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Home My WebLink About2015-00043 - plumbing " � CITY OF ORONO * Z 0 1 5 - 0 0 0 4 3 * 2750 KELLEY PARKWAY DATE 1SSUEn: OU13/2015 . ORONO, MN 55356- •i��' �� 952 249-4600 FAX: 952 249-4616 ADDRESS �' : Gt�MYRTLEWOOD RD PIN : 36-118-23-33-0013 LEGAL DESC : MYRTLEWOOD : LOT 001 BLOCK 002 PERM[T TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES(2)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)KITCHEN SINK,(1)DISPOSAL,(1) DISHWASHER (1)FLOOR DRA1N,(l)LAUNDRY TRAY,(1)WASHER AND(1)WATER HEATER VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 STATE SURCHARGE PLBG(VALUATION) 6.00 AMERICAN MECHANICAL CO, INC. TOTAL 156.00 7120 71ST AVE.N. Payment(s) PO BOX 205 CREDIT CARD 6915 156.00 LORETTO, MN 55357- (612)750-0278 OWNER JAMESWEATHER,ROBI 15 MYRTLEWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruction au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time r due cause. / // / f--� Applicant Permitee Signature ate ss e By Signature Date . FOR CITY USE ONLY �O�O City of Orono P.O.Box 66 Date Received: Permit# 27�0 Kelley Parkway Crystal Bay,MN 5>323 Approved By: Amount$: (952)249-4600—Main >. (952)249-4616—Fax y�' � �` CITY OF ORONO —PLUMBING PERMIT �qKESHo�� (All Commercial Permits Must be Approved by the State Priorto City Approval) htt ://ww��.dli.in�i. ov/CCLll/I'DF/�e �lumb�l�znreva� . �If' GENERAL INFORMATION 1. You may apply for plumbina permits by mail or in person at the City offices. Appiications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mai] 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(Approval Required) ❑ New �] Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site / Owner Information: Site Address: � � �'�� i� � � t`�:'�-�) � �r'� ��f' i Owner: Mailing Address: C. Cit : y �� Zip: Home Phone: Alternate Phone: Contractor Information: _ ;^,� , ��tti G�.1 ct�. C� �- Contractor: �i'1 c% � � 'l+^ � ,�� Contact Person: Address: v �'K ��.�� State Bond #: ��+ �(`�� Cit �� Zi ��35 Ex iration Date: � ' � � Y� P� P /�� 3 Phone: ��" ��' �Jv�� Al�ernate Phone: ❑ Insurance—Current: v-�' � 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE ' BSMT 1' 2' OTI-IER TYPE FL FL TYPE FL FL Water Closet � Flo or Drains � Lavatory � Sewer Ejector Bathtub Laundry Tray � Shower Washer I Kitchen Sink � Water Heater � � Disposal / Water Softener I Dishwasher � Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED 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; excludin�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 $ l 5.00 State Surcharge $ 5.00 Mai]-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 I 25%of contract price with a(Minimum Fee of$50.0�) �� x .0125 $ ' � (contracY price) (minimum$50.00) 2. STATE SURCHARGE ��, -��-- �j x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ � � �� V c / 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � J ■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged far the permitted work including materials, labor, proflt, and other fixed costs. It is the amount to be charged to the customer far the work done. If any material, equipment, labor ar 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. PLUMBING 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 ordinances of the City and the regulations of the State of Minnesota, and certifies a all statements made on this application are complete, true and correct. ., �' ��`� �. Applicant's Signature: Date: 3 - K � p TIME � CITY OF ORONO CALLED IN / —�lS �� INSPECTION N TICE SCHEDULED !__'�� PERMIT NO�D/J "�� COMPLETED ADDRE�S � / � `'� OWNER T LEPHONE NO. a`7��a7 CONTRACTOR /2�� ; DESCRIPTION �v � W ❑ FOOTING ❑ PLUMBING FINA EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL I ❑ LAKESHORENVEfLANDS � Q ❑ FRAMING ❑ MECHANICAL AL ❑ 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. ❑ fOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v �.�UMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W . a L��v v .�vr r�e�. �o/ �- t ��a... o �' �� 40 �� L � �j � �r �2S� l� /ld�t�tc W � Q z (`>�L � COv� i W � W � � J � �KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector.�1� � White Copyllnspector's File Canary CopylSite Notice K3 ATE TIM� CITY OF ORONO CALLED IN S-��-/S INSPECTION NOTICE SCHEDULED �j��S __� PERMIT NO�/.S—D�� COMPL ED ADDRESS � �- OWNER T LEPHONE O.�a- ��37 CONTRACTOR �Q�� DESCRIPTION / `� W ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTFiACTOR TO MEET Y�OU:_YES_NO � COMMENTS: W � J O � O � � W � Q � � W aC � J O W RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � CO ECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP OR�ER POSTED.CAIL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in a�va -46�� r OwnerlContractor on site: Inspeator: YVhite Copyllnapector's File Canary CopylSite Notke CITY OF ORONO * Z 0 1 5 - 0 0 0 4� 2750 KELLEY PARKWAY DATE ISSUED: OU13/2015 • ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 25 MYRTLEWOOD RD PIN : 36-118-23-33-0014 LEGAL DESC : MYRTLEWOOD : LOT 002 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTI01�1 TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES(2)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)KITCHEN SINK,(1)DISPOSAL,(1) DISHWASHER (1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER AND(1)WATER HEATER VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 STATE SURCHARGE PLBG(VALUATION) 6.00 AMERICAN MECHANICAL CO, INC. TOTAL 156.00 7120 71ST AVE.N. PO BOX 205 Payment(s) LORETTO, MN 55357- CREDIT CARD 6915 156.00 (612)750-0278 OWNER RYAN, STEVEN&ANNE 25 MYRTLEWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which[his permi[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 rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type oY 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 180 days at any time afrer work has commenced. � The applicant is responsible for assuring all required inspections aze �-�/ requested in conformance with the State Building Code.This permit may be � revoked at any time Yor due cause. ` / / Applicant Permitee Signature Date Issued By Signature Date Rachel Dodge From: pschumacherg@aol.com Sent: Tuesday, February 03, 2015 8:42 AM To: Rachel Dodge Subject: 25 Myrtlewood plumbing permit Rachel. I pulled a plumbing permit for the wrong address by accident the address on the permit is 15 Myrtlewood and it should be 25 Myrtlewood Rd. Could you please change my permit to 25 Myrtlewood rd. Thanks Paul Schumacher President American Mechanical Co. PO Box 205 Loretto MN 55357 612-750-0278 1