The URL can be used to link to this page

Home My WebLink About2011-00092 - plumbing � f CITY OF ORONO PERMIT NO.: 2011-00092 2750 KELLEY PARKWAY ; ORONO, MN 55356- DATE ISSUEn: 02/10/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3017 NORTH SHORE DR PIN : 09-117-23-32-0002 LEGAL DESC : CORONADO BEACH LK MTKA : LOT 000 BLOCK 000 ' PERMIT TYPE : PLUMBING(>$500) ; PROPERTY TYPE : RESIDENTIAL \ CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: l ST FLOOR: 1 WC,2 LAV, 1 TUB, 1 SHOWER ; VALUATION OF PLiJMBING 12000 ; APPLICANT PLUMBING FIXTURE FEE 150.00 TOM MOTZKO PLUMB&HEAT STATE SURCHARGE PLBG(VALUATION) 6.00 5720 W 35 U2 STREET ST. LOUIS PARK,MN 55416- MISC FEE 0.00 O TOTAL 156.00 Minnesota State License#: 058023 PM OWNER HIGGINS,JUDY 3017 NORTH SHORE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not speci£ed herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo�at any time for due cause. � � -� �/=2� 'r� ..:�-,� %U l /� ��Y( / / App icant Permitee Signatu e Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . � � � . FOR CITY USE ONLY O,4p�,O City of Orono P.O.Box 66 Date Received; Permit# �, 2�50 Kelley Parkway � �. !' t� Crystal Bay,MN 55323 Approved By: Amount$: � (952)249-4600 e�;, •. yo srso8 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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. Plumbing pernuts 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 au tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERIVIIT ` (Check All That A ly) �esidential ❑ Commercial(Approval Required) ❑ New ❑ 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: _ �� /��r2 1 1� � �L;1 Z:��y� Owner:� - ��- Mailing Address: 5G�r �V r�J ti�`� S�o��`'�" �-'�'.5� City: ��r� .,_� � Zip: J .S � Home Phone: 1S � �7� 5 ��`� Alternate Phone: Contractor Information: � �� /, //-, /�/,�y�°'e' _� Contractor. o� � � a<� r �i/ � �;ontact Person: v �� Address: .S 7�' l•"r �S � Z �- � f State Bond#: City: S tL��>> �'�'Z�--�Zip:y 7 ��Expiration Date: Phone: `rS ��`��'`� �� 7� Alternate Phone: �/?� 7 y Y C,/-�� ❑ Insurance—Current: 1 i - � , , �� , �. . ,��. �� , M FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bathtub Laundry Tray Shower J Washer � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 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 modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excludins 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 � . - , . , ,. e. ,: .� . ._ ., , . � � , � �� .. . a�. � � „��, � , � �. �,�a. , .�� ... � ., .,. .� If above does not appiy;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) ��<.�1�� 6�0 X.�I25 � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 fi�rnished 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 pernut 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. � .��. a,� . . .<. . . ,.. . . , . w � � �� , �.� � . � �� .� �, � ,. ..� � � � � ,�� , � 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: ��"C,� o:-`� Date: �-�� "f� 3 � � D TIME V CITY OF ORONO CALLED IN =�/�- INSPECTION OTICE SCHEDULED PERMIT NO. — �COMPLETED ADDRESS . OWNER ELEP NE NO �� CONTRACT � DESCRIPTION `� O��`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � COMMENTS: � W a J O � � O � W � Q � 2 W � W � � �� W 3�0(�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit : Inspector. White Copyllnspector's File Canary CopylSite Notice C � ,� c �� ►, � DATE TIME CITY OF ORONO CALLED IN � � 1 INSPECTION NOTICJ�E/ '�-� SCHEDULED �/ � Ci� ' PERMIT NO. �t.�!!" �.L�C�%�COMPLETED ADDRESS ��'� 1 �,�. ��'(C�� /lf-� OWNER TELEPHONE NO. �C�� 7t2f�.��7 CONTRACTOR �Yl� l�i¢��I d.(/'YI - �; � � DESCRIPTION I � �x�j��'7�� /�Z� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBINQ R� O SE�C FINAL ❑ FOUNDATION/REMOVAL � OWNER/COI�TRACTOR TO MEET YOIP YES_NO � COMMENTS: `— � � W a z J O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. / b White Copyllnspector's File Canary CopylSite Notice