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Home My WebLink About2015-01273 - plumbing CITY OF ORONO * z 0 1 5 - 0 1 2 7 3 * � � � • 2750 KELLEY PARKWAY DATE ISSUED: 10/Ol/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4009 NORTH SHORE DR PIN : 07-117-23-44-0004 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMTT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASI-IER,(2) SILLCOCKS,(1)FLOOR DRAIN.(1)WASHER,(1)WATER HEATER,(1)WET BAR VALUATION OF PLUMBING 16000 APPLICANT PLUMBING FIXTURE FEE 200.00 STATE SURCHARGE PLBG(VALUATION) 8.00 THOEN PLUMBING SERVICE,INC. TOTAL 208.00 14980 MAPLEWOOD LANE payment(s) COLOGNE,MN 55422- CHECK 9458 208.00 (952)944-5399 Minnesota State License#:plbg-45767 OWNER Craig Scherber&Associates,Inc. 305 LAKEVIEW DR TONKA BAY,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confotmance with the State Building Code.1'his permit may be revoked at ' e f due cause. , � L ---� �^ . ��/� 'S `"Pi�, ( �07 � � l /� cant ermitee ignature Date Issued ignature Date j, � �. . City of Orono �D IT S NLY �►O� P.O.Box 66 Date Received:i�! /� Peimit# ��.� �� O 2750 Kelley Parkway ' Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y�'�� CITY OF ORONO—PLUMBING PERMIT kfSHO� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/hv�i��v.dli.mn. ov/CCLD/PDF/ e lumb lanreva . 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 retum 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. 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 ,1` ❑ In Accessory Structure? *You will need qrior approval and may need CUP.(Per Orono City Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: �� /v O(� S�1� �(�\�-� Owner: C��;,rn s�ha�s Mailing Address: City: Zip: Home Phone: ��^�b�'.3��P Alternate Phone: Contractor Information: �—�.o�✓� J �/�b�v�� Contractor: �_U Cf f�10/�5 C;ontact Person: ��/`e Address: � AM � �C• State Bond#: C �.�y�� City: � v� Zip:S_,s�� Expiration Date: oZ 3 � d0 l� Phone: ,��i,�.<t��/ Alternate Phone: �f�'� �'p2�"� ❑ Insurance—Current: 1 `� . y, � , .� - � � � � �� . s«'` r , M�'�C�,.�:M 'a.",rrw,`�y�al��,- .,� .�' '�,y�.w� E� '�,> .:;�' -�� ' . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains I Lavatory � � Sewer Ejector � Bathtub Laundry Tray � Shower Washer Kitchen Sink Water Heater I Disposal Water Softener Dishwasher � Wet Bar � Sillcocks � Miscellaneous � '� °� � � � � � � �a *�. ' ..�-�r ,� � ❑ 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 �. . , , - � .�. �'� �. N��'�. °�� "�`` . } ' � � ��.� ��;�� .,�. 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 $ (c tract 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 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. '�-�:. � ... s _ }" « h �s �:. �� . �� > ,�.v � .s�-•� :�riY ��` +��`; 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 Si ture: Date: ��"1� � 3 \ \ pATE T1ME CITY OF ORON � CA ED IN INSPECTION N��E��"�3 sc►�eou�e� 2 � � PERMIT NO. " — __M�o nooREss � 1—I- ��1 I�l .��-��rP �Dr2. O'WNER TELEP NO. ��'� 7.3�`�7C� CONTRACTOR � �—� � � � DESCRIPTION �'�- b ty ❑ FOOTING EMO-FINAL ❑ SEPT C FINAL Q ❑ POURED WALL LUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEAAO-SITE PTIC INSTALL Z TO MEET YES_NO � COMMENT� � j 0 � � W � Q � W � � � W SATISFACTORY:PROCEED ❑PROJECT E � WORIC 3 PROC�ED ❑ISSUE CERTIRCATE OF OCWPANCY W ❑ MIORK.CALL FOR RONSPECTION � TEMPOFiARY V BEFORE CdVEi�N(i PERMANBdT O OOi#iECT WJ.SIIFE OONd710N WITHIN �• O PHOTO TAKEN INSPECTOR WILL RETIJRN ❑STOP ORDER P08TED.CALL INSPECTOR ❑qTATION ISSUED O INSPECiION REGUIRED.CALL TO ARRANf3E ACCESS. caN�u��hspect�2a � ( 2) 249-4600 on site: � Mlhil��FlN Gmry No11e� �� - _ l' /ODAT� TIME \ / CITY OF ORONO CALLED IN 7� �� INSPECTION NOTICE SCHEDULED //- 2�S � PERMIT NO.�/S-D�� COMPLETED ADDRESS �9 N. ��101�� ✓�/ V�. OWNER PHONE NO. �=3 / 3 CONTRACTO � DESCRIPTION � ly ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL � Q ❑ POURED WALL �'pLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP r ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a �w� pvc �. �d - J .S� //r r l�i�S� `5 �ld`�'K-� ' O . � -� La�,�! ra�o�-t da.�,t ��/d c.. O r �( '1 •��• j� .�e !��C ct�2" `o �E— QIII S!�f�Gfi•G /'� - G''�- '�tpJ � � 2 W � W � � J d � WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE �RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector. ti White Copyllnspector's File Canary CopylSite Notke �'� `� DATE TIME v CITY OF ORONO CALLED IN O � - � INSPECTION C 7 SCHEDULED �� .�-JS PERMIT NO. - /� COMPLETED ADDRESS 7D�g � J`l4Ye �l'�/ 1/�, OWNER ELEPHONE NO. CONTRACTOR � �✓� � DESCRIPTION ^ 41 ❑ FOOTING ❑ DEMO-F AL ❑ SEPTIC FINAL Q ❑ POURED WALL �ttlMBIN ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �w�� 1�vG s�� o - o �J`� �}.� ��s 6- �2' !,o t�P� 4 � — � � ° F� ti.�c.�i /�cSl�s!!�� t L�.ks�.,t!/ �rYe� ' W � Q � D � � Cv��4�.s,r o W � W aC j O W� �R�K�SATISFACTORY:PROCEED ❑PROJECT COMPLETE /��RRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advarx;e. (952) 249-4600 OwneHContractor on site• Inspector: � White CopyflnspecMr's File Canary CopylSite Noties � ,. DATE TIME V � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _�S� PERMIT NO. �-��—��Z73COMPLETED ADDRESS -L-�,��N` �S�C�� /� , OWNER TELEPHONE NO. ��J "� �7� CONTRACTOR � � � DESCRIPTION / i � 41 ❑ FOOTING DEMO-FINAL EPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF � PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTRACTOR TO MEET 11�U: YES_NO ti COMMENTS: � / � /1�D f�l� /�J /1 O�!"LC r � �^ - o -) i��r�t� .�f -► Sc�lc�/ � � � O � !✓1�S�i S G.s/•'� �t.r�ti.�s�- W - � Q �` /�I/1�l�dC� r�.1D� 1/G iI fi Cs[.O S W W � ' � � ❑W04iK SATISFACTORY:PROCEED �ROJECT COMPLETE CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OMmedContractor on site: � Inspect . r`�' VYhiM CopyllnapecMr's File Canary CopylSite Notke