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Home My WebLink About2014-01332 - plumbing y � CITY OF ORONO �c z 0 1 4 — 0 1 3 3 2 * 2750 KELLEY PARKWAY DATE �SSUE�: 1U13/2014 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 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (1)WATER CLOSET,(3)LAVn'['ORIES,(I)I�ATHTU{3,AND(1)SHOW�R VALUAT[ON OF PLUMBING 8086 APPLICANT PLUMB[NG FIXTURE FEE 101.08 BOB CARPENTER PLBG SERVICES STATE SURCHARGE PLBG (VALUATION) 4.04 339 SPRUCE DR E TOTAL 105.12 ANNANDALE, MN 55302- Payment(s) Minnesota State License#: plbg-PC644105 CREDIT CARD 3670 105.12 OWNER LUND, ROBERT 3200 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perrormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. T'he applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may bc revoked at any time for�due cause. ._� / � � � � , .. ��/( ��/�f� � i�3 � Applicant Permitee ignature Date Iss d By Signature Date * i * i FOR CITY USE ONLY ✓� O City of Orono �- � P.O.Box 66 Date Received: Permit# �D � 2750 Kelley Parkway �� Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y�tq ��` CITY OF ORONO—PLUMBING PERMIT KEsyo� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.clli.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 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 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) TXPE OF PERMIT {Check All That Ap ly) ' �sidential ❑ Commercial(Approval Required) ❑ New � Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Tnf'ormation: S Site Address: 3�b� ��r�`L' S�O''r-Q �' � UQ Owner: �4��Q v4 ��f Q�� Mailing Address: City: �o �o Zip: Home Phone: Alternate Phone: Contractor Information: l n / �Q/'v�c� Contractor:gd� �!'d'R�rt1� �(��'��act Person: �� `�'�T-P� Address:3�g �(�'��C-p y/�� State Bond #: �� 1� � City: D'7`•'��4��t(�P Zip:%'��Expiration Date: ��< 3 � ( � �� Phone: �v�v2—s� v2— 3��` �' Alternate Phone: �Insurance—Current: � 1 � f � '� �. `� �z ��, � , . � x, � �; �_��,'�;�.. �-�'��°��r�`�� °` :, .��; �..�. �:: '.�, .::... '� ��F�. �x��.� �;� 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 ' � ❑ 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;excludins 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 � . • , . y�$5"��'�"q's �`�"�"� �7�''�-'�'�'�i'� a �..: �,�"�� , #k �`7 �#6K��.��NU��4�'��yz'��s.,��; �. � �. x � , , t � • : �y„�"^','4t If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) dP/ ��0 O� � x.0125 $ (contract price) (minimum 550.00) 2. STATE SURCHARGE � �� 9$ 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. M.�, `F��.��,�� G x .� ��,�,. � '��t� z; rx�-�.��t .�r,,� �. ¢. ` �.��' ��_.� 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. A licant's Si ature��'� Date: ��l/�� ' ` � PP � 3 (JI" DATE TIME - / CIN OF ORONO CALLED IN V INSPECTION N^OTICE /� SCHEDULED � -D�— PERMIT NO. 1 n��'JI�� COMPLETED ADDRESS �3ar�� N � Sl�ore 2 � OWNER TELEPHONE NO. �� ` �� CONTRACTOR � � �� _ ; C�b% ``� � �, DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATI N ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON LAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINA ❑ SEWER HOOK-UP ❑ COMPLAINT v � DE -SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q _ ❑ D O-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v LUMBING RI ❑ SE T C FINAL ❑ FOUNDATION/REMOVAL 2 RICONTRACTOR TO MEEf YOU:�YES_NO ��., COMMENTS: � W � �C J O ). � �O W � Q � 2 W � W OC � � W RKSATISFAC70RY:PROCEED ❑ PROJECT COMPLEfE � ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 4 hours.ip� 52) 249-46�� OwnerlContractor on site: Inspector: White Copyllnspector's Flle Canary CopyfSite Notice �� c4`-/ ' V DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � l 5 PERMIT NO. ��'� 0 U' 32 COMPLEfED ADDRESS � �b� l� ` S�LI� ��. OWNER _TELEPHONE NO. �GI�Z-7�v'y�v� CONTRACTOR l`��.��1�� C--�f'�1�-� / ;r,,,, � DESCRIPTION �`�� t t~y ❑ FOOTING ❑ DE -F AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ��UMBING 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ S TIC INSTALL 2 OWNERfCONTRACTOR TO M�U: YES_NO y COMMENTS: � �� • C �. � ,- /� � ��v N'�,� ~ �7� � i�� 0 /� ✓c�r�c', 43/ ,f.�l�. l'a-�r�+� Z�,(s� �i�o rc. '" �w lr�d � � �a.� `ly.,l�P �4l��,�� ° f�t�-�- ✓ � v�cob - W � Q 2 �b� wd/�l�r� o�. W � � �Q,'G� �-- �wsv-� v�',�.t C��? a Wa ❑WORKSATISFACTORIh PROCEED ❑PROJECT COMPLETE "�CC)RHECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 VO CORRECT WORK�►LL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDEN POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2¢��rs in advance. (g52) 249-4600 OwnerlContractor on site: (�� Inspector: Q �'-- � YVhite CopyllnspectoY's Flle Canary CopylSite Notk:e �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED c b�+.�; PERMIT NO. ��3�Z COMPLETED ADDRESS �Z-�j � D r� �'"1G OWNER TELEP NEN � ��`�� CONTRACTOR E ��S � � ��,� l � DESCRIPTIO �, ,, W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF MBING 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 ❑ PTIC INSTALL � OWNERICONTRACTOR T EEf YOU: YES_NO c�.� COMMENTS: � W a 2 J O � � O � W � Q � 2 W � W � J d � W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 � 249-460� OwnerlContractor on site: Inspector. White Copy/lnspector's Ffle Canary Cop ISite Notiee