The URL can be used to link to this page

Home My WebLink About2009-00069 - plumbing ' , CITY OF ORONO PERMIT NO.: 2009-00069 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 02/17/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3200 NORTH SHORE DR PIN : 08-117-23-41-0001 LEGAL DESC : UNPLATTED 08 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES -MULTIPLE NOTE: PLUMBING FIXTURES: (l)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1) DISHWASHER,AND(1)WATER HEATER VALUATION OF PLUMBING 4500 APPLICANT PLUMBING FIXTURE FEE 56.25 PAVEK PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.25 4550 COUNTY RD 10 N TOTAL 58.50 WATERTOWN, MN 55388 �) Minnesota State License#: 60617-PM OWNER HENDRICKSON,RICK& SHIRLEY 3200 NORTH SHORE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring ail required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �''�—�—��4-- 2 � � ��s � � � � � /7�US ��plicant Permitee Signature Date ued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' ` � FOR CITY USE ONLY O,�D�O City of Orono P.O.Box 66 Date Received: Permit# �';i,� , 2750 Kelley Parkway a h`'�r��. C stal Ba MN 55323 A roved B Amount$: � � ,sll�•,> rY Y, PP Y� � �,��;;�C.�o� (952)249-4600 �ggg0 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Peimit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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 pernut 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 Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: � /� Site Address: ��j �G�� S�G�� (� Owner: Mailing Address: City: ��1Q Zip: Home Phone: Alternate Phone: Contractor Information: � Contractor: a�� i U�b'� � � Contact Person: 13 ��. � �f�l/�"r Address: �j� �� j� State Bond #: �p��i �S�-3 w�{ i�,� f�� ss3� � ��y City: Zip. Expiration Date: Phone:�s� �ss 3.�� Alternate Phone: C,C r( �� ` �� 3 j ❑ Insurance—Current: 1 � � � � PLUMBING FIXTURES BElNG INSTALLED FIXTURE � BSMT 1 2' OTHER FIXTURE BSMT 1 2 �� OTHER TYPE FL FL TYPE FL FL Water Closet �j Floor Drains � Lavatory � Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink , Water Heater � Disposal ' Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) , BASED OFF - 2002 STATE STATUE ❑ Yes,this secrion applies The replacement of a 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; excludins the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . � � - � PE�RMIT FEE CALCULATION(�)-JOBS C)VER�$500.�00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � xA125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contractprice) (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 doliar 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50—whichever is greater. For valuations over$1,000,000 cal]the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT � The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all wark in strict accordance with the ardinances 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 Signature: �"l-+�� Date: � �'/ �� 3 _ CITYOFORONO * 2009 - 00069 * � 2750 KELLEY PARKWAY DATE ISSUED: 02/17/200� ORONO, MN 55356- � (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 3200 NORTH SHORE DR PIN : 08-117-23-41-0001 LEGAL DESC : UNPLATTED 08 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(I)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1) DISHWASHER,AND(1)WATER HEATER VALUATION OF PLUMBING 4500 - - - - _ _ �_ 5625 (J'��J DATE. p TIME � CITY OF ORONO CALLED IN ��L'3'� -I �� INSPECTION OTICE SCHEDULED �— ' �•'-�, PERMIT NO. �� COMPLETED '��DDRESS � 2O� �vrf� �"�X�-�_� OWNER CONTR�C�-v� �c- P�ct-n.�I� TELEPHONE NO.�D �2 ��EJ LP�S � DESCRIPTION ��.LtY-��n a �� -1-� ' � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL 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 Q PLUMBING R ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � � �� 5�' �.�'.� 0 a � 0 � W � Q � z W � W � � d W� �lORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: inspector. White Copyllnspector's File Canary Copy/Site Notice � � �� DATE TIME CITY OF ORONO�.}�—,,,,,,�y�`� CALLED IN INS�PECTION NOTICE (Jt�/�"� SCHEDULED �s fc� �� PERMIT NO. cOMPLEfED ADDRESS � ��L �O r`�� I/��..�1�P � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ��AyU`� �� Y� � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ 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 J ❑ DEMO-SITE ❑y�5�,P.TIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:.�fIES y�NO � y COMMENTS: C Cl -�o'` � t+F" IT � ��.G� �..�u�e�.t � �.�C]�1� rj f� ovZ� � � 0 a � 0 � W � Q � 2 W � W � j d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPL � ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advance 52) 249-46�� OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSfte Notice