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Home My WebLink About2015-00349 - plumbing CITY OF ORONO �Ic 2 0 1 5 — 0 0 3 4 9 * .. 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2015 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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: BAR SINK MAIL LEVEL OLD POOL AREA VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 A T PLUMBING STATE SURCHARGE PLBG(VALUATIOl� 2.00 15800 ELAND ST NW TOTAL 52.00 RAMSEY,MN 55300- P8yment(s) (612)345-1901 CREDIT CARD 3574 52.00 Minnesota State License#:HVAC-MB005200 OWNER CREE,MARK&NANCY 3120 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. r �y � �� t6 A licant Permitee Signature Date ssu d y Signature Date �' FOR CITY US�QNLY � ��} City of Orono , i V� P.O.Box 66 Date'Received: Pettrtit# 2750 Kelley Parkway ' Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y�'l� �c.`� CITY OF ORONO—PLUMBING PERMIT '��sHQ� (All Commercial Permits 1Vlust be Approved by the State Prior to City Approval) htt ://www.clli.mn. ov/CCLD/I'llF/ e lumb lanreva . df GEI�ERAL INFORMATTON 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 BEG1N 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. 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 C1F PERMIT Gheck All That A 1 ' ❑Residential ❑Commercial(Approval Required) ❑ New (�Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) rob Site!Owner Inforrnatidn: Site Address: � � � / � � � � � `� n �� 2- Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractc�r Informa#ion: " Contractor: � � �� Contact Person: �►(�2 � Address: ��(�� G"�'�� `S�St e Bond#: I-C �o �� '�d 4� 1,5~ City: �CG�� L° Zip:SS`3 Expiration Date: �� 3� Phone: � C� ��l�L � Alternate Phone: �(� 3 �S l �� ❑ Insurance—Current: 1 .. �� , � 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 � � f S r N � in (� � ^� L,e � �e � � � d G�'Gr� � �� e�. � �" � �� f�#v�� ,� ;°'�� , � � �.��,� , , ��a �� . ��3 �� r- ��,3�� ` �, �5�;�. �� y �......��.��'�'��',��.a4 ��':�'. , �4'��.. , , ...,.' ,. : ,.::.,a � .�..e. .>.�,��< ;,,`?�i�Y,�K��"„-�1.�R�� S` �. ❑ Yes,this section applies The replacement of only one Residential fixture or a�pliance 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 . ' ^�� j '&�f '��' ,�. �"+�� .� 4;,�^� "�.�� a��'� � • "�'-'��.. .�� .� �.�� «�� +�^�'��—�.,':,E�,x� , 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. STATESURCHARGE � 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 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. ,rK, , ia.' `";F' `t� tr: a�k.��,'.. ''�� : 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: � � �� ls 3 �� AT TIME � CITY OF OIS�NO CALLED IN -�- INSPECTION NOT C ///�CHEDULED _,:L�sL_ PERMIT NO. Y�COMP ED �.�_—_1___�� ADDRESS �� OWNER TELEPHONE NO. /a r3 � CONTRACTOR '� - � DESCRIPTION �� 4~j ❑ FOOTING ❑ DEM - NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU G RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ AADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: o� - . � �.Gli. ' ' �D �O Cb�n/� � D�•j � �� r��.� o ,��.H - I'ab a•:- �E e s� ��i •��'�.�� - �" l'.�,,,�raof�� o�� '�1�.� � a.•�e �e r r.•C t„�� O �. W / � _ �G4� �i �O✓ �r SiNk ��t� f Q 2 ��Ct�Ki /l� �/�� 4! L✓I•7"f"a rvl�p(��_� � � n wv - P vL Sc�C. o � � �� cvv«' a W ❑VYORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE w ,�CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� Owr�erfContract r on.�ite: Inspe�tor: �"� White CopyAnspector's File Canary CopylSke Notiee �'� �•�" ' DATE TIME'�! CITY OF ORONO CALLED IN - ' S INSPECTION N TI 9SCHE�ULED � � �— PERMIT NO. ��0� /COMPLETED _ ADDRESS � �-� ' v '� � l, V`�J OWNER TELEPHONE NO��`3 �'� 9�� CONTRACTOR � I l� -" � DESCRIPTION � �`�-� �� ly ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTAACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � a l .SiIY�C' - OG��f-v..� �S Sc� �. � °° lu0�K /'a r+�./Jl,�� — W � Q � r � �/y.t.� (/t(�r.� W � J � ❑WORK SATISFACTORY:PROCEED ��FlffJECT COMPLEfE W ❑CORRECT VYORK&PROCEED «O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOA �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on�te: Inspector. J n� � White Copyflnspector's File Canary CopylSite Notiee