The URL can be used to link to this page

Home My WebLink About2014-01098 - plumbing � • ' CITY OF ORONO * Z 0 1 4 — 0 1 P1 9 B * 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952)249-4616 ADDRESS : 3825 NORTH SHORE DR PIN : 17-117-23-22-0046 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (5) WATER CLOSETS,(7) LAVATORIES,(2) BATHTUB,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS, (1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR VALUATION OF PLUMBING 13500 APPLICANT PLUMBING FIXTURE FEE 168J5 STATE SURCHARGE PLBG(VALUATION) 6.75 NORTH ANOKA PLUMBING MAIL-IN FEE 2.00 22590 RUM RIVER BLVD.N.W. TOTAL 177.50 �rr sso�a (763)753-3373 Payment(s) CHECK 18840 177.50 OWNER LANDSOUCE 3845 NORTH SHORE DR MOtIND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related workwhich requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. '� � /� �-- 9 �� // Applicant P i ee igna ure Date Iss By Signature Date � � � FOR CITY USE ONLY ;' /�, City of Orono {�ECEIVED j �O' v \\ P•O.Box 66 Date Received: Permit# O ` 2�50 Kelley Parkway / 'ti �n 1 A f � Crystal Bay,MN�5323 Approved By: Amount$: �Fp �Ej U "t � �, � (952)249-4600—Main ' (952)249-4616—Fax C�-�y q� p��N� �`� �i'�J CITY OF ORONO-PLUMBING PERMIT ��kE��F+�� (All Commercial Permits Must be Approved by the State Prior to City Approval) �-- - hlt �:!i��.�lli.n�u.��u��/C(�LD/NDFI c �lumb �lanrc��a > >. xlf 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) TYPE OF PERMIT (Check All That A 1 ) � Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site / Owner Information: Site Address: ��2� � , �� nv�� ►� . Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: N i'��o(c o�-'k�I��,I�.�.� ,�`��Contact Person: 1��e �- � c� �,s��,� Address: � 2 `��l� ��'��.�� `�< � � 1.��Q N�.)State Bond#: �C l� �("1 8�S �� City: S'�.��r�c � s Zip: �S�")b Expiration Date: A"�- �3 1 /� j Phone: � � 3 '��S� - 3�7� Alternate Phone: lc� 1 ,l� 1 �� -7 �l3 � ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 D 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 I Disposal � Water Softener Dishwasher Wet Bar � Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , . • PERMIT FEE CALCULATI�N(S)—JOES OVE�$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) � �� , `5 � � x .0125 $ � � �_ 'L� �nVact price) (minimum$50.00) 2. STATE SURCHARGE / � `� `SU l� x.0005 $ (, . 1 � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 1-1�� 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 wark 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. PLUMBING PERMIT APPLICATION AGREEMENT 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: � -- 2-3— � l' 3 �F"- � ��.� �'` 1�p TIME CITY OF ORONO CALLED IN v INSPECTION QTIC �10 � SCHEDULED ! PERMIT NO. � � COMPLETED ADDRESS �a�S�C' �� OWNER TELEPHONE NO. " �' CONTRACTOR � � � DESCRIPTION ��w � � ❑ FOOTING ❑ PLUM G FINAL ❑ EXCAV/GRA /FILLING Q � POURED WALL O MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J LUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_� 6 • t �'�' a O�vv- �'vc - �� o o .� � �� % �.eS�— /s �6��.,► c � /ld W��r T`TS �� o�►ri�e. `L!� Sdi�.os �a� �o�� s�� .91�s W � CA� l,�- k��G�iGA .� G re.� I'o.w. ts.� /�14-G , t Q S � 2 �'or .y.4.r w�.t. w�C( �r� /'vI•L.� L. . ' � �� /ddra e �aE�u[�G 5�.�' l.�.c�c. loo� ,�v�sL`s OW�C /i1 `j1%4rr k�-4 b/'l l�'/.L. � L.� . . � o�S�as� _ r@ st -ol� ..e.»-•KS W ❑WORKSATISFACTOR`� ROCEED ❑PROJECTCOMPLETE � �RRECT V1fORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector: � �r-- White Copyllnspector's File Cenary CopylSfte Notiee �— / DATE TIME � CITY OF ORONO CALLED IN � ��n �� • �� Y- 1NSPECTION NOTIC Q� SCHEDU�ED �I ;3\1 �� o2`•3O� PERMIT NO. � '0�� v COMPLETED ADDRESS j�� Nt�-�S�e R�.�'� OWNER � T LEPHO� . - C�Q 'cZf��7,� CONTRACTOR >; DESCRIPTION ll� ❑ FOOTING ❑ DEM -FI AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF �PLUMBING 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �bilv i g �i6/�0.� " � .. -u/�er �( e�c,. - DK - Tid� v�/�@ - � - � r G��4�'�o.D �cc h �ra-p �o✓ �.�� s �:•..P.,,� '' �u6 - � � �' ��'insc`�riL�C � �r�,s�at�- 4CGe.55 04r1�� W �r / � ?O f ��C/ 54.ti� 'f 4Ll 1f `Gbt� ,�.It�/f�� Q � - no ,�r�9�;o,,., � �-�r.s �,�� 2 �('' �' � 7/K� S� SGG�/t �t-� 4J2�t✓ 1��G �/ W � �' l�.,.v�� av � ve.+,� Gaes- � r�s� dK - o �� M•� �'��•a W� ❑WORKSATISFACTORY:PROCEED �PROJEC7 COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN iNSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � i�-- �/ � White Copyllnspector's File Canary CopylSite Notiee