 $ 23.14 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT�EE(Add Lines 1-3 Above) $ 6��•�� ■ * CONTRACT PRICE or JOB COST means the actual or estimated doilar amount charged for the permitted work including rnat�rials,la�r,pr�fii,�nd other fixe4l cosis. It is the amount to be sharg�i 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 amo�nt of the job cost, the City may request fhe submissian of a signed copy of the actua( contract. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. �'or valuatiats over$i,000,000 cali the Buiiding Deparhnent at(952)249-4600 for the price. PLUMBING PERM[T APPLICATION AGREEMENT The undersigned hereby applies ta 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. � �Aprlicant's Signature: ,� �zte: � ^�•��b�d Reset Form 3 L�� `0"'�' DAT /� TIME '/ CITY OF ORONO CALLED IN / Z `'�' V INSPECTION NOTICE /�/� �` HEDULED � PERMIT NO. �',l0 '�'v✓�0�pMPLETED ADDRESS 5�—f �7�1� �CG�� OWNER L NE NO.� 3^��b� �a10 CONTRACTOR �� >: DESCRIPTION ` � '� � � ❑ FOOTING ❑ PL ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAI Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ' ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C o �V� .�-�/l �.'�.-c%-} t,� j�� ,- � a � 0 � w � Q � Z W � W � � GW �VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR !� CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. �,�'� : � I�� White Copyllnspector's File Canary CopylSite Notice Y L -Y �� AT/ /� TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE CHEDULED /6� d PERMIT NO.��" ��COMPLETED ADDRESS �� %�'��d��- �oe OWNER TEL ONE N0�7b3� a S�� CONTRACTOR � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FI L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MA�NT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o _�v �cv c.J, L-,. ��[�,c� �%-Cf� �.�f��c� 0 6� � I ' �(�� S�L 4�� -F-�r' �'' n.!� `� ti'�.�..�� L,�� - .F' ✓ t•�� `l--Fz' ' � W , � Q � W ��. � '�it��--�,�^ � y �-t- .�� j d W ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE � �RECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REOUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION�N/ OTICE �G SCHEDULED ��—(U fi� PERMIT NO.00OI d—D�30`� COMPLETED ADDRESS �T� /�t-��nr��,91,� OWNER CONTR. TELEPHONE NO. � DESCRIPTION 1��1/�v� (-�'� � � ❑ FOOTING ❑ MECHANI L I ❑ EXCA R DI G/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � �PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL� U N�y^��{ ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_l`ES_NO � COMMENTS: � � �4—r.�c_ �S T (� . `�— � � 0 a � 0 � W � Q � z w � W � � d ��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED I i ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� Owner/Contractor t : Inspector. White Copyllnspector's File Canary CopylSite Notice