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Home My WebLink About2011-00504 - plumbing CITY OF ORONO PERMIT NO.: 2011-00504 -► 2750 KELLEY PARKWAY , ' ORONO, MN 55356- DATE ISSUED: 06/2U2011 952 249-4600 FAX: 952 249-4616 ' ADDRESS : 3105 NORTH SHORE DR PIN : 09-117-23-32-0016 LEGAL DESC : REG. LAND SURVEY NO.0670 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE INSTALLERS OF MN INC. STATE SURCHARGE PLBG(<$500) 5.00 16740 IREDALE PATH LAKEVILLE,MN 55044 MAIL-IN FEE 2.00 (952)894-8367 MISC FEE 0.00 TOTAL 22.00 OWNER FRAHM,MR.&MRS. 3105 NORTH SHORE DR WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any�ue cause. �� i i i i Applicant Permitee Signature Date Issued B igr►ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. � FOR CI1'Y USE ONLY , " �p�.,,� City of Orono � `r� P.O.Box 66 Date Received: Pertnit# � ��$ �'� 2'750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: ��.` ;�a� (952)249-4600—Main "o� (952)249-4616—Fax CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dii.mn, ovlCCLDIPDF/ e lamb lanrev� , df GENERAL INFORMATION ' 1. You may apply for plumbing 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 constructiun 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 A 1 '�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need orior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 3��I�c��1�o r� ��• Owner�l'�/�,�l.s ��('A_Y\,1�. Mailing Address: ��_ �(��U1.U�e � � City: (��r1,0 Zip: t;�' � Home Phone:��'�'-q(�1� Alternate Phone: Contractor Information: Contractor: Contact Person: �,1\(`�l l.C� App ance ne ers o N, Inc. Address: 14105 Rutget� �t. NE State Bond#: Prior Lake, MN 55372 City: Zip: Expiration Date: Phone: Ir'JoZ''�l9�I Alternate Phone: ❑ Insurance—Current: 1 ,�„� � �'!.t'� �`��'��,�� 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 Dishwasher Wet Bar Sillcocks Miscellaneous � � a� ��._,��'� : �� ,{ � ��a� . �� c�. v � ��,�� _ \a��.��''� .. '�.,� f g A f. �,. �c..,.�.n��..,�1��:.�. ,",<�,��.��. , . .�'.��.� :.. Z.. ..�' �'��,�„�� .�� v'0��."��°H�� '`�� &Y �, � 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 • • . , .. . . .. . .. . 3 .. . ,,,. ..�. � ' +,�'.�. �. . . . � .��.�' �� ;.:�� .....��.....:�, � . , ... „ �'� , �. 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 550.00) 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 dollaz 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. � : �€�. �� t ,��.e�.,��„�..��`�� . �`�:�.�� \� ��z � � � 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: � �� r� �� r� 5_-��__. .. :?�� :��;,�"� 3 �r � �s ATE// TIME ✓ CITY OF ORONO CALLED IN �/ INSPECTION OTICE c� SCHEDULED � PERMIT N0. ��'��` O PLETED ADDRESS �� / ''��`Z�V� N� ' OWNER T L HONE NO�Sa' �""7� y�'J� CONTRACTO �S >; DESCRIPTION �"G�il �-f c..J � GtX.� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �Y l�� White Copy/lnspector's File Canary CopylSite Notice