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Home My WebLink About2013-00444 - plumbing � . " CITY OF ORONO * 2 0 1 3 - 0 PJ 4 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2640 NORTH SHORE DR PIN : 09-117-23-13-0009 LEGAL DESC : COLWELL ADDN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)EACH -WATER CLOSET,LAVATORY,KITCHEN SINK,SILLCOCK,LAUNDRY TRAY AND WATER HEATER VALUATION OF PLUMBING 5800 APPLICANT PLUMBING FIXTURE FEE 72.50 SIGNATURE MECHANICAL INC. STATE SURCHARGE PLBG(VALUATION) 2.90 8260 ARTHUR STREET NE SUITE A TOTAL 75.40 SPRING LAKE PARK,MN 55432- PAID WITH CC# 0300 (763)788-9844 OWNER HODDER,KENT H&JUDITH B 2640 NORTH SHORE DR ,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 sepazate 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 nult 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 aRer 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 y time for cause. / / "�" � (�/ / /!� pp i t Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � � E�� . ��(�� .'1�Of�i0II0 � � E�llE'� �� €E� � �E B E %E�� P.O.Box 66 E E'�e�t�pt� � 2750 Kelley Pazkway „�� - , 'E€�E ` � � Crystal Bay,MN 55323 h�ad,��,,,�,�,,,-�, � � (952)249-0G00 �:`��,_,, ��E�Ei,€ �.:�n�€E', . ,,,,`, '�� `,��.� ...�i.. _. .. ,�'? CITY OF ORONO—PLUMBING PERNIIT (All Commercial pecmits must be approved by the Building Official or Inspector) EE�, �{;.,}� t ; �� `��€(( '� i��((EF � E � ,,,,'�'� i��,,,,�.�1�� ,..��,`�.'",?`.��,.�, j��, �� x9 .,,;i E E��€ '�. „,�,:�£,,,, .�r,.��:;�'T'EE`EIE E4IEt':E €€I 1 : ..�'�.: 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT VALID UNTII,YOU RECENE 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) {� E �� .�� f� E� �E�� ' � €�E E� �E��A �' , E �t �,F�� _ �,�(� � ,y _ . `` E-� � .� : €E ', "�� aY �� "' �� 'a`� i'� - _� ,.(�E€� �8 _ :,-� . ,�-.�y .,�,.,,,,,— .,. _�� „� ,„ •��o`, {E,E, ��'v � �� E� ^Y � �� 4"' E {� 1 �Residenrial ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? sYou will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article I� �.'��(€E" ;��`�;,�' y� ��€�I°� > ... �.,,E �,3,� ....... ,� � , E�. _;�� Site Address: a+4�l0 N S�o�sn.. i"�M�•�- Owner: l��tT (�v A� Mailing Address: �2�c`�{u N $��e,�t.. �_ City: Zip: Home Phone: Altemate Phone: �o l2'30�^ �O$o�Q- � � � ' �� .. � , �i��t sl��" _, �:; �� , .. r �._�. � <<. .. ... :_ . . .�, ,,,,, a,: E�� Contractor: s t c�M�a.rvAc. N�te� Contact Person: J��-�. �ito�H�E Address: SZ�oo �t'oW2 S�r 1-Lt= State Bond#: PC-�0`'�.17 L'� s u��t�t r4 City: s Zip:55y32.Expiration Date: I 2-�� l 3 Phone: �t�Z'Z8't--�1�8�? Altemate Phone: Co l 2- �8:�.-��I�'�' ❑ Insurance—Current: 1 FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet Floor Drains � Lavatory ` Sewer Ejector Bathroom Laundry Tray � Shower Washer Kitchen Sink � Water Heater t r Disposal Water Softener Dishwasher Wet Baz Sillcocks t Miscellaneous f ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 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. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next sectioq if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 ___ _..._ ___ __.__. " ��iF -- df @. f�� ':. PERMIT�EE CALCULATION(S}—JOBS OVER$50U ��_ _ .z.'��' If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00) _�`� . Jc7p x A125$ (contract price) (minimum$35.00) 2. STATE SURCAARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) x.0005 $ (contcact price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged far 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50–whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. �� 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. Applicant's Signature: ,-�.-�— Date: �4 � Reset Form 3 � �`�y� D E TIME �i CITY OF ORONO ALLED IN �� INSPECTION N T�� SCHEDULED ,�?� � PERMIT NO. COMPLETED � � ADDRESS O �V S!�/ OWNER T EPHO N �� ! CONTRACTOR >; DESCRIPTION �� " � � ❑ FOOTING ❑ PLU I FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME ANICAL RI ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � �� o � �� -(C a � o � � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� ZQ9-46QQ OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice �"�' DATE/ TIME ' / CITY OF ORONO CALLED IN I��;� � INSPECTION NOTICE SCHEDULED �II-�� PERMIT N0.��3 -��`� COMPLETED ~ ADDRESS�� 5��--�,�.� ��!�`� OWNER TE�NO �" °�-?7 CONTRACTOR � DESCRIPTION � 4~j ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHOREIWETLANDS 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. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a O ��L- r�°� GL {G.._ �. � O � W � Q � 2 W � W � � � ,�oRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor si . inspector White Copyllnspector's File Canary CopylSite Notice