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Home My WebLink About2014-00413 - plumbing _ , CITY OF ORONO * 2 0 1 4 - 0 0 4 1 3 * 2750 K�LLEY PARKWAY pATE �SSUE�: 05/07/2014 ' ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3048 NORTH SHORE DR PIN : 09-117-23-32-0004 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER VALUATION OF PLUMBING 490 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 025 RICHARD'S CUS�f'OM WATER 6121 EXCELSIOR BLVD. #206 TOTAL 50.25 ST. LOUIS PARK, MN 55416- Payment(s) CHECK 13078 50.25 (952)920-1200 Minnesota State License#: BUIL-WM061456 OWNER KALLAS, KATHRYN D ll653 CEDAR PASS HOPKINS, MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buildinp Code. This permit is for only the work described and does not grant pennission for additional or related work which requ�res separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced wid�in 180 davs of the date of issuance,or if construction is suspended for a period of l80 days at any time afrer work has commenced. The applicant is resp�sible for assuring all required inspections are requested in confo ance with the State Building Code.This permit may be revoked at any lim�for due cause. � ��;�� ,� �,_`"i' "j`/ /�/' cJ � 7 /� pli ant er ' e � nature Date I ed By Signature Date FOR CI Y USE ONLY �O� City of Orono �/ �� . O P.O.Box 66 Date Receiv / Permit#aQ/�- 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: ��. � (952)249-4600-Main � >. (952)249-4616-Fax � c�` CITY OF ORONO —PLUMBING PERMIT ��k�sNo�� (All Commercial Permits Must be Approved by the State Prior to City Approval} htt ://H�w«'.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 1. You may apply for piumbing 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 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 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. Al] 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: a Site Address: �'� `�� NL�� J N ��In�' ��l" ` Owner: �;� � �-�' ,� Mailing Address: "� L� / City: Q�-f,� ;��U Zip: S� `� i Home Phone: Alternate Phone: Contractor Informa 'on: � �' C.vy►,� � 1 Contractor: ; J �'��n�• f�S T� Contact Person: d' `�� Address: C�l��`��l�.��'�'� ��4°'?State Bond #: City: ��'�� `� ZipS�� Expiration Date: Phone: l��G �� jl'�,� , � � � � Alternate Phone: ❑ Insurance—Cunent: 1 . ��x� �N � �� u. : , .� ... , . � . . a s. ,:� ,. ,�� r �N a�u , � .��,� , M,��,.�w��. . 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 Washer Kitchen Sink Water Heater Disposal Water Softener , / v Dishwasher Wet Bar Sillcocks Miscellaneous : � , � , � ,e: � � �� .� �� rr�. ��; ❑ 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;excludine 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 Surcharge $ 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) i�� x .0125 $ (conuact price) (minimum 550.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-ln 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 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. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby app(ies 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 st�ments made on this application are complete, true and correct. '� =� , �� r' �,�� A ` Applicant's Signature: / / Date: �✓�'"J� /.. 3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�f�l.� COMPLEfED �,�( ADDRESS `��!�S /j/- �oi'e- L7r • OWNER TELEPHONE NO. CONTRACTOR ��/��'�s G'cc s �� '�-��r � DESCRIPTION W4��" Sd��.Ce� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q JAL ❑ WATER HOOK-UP �FAEtOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 ONfNERICONTRACTOR TO MEET Y�OU:_YES_NO h COMMENTS: � f e✓vri•� �j�C�cr �t..�EL� `l�'- Get</ O � � � �iit4 C <it S��Gv��'L �— � ° ! � ` /�s :� �'�.�1�� i..� �i Q Cg � �"'. 6�—�J,�— �'.-`4,C .�itis•��`cn z 34% � a'„-- (, � �" -i� � W � _ � W ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: ' `''"' � Whits CopyAnapecto�'s File Canary CopylSite Notf�s