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Home My WebLink About2009-00584 - plumbing � CITY OF ORONO PERMIT NO.: 20o�-ooss4 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3186 NORTH SHORE DR PIN : 09-117-23-32-0010 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS(2)FLOOR DRAINS(2)LAUNDRY TRAYS,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER VALUATION OF PLUMBING 29900 APPLICANT PLUMBING FIXTURE FEE 373.75 FREEDOM MECHANICAL STATE SURCHARGE PLBG(VALUATION) 14.95 11135 HWY. 7 TOTAL 388.70 WATERTOWN,MN 55388 (612)363-6198 Minnesota State License#:004042PM OWNER NEDDERMEYER,GLEN 709 MINNETONKA HIGHLAND LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok ' e for du�/� � 9//.3 /4 � � l/ lD Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � �� a � � �D FOR C�I'Y USE ONLY 0,4��0 City of Orono P.O.Box 66 Date�ieceived: Permit# 2750 Kelley Parkway a ? " Crystai Bay,MN 55323 Approved By:' Amount$: �L_ �$y� (952)249-4600 .�ao CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu must be approved by the Building Official or Inspector) GEI�TERAL IN:FORMATI�N 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applicarions 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 construcrion or remodeling is involved,a separate building pemut 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) ' T'i'PE OF PERMTT Check All That�A 1 )` . �,Residential ❑Commercial(Approval Required) „[SC]New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior anproval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) �ob Site/Owner Information: Site Address: �/�� v� �S'�,� ,�jz Owner:��u.�ge Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: /i�eJee�� i�2-�.� Contact Person: Address: /3 � State Bond#: City: ��f,�ou�rv Zip:�Expiration Date: Phone: ��3�3 �19f3 Alternate Phone: ❑ 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 l Bathtub / � Laundry Tray � 1 6 Shower / Washer l ! Kitchen Sink � Water Heater � Disposal ( Water Softener 1 Dishwasher / Wet Bar [ Sillcocks � Miscellaneous ❑ Yes,this section applies The replacement of a Residential fixture or anpliance 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 con�ractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 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$50.00) —__�`�,�ov x A125$ (c tract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 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 fumished 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Pemut, 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: i��C� Date: ��l.��U9 3 �� P`�' /�DAT,€� TIME CITY OF ORONO CALLED IN y�� INSPECTION NOTICE Q SCHEDULED D- -O % PERMIT NO. A� �U �/ COMPLETED ADDRESS �� /UOY`f�i �� OWNER CONTR. ��'`'� /'�� TELEPHONE NO. �D� a �J�03 �D�Q� � DESCRIPTION l�' � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA� Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � O � O � W � Q � 2 W � W � � �j�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 �wnerlContractor on si : oector. White Copyllnspecto�'s File Canary CopylSite Notice �"�� DA�/ TIME V CITY OF OR�NO CALLED IN `� INSPECTION NOTI E SCHEDULED �� r� O PERMIT NO. � �OD � COMPLETED ADDRESS �1�� i��7�� "� � OWNER TELEPHONE NO.��Z .�3 ,�D CONTRACTOR l%7�a�'►'�/�� - � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�.� COMMENTS: � W C or �O-�-P c �- `�c. �✓�►.4 �3 �� C�t�!`i� � 1��S P�1n Q '�T.T o _'T._�,�� A ` � ��Z C..,J J� +'q '-}.21Ve r` W � Q z � � � � �-� ��S -r �i� W � w � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CANDITION WiTHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. ��• � � � White Copyllnspector's File Canary CopylSite Notice