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Home My WebLink About2013-00640 - plumbing . � CITY OF ORONO * 2 0 1 3 - P1 0 6 4 0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3120 NORTH SHORE DR PIN : 09-117-23-32-0007 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 002 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 (952)445-4803 TOTAL 22.00 Minnesota State License#: 057209PM OWNER CREE,MARK&NANCY 3120 NORTH SHORE DR WAYZATA,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 Ciry 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 governing 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 revoke�,�me f��e. L � 7� �� 3 � �� Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � �t�c�iv�� p City of Orono JUL � � ��3 F C USEONLY 0� �� P.O.Box 66 Date Receiv :I d Pernut# �� y. 2750 Kelley P8�1(OF ORO�10 � �'#' Crysffi(Bay,N�i 55323 Approved By: Amount E: �'Q� �,�� (952}249-4600 CITY OF ORONU—PLUMBING PERMTT (All Commcrcial permiu must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the Ciry 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 RECF,IVE A PERMIT. WORK MUST NOT BEGIIV UNTII.TAE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plwnbing contractors and to properry 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. Ail work must be inspected and sir tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERIVIIT' (Check All That Apply) �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ ln Accessory Structure? *You will need�rior aooroval and may need C�'P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Ovcmer Information: Site Address: �I�� ✓ 1�-� �Owner: �.� Mailing Address: � City: Zip: Home Phone: Alternate Phone: Contractor Information: � Contractor: Contact Person: ;� fYl 1��-- ��f100�aNti'IOCbOf1s It1C. /� Address: 1��50 Ci'l�bltJt B(vd. State Bond#: V S�skopee, II�N�5379 a 3 � 3 City: �-� Expiration Date: �� Phone: Alternate Phone: ❑ Insurance—Current: 1 P U � . TNG�I�T�.tES"BEII�1.�''r��T�TALL�D ` ' FIXTURE BSMT 1 2 � OTHER FIXTLIRE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitcher.Sink �' �'��ater Heate; ' Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous : �E1tMIT�EE C.l�LCULAT ION(S) ; - . BA��D OF� .20�2 STA�E-S?`�T� , ' . Yes,this section applies The replacement of only one Residential fixture or apoliance that meets all three of the following requirements: 1. Does no[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 ' ,� «�';'�> �' k��' � *l' '� ' " ��`- a' . �P:� ��'.' 3 A'RA,b�Y: ��a,. 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 **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 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 aze furnished by the owner,tenant or any other party,the reasonable mazket 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. r , ,�. ., _ , �, . ��r ., ,, . . , .. _. � x :� .3 .^; .� ,..,,� # .e.5t?. �. . ' ` �.°k��'S $°}Y��aF,�-+�x� "�� , . � .:�. . ..._ �.. �:w�^t�-'�, . . ,.::. 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 a11 statements made on this application are complete, true and correct. � Applicant's Signat e: Date: � � 3 � �� DATE TIME� Z CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO..��l3-Dd65�d COMPLEfED � "//�S/ ADDRESS t�/e�0 �Jt/o�"�C �i o�c ,n/�� OWNER TELEPHONE NO. CONTRACTOR ��C't �-��b 2s �, DESCRIPTION � � ❑ FOOTING �LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS QD 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. /P�FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNbATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a �err^.t �cl�� r- �.%� � ce // F'sr Q a� , � o -�i•�.�/ �r!s.mct��, a � ° !lD D/le /�orrc� — W —_'_ � � �/eaS� G�!/ C�f� o�f' a�o� ��; � � �/1�4 7� .t�.(t�e1� � �'�/� ��K� �r jlIJ t��. tAG4 Lf/�il,'d�S �' W O WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE � ❑CARRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED �JpLPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adv e. (952) 249-460 OwnerlContractor on site: Inspector: �►�- White Copyllnspector's Ffle Cenary CopylSfte Notke -� ��- ✓ '� DA L� TIME CITY OF ORONO CALLED IN �7 INSPECTION NOTI E SCHEDULED ! Y ' � PERMIT NO. �"� COMPLET ADDRESS � ��I'�� OWNER ' TELEP NE NO. � —3 �O2 CONTRACTO � �G �C�OJIS � DESCRIPTION K' � l� ❑ FOOTING P MBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING CHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � OD BURNERlFIREPLACE ❑ 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 � OWNERICONTFiACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a j � O >. � O � W � Q � 2 W � w � j W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER P05TED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in adv : ��52) 249-46�� / i +. OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Co ylSite Notice