The URL can be used to link to this page

Home My WebLink About2011-00244 - plumbing CITY OF ORONO PERMIT NO.: 201�-00244 t 2750 KELLEY PARKWAY a ORONO, MN 55356- DATE ISSUED: 04/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3095 NORTH SHORE DR PIN : 09-117-23-32-0014 LEGAL DESC : REG. LAND SURVEY NO.0670 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV,3 SILLCOCKS,2 FLOOR DRAINS,SEWER EJECTOR, 1LAUNDRY TRAY, 1 WATER HEATER, 1 WATER SOFTNER 1ST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,4 FLOOR DRAINS, 1 WASHER 2ND FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER VALUATION OF PLUMBING 36550 � APPLICANT PLUMBING FIXTURE FEE 456.88 ' FREEDOM MECHANICAL STATE SURCHARGE PLBG(VALUATION) 18.27 11135 HWY. 7 WATERTOWN,MN 55388 TOTAL 475.15 (612)363-6198 Minnesota State License#: 004042PM OWNER SIME,MICHAEL&PAMELA 1592 MEDINA RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT ; The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate �� permits. All provisions of laws and ordinances goveming this type of work --shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is ' suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked an ' du cause. ��%c.� Y i�i ll i App icant Permitee Signature Date Issued By S' ature SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOV . =FOR CITY-USE ANLY � � 0��,0 City of Orono ' ° P.O.Box 66 Date Rcc,e�ved; Permit# � 2750 Kelley Parkway ? � ? ;y� Crystal Bay,MN 55323 Agproved•By: Amount,$: � (952)249-4600—Main �sexo$y (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://w��w.dli.mn.aov/CCLD/PDF/ e lurnb lanreva . df C�rE�TERAL IN��RMATION ' 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYFE=OF.FERIVIIT ' ` (Check All That A 1- ) ��Residential ❑ Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job�ite 1 O�vner infor�nation: ' Site Address: ��%� /� S!�/1� 1�2 Owner: --S��c.e_ 'S Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Infarmation: Contractor: �-/�ee�cr� i�e�c.- Contact Person: (/''i9-�'c�f l� /��k Address: / 7 State Bond#: City: �f�.�ow,v Zip�$ Expiration Date: _/al�/�/� Phone: 6'/a ��3 -d�1 f1 Alternate Phone: �,3�- yy6- �'�38 /�r� Insurance—Current: �:�le�.ay��7i�ti,r�r, ,�l�=T 1 A � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains � � p, �� Lavatory / 3 � Sewer Ejector / / Bathtub / � Laundry Tray Shower � ` Washer / / Kitchen Sink Water Heater 1 / Disposal / Water Softener / Dishwasher � Wet Bar Sillcocks � Miscellaneous ❑ Yes,this section applies 'The replacement of only one Residential fixture or apnliance 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;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next secrion, 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 Next Page) 2 � � . If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ..� x.0125$ 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 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 esrimated 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 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 conect. Applicant's Signature: _� i!�� Date: `ll oZ��l 3 / ��j ATE TIME ✓ CITY OF ORONO CALLED IN C INSPECTION NOTI E (� SCHEDULED a %� PERMIT NO. `�� L �COMPLETED ADDRESS �3� /I�IJY� �`� � OWNER TELEPHONE NO:Cv!z 3(a3 qo7o CONTRACTOR � � �L�� >; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � a � �- • 13 � . /��-�.,, � �:�,c ��,�ai� 1�--- ��l�! .,a �C� ° /'� �� 1'Z ,/� t�'� 1J �,,r,�e.-�-- W � Q � �� 1 i �� -�` �� W " ` � � '% � ( L�C ' ( -\ � . A � i �--� � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W —�SORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on s e: r Inspector. ,J �l ( White Copyllnspector's File Canary CopylSite Notice �� DAT TIME �/ CITY OF ORONO CALLED IN � � � � INSPECTION NOTIC+ E ^� t1 SCHEDULED `� _s�� PERMIT NO. ��I, I_� )Z�i�COMPLETED � ADDRESS �C~ �'f`� � '� <1�2.(�`�;� L�i� OWNER TELEP NE NO. �� —��Z 07( CONTRACTOR � �� ; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLI G Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAI 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 ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT �INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � �L GW�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �= ❑CORRECTUNSAFECONDITIONW�THIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN � ❑STOP ORDER POSTED.CALL INSPECTOR � CITAT�ON ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next in ction 24 hours in advance. (952) 24J-46�� OwnerlContractor s' Inspector. � ` � White Copyllnspector's File Canary CopylSite Notice �� - � �-� z ✓ DATE TIME CITY OF ORONO ALLED IN � I �� INSPECTION NOTjICEf^ SCHEDULED T�II f _`�� PERMIT NO.r-�C I'— �.(JJ.�L' COMPLETED ADDRESS �� ,I �S��ti� Y"2° �l'�_ � OWNER TELEPHONE l.(� � �'3�' 3 �'ly-- CONTRACTOR 1 +'r� � C'Y1 >; DESCRIPTION t'�' �� 1",�' �'��.� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:��YES_NO � COMMENTS: � W a � � O � �.��@ ./1..��V �� S � �� O � W � Q � Z W � W � 1 � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on sitqc Inspector. L White Copyllnspector's File Canary CopylSite Notice