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Home My WebLink About2013-00068 - plumbing CITY OF ORONO * z 0 1 3 - 0 P1 0 6 8 * 2750 KELLEY PARKWAY DATE ISSUED: OU28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 765 FERNDALE RD N PIN : 36-118-23-I1-0014 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: RGPLACG(1)DISPOSAL APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 LINN STAR TRANSFER INC. STATE SURCHARGE PLBG (<$500) 5.00 9995 W. 69TH STREET SUITE 101 MAIL-IN FEE 2.00 EDEN PRAIRIE, MN 55344- TOTAL 22.00 OWNER NORGAARDEN,JOSEPH & DEBORAH 765 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The�vork for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State 13uilding Code. '1'his permit is for only thc work described and does not grant permission Yor additional or related work which requires separate pennits. 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 tor a period of 180 davs at any time after work has commenced. Che 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 cau e. � / � o2c�� /3 � 1�02 �'ll Applicant Permitee Signat Date Issu By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t � . REC�IVED JAN 2 8 2013 126C454587 FOR CITY U5E ONLY �Jf ��"� �p� City of Oro�o , N U H�x b5 Dale Receivcd: Pertnit N , �j? � 2750 Kelley Parkw�y — �� j��l}+�_ �� Crystal Day,MN 55323 Approvtd By� Amount S: �+�}J�c�`o¢ (95_')2d9-J(�00-Main ��'�+?!+!�� (932)?a9-A616-Fsx CITY OF ORONO—PLUMBING PERMIT (Ail Commercial Permits Must be Approved by the State Nrior to City Approval) htt�:/lwww.dii.mn. ov/CCLD/YDF! e lumb lunrcva .�df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the Ciry affices. Applications wili be reviewed and a permit will be issued within hvo working days. 2. Permit cards will be sent by retum mai)after a rcview is compicted. PERMITS ARE NOT VAL,ID UNTIL,YOU RECEIVE A PERMT7'. WpRK MUST NOT BEG(N UNTII THE PERMIT CARD IS POSTEU OIV THE JOB SITE. 3. Plumbing pennits m�y be issucd QNLY ro licensed piumbing contractors and to property owners residing in the dwefiing. 4. w'hen any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accardance with State Code requirements. fi. All work must be inspected and ai�tested before it is covemd. Call(952)249-4600. (21-48 huur notice requireci) 'i'YPE OF PERMIT Check All That A l X Residential ❑Commercial(Apprpval Required) ❑New ❑Additional ❑Repairs X Re Iace P ❑ [n Accessary Structure? "Yoi��vill need�rior annrov�l and may need CUP.(Per Orono Ciry Code,Chapter 78,Article IV) Job Site!Owner lnformation: SItC AC�C�1'eSS: �65 FERNDALE RD N ORONO,MN,55391 O�VIIEI': �OSEPHNORGAARDEN Mailing Address: C;�y: ORONO L� 55391 P� Nome Phonc: ___� __ Alternate Fhone: Contractor Information: COItlCc7CtOf: LINNSTARTRANSFER �'pnlBCt PCfS01]: CHARLESGABRELCIK Add[CSS: 9995 W 69T ST STE 101 Statc I3ond#: C It EDEN PRAIRIE L� 55344 Y� p: Expiration Date: Phone: ssz-s42asaa Altemate Phone: ❑ (nsurance—Current: 1 . �� 126C454587 FIXTURE FiSh1T 1' 2 OTHER FIX'I'URF. BSM7' 1' 2 OTHER TYPG EL PL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Showcr Washer Kitchen Sink Water Heater Disposal � Wa[er SoRener Dishwasher Wet Bar Sillcocks Miscell:uieous ` I'f RivttT�l E l'r11 Ct1Li�CION(S? Y � ..~ ,.u", ',`�.� BASEIa f�FI' �2UO2 S1'ATE S`I"ATUE � "E ' � � '��r° ❑ l'es,diis sectirrn applies The replacement of only one Residential fixtare or appliance that meets alI three of the foltowing rey u i rcments: 1. Does not require modification to clectrical ar gas service. 2. Has a total cost of$SOO.QO or Iess;excludina the cost of the fixture or appliance:and 3. Is improved,installad or replaced by the homeawner or licensed plumbing contractor. Skip next section,if this applies: Cost of Permit $ I5,00 State Surcharge S 5.00 Mail-In Fee([f Applicable) $ 2.00 Total Permit Fee $ 22A0 (PermiC Fees ConYinued On Nezt Page) 2 126C454587 If ebove does nat apply;follow guidelines below: L C�NTI2slCT PRICE 'is 1.25%of contract price with a(Minimum Fee of S50.00} x.0125$ (contract price) (minimum SS0.00) 2. STATE SIIRCHARGE �c.0005 $ (contrecK price)� 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,ap A. TOTAL PFRMIT FF.E(Adci Lines 1-3 Above) $ • ` CONTRACT PRICE or JOB CO5T means the actuai �r estimated doilar amaunt chazged for the permitied work including materials,labor,protit,and ather fixed costs. It is the amount to be charged to the customer for the w�rk dane. If'any material,equipment, labor or installations an furnished by thc owner,tenant or any other party,the reasonable market val�e of such items must bc added to the estimated cost or contract price for pennit fee purposes. In the event that there is a dispute an the amaimt of the job cost,the City may request the submission of a signed copy of the actual contract. ,�r� � �B' The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all �vork in strict accordance with the ordinances of the City and the regulations of the Statc of Minnesota, and certifies that ail statements made on this application are complete, true and conect. _____�-E� �z-2a�z Applicant's Signature: � Date: � Reset Forrrt�=`�� _-. �.. � ..a.��"��. � 3 DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED r�_ PERMIT NO.�GL��L�.2'�E�� COMPLETED �.(S `�— ADDRESS 7� ,��✓nc�i�r ✓�c� ✓L/, OWNER TELEPHONE NO. CONTRACTOR �i�'► ✓� �ts r �Ir4`��--��'7�✓ �< < �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �' FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ��OW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ,/l"F"r v✓J�� /�U�?r f-�r��i�-D z�_�'� /r�� K a �/1�rL �i� � �t�--t - �. � 0 t�fi��s/f�/ f'e�l. W � Q z �,��t d� ��,,pj��—� — � >/� .,r,�► �� -��r��C _ W � j � ❑WORK SATISFACTORY:PROCEED �JECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WtLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOF �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-46�0 OwnerfContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notiee ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED q-Zz- �Y g �� PERMIT NO. �►3 - ��'��'`b COMPLEfED ADDRESS � 65 1=CRN�4L.� OWNER T�h TELEPHONE NO. CONTRACTOR �-�'^� S�'2 T✓t�'"-�F-�'` �; DESCRIPTION ��5�-� w�� `'`'b u-�O v�.��— � � ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �-FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a 5�r,�e,s�a ✓ I'c D��.+ce�,"� — � J O � �D/ � /'�- ��L O � W � Q � Z W � W � j d � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site:_�!1 � Inspector. �/w .�� White Copyllnspector's File Canary CopylSite Notiee DATE TIME I��'i3CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.��3-Q2�6� COMPLETED �/7-/ ADDRESS �G� F��e /��G OWNER TELEPHONE NO. CONTRACTOR �/�l� �L`�.� Ti'�r�/ >; DESCRIPTION � � ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTHACTOR TO MEET YOU:_YES_NO y COMMENTS: ��r �� .le�O �4L! Qr � � 4 �iitsG !`I S�ec1��o.t - � � O � /t� C�I-LlG�E'�'�P � � O � W � �/e��< <4� �sa-�vr- -��G6o � .��.�e. Q z �f �es�i¢G /:r s��r��a., o� t�1 if.0 .E.ss. � � W � � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR J6�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. . � Cail for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. �M- White Copyllnspector's File Canary CopylSite Notice