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Home My WebLink About2013-00859 - plumbing CITY OF ORONO � ' 2750 KELLEY PARKWAY * Z 0 1 3 - 0 P1 8 5 9 * DATE 1SSUED: 08/26/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : I 105 FERNDALE RD W PIN : 02-117-23-43-0033 LEGAL DESC : REG. LAND SURVEY NO. 0441 : LOT MB BLOCK MB PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 1 S"1'FLOOR 2 WC,3 LAV, 1 TUB, l SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR D[tAIN, I LAUNDRY"I'RAY, 1 WAE�{ER,�1 WATER I IEATER VALUATION OF PLUMBING 18000 APPLICANT PLUMBING FIXTURE FEE 225.00 DELSON PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 9.00 1308 42 1/2 AVE. NE MINNEAPOLIS, MN 55421- TOTAL 234.00 O PAID WITH CC# 0876 Minnesota State License#: PC000954 OWNER TRUWIT, CHIP I 105 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be perfonned according to the approved plans and speciYications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commeneed within 180 days of the date of issuance,or if construction is suspended for a per dbf 180 days at ny[ime afrer work has commenced. The applicant is r sponsible for a, u�g all required inspections are requested in co ormanc it tate Building Code.This permit may be revoked at n�y�ime�for � L/ 0 � � � l l Applicant ermitee ignature Date Issued F3y Si ture atc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY USE ONLY r ' �O�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � � (952)249-4616—Fax y�' �` CITY OF ORONO —PLUMBING PERMIT ��KESHo��" (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) htt ://w��c�«�.dli.mn. cr��/CCLD/PDF/�e lun2b lanre��a� . dt' 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 within two working days. 2. Permit cards wili 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. 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 Apply) �Residential ❑ Commercial (Approva] Required) �ew ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site / Owner Information: Site Address: � l� � �� (� �A lr � �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��N ��B� Contact Person: U�V � �L Sa �1 Address: �� 0� y,,�� A-V� State Bond #: 1 � �� c�`� City: �o�� l I l S Zip: �S4/a( Expiration Date: �� ' 3 � � '� Phone: ?��- 7 8� �(� YS—` Alternate Phone: �« " 3G' � y7�� (C"�`�� ❑ Insurance— Current: 1 � . � � � PLUMBING FIXTURES BE1NG 1NSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSM"I 1' 2 ' ' OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains C Lavatory � Sewer Ejectar Bathtub f Laundry Tray � l Shower 1 Washer / � � Kitchen Sink � Water Heater / � Disposal f Water Softener I Dishwasher � Wet Bar Sillcocks � Miscellaneous � �� PERMIT FEE CALCULATION(S) � BAS�D 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 electricai or gas service. 2. Has a total cost of$500.00 or less; excludinQ 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 SurcharQe $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � � . PERMIT FEE CALCULATION S)—JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � � t� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines ]-3 Above) $ ■ * CONTRACT PWCE 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 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 amount of the job cost, the City may request the submission of a signed copy of the actual contract. PLUlVIBING 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 inances of the City and the regulations of the State of Minnesota, and certif es that all state'ments made o this application are complete, true and correct. �F � ' �`� ^ � Applicant's Signature: Datc: � 3 .��--' � ' � � (�A� �� TIME CITY OF ORONO � CALLED IN --�-�_ INSPECTION NOTICE SCHEDULED ' `��I� � PERMIT NO. � ��3 �?��C� COMPLETED ADDRESS l I C_:c� � ��!'i� ��. < <. �� •' OWNER TELEPHONE O. � � a `��7� CONTRACTOR � �, � ��1 � ��--�-�vr�,L�i��'j �, DESCRIPTION �- � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTAIL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT NAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: ES_NO c�., COMMEN : � W a � `�'� -�-�Cs fi D!L 0 � � 0 � Q � �� srt � � � z W � W � j O W� ,��YAIdKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. � White Copyflnspector's File Canary CopylSite Notice CI v`� —✓' DATE�� TIME V TY OF ORONO CALLED IN ��" INSPECTION�,Q�TICE �CHEDULED �-f'-� ,' O PERMIT NOv�� / cOMPLETED �_ ADDRESS �� /�� ?' OWNER EPHONE Nc14-� � -7` � CONTRACTOR � DESCRIPTION ` - � � ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ ME ICAL RI ❑ LAKESHORE/WETLANDS Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUN�ATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � �O '- �. � O � W � Q � 2 W � W � J ��RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP OfiDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site- Inspector. `�r White Copyllnspector's File Canary CopylSite Notice �(� �V� � DATE TIME ✓ ,� OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � PERMIT NO COMPLETED ADDRESS ,L,L� -�� / OWNER TELEPHONE O. �,��q;��'� CONTRACTOR �_ , �S� ��(.t�,� � DESCRIPTION ��b� �� "'`�' � � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � � FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP�INAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO v�, COMMENTS: a �.��t5 � l��.t,� ,� oF�+��u.� S�-�-�te� �. � �,�.s f � c�.,,al�Q� ° � �elv�o� raa�r�Q��S W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C or the ne ' ion 24 hours in advance. (952� 249-4600 Own IContractor on site: Inspector. �''' White Copyllnspector's File Canary CopylSite Notice