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HomeMy WebLinkAbout2007-P11684 - plumbing PERMIT CITY `�OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11684 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/15/2007 SITE ADDRESS: 4205 North Shore Dr Un�t# Mound,MN 55364 P��� 07-117-23-43-0004 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Pernut Type: Fixhues Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 566.25 Valuation: $ 45,300.00 State Surcharge Fee: $ 22.65 Misc.Fee: $ 1.50 TOTAL FEE: $ 590.40 APPLICANT: Genz-Ryan Plumbing&Heat OWNER: Mary 7o Peterson 14745 S.Robert Trail 4205 North Shore Dr Rosemount,MN 55068 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STAT'E OF MINNESOTA BUILDING CODE REQUIREMENTS. c `�'�,Yt�-�Q !�I(, �7''vt�r� — APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1 FOR CTf Y USE ONT.'Y � �,���0 City of Orono P.O.Box 66 Date Received: Permit t� �.�,,,,� 2750 Kelley Pazkway � � ���'�,,.� Crystal Bay,MN 55323 Approved By: Amount$: „�� (952)249-4600 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 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 cazds 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 properly 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 U�'PERMIT Check All That A 1 ❑� Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure7 *You will need arior anuroval and may need CUP.(Per Orono City Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: 4205 NORTHSHORE DRIVE Owner:�GHMARK BUILDERS Mailing Address: 12245 NICOLLET AVE S C1Ty: BURNSVILLE Zi . 55337 P Home Phone: �952)882-8904 Alternate Phone: Contractor Information: Contractor: GENZ-RYAN Contact Person: � 2200 W HWY 13 929298827 Address: State Bond#: BURNSVILLE 55337 08/14/08 City: Zip: Expiration Date: PhOrie: �952)767-1000 (952)767-1863 Alternate Phone: oaiovos �✓ Insurance—Current: 1 ,.�..-' .�.�.����;�'��..._ ._; .. .. . :����`�1�'�.��.�L.��,- ..�.. ..��''��"�.�- _��. FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet 1 1 3 Floor Drains 1 Lavatory 1 1 5 Sewer Ejector Bathroom 1 1 3 Laundry Tray 1 Shower 1 1 Washer 1 Kitchen Sink 1 Water Heater 1 Disposal 1 Water Softener 1 Dishwasher 1 Wet Baz 1 Sillcocks 2 Miscellaneous � 3 ��� ' p��.1�t�'I`�� �.':���� , � � � , � , � ..�.���`�.�C���� �`��`ATE��'AT`L�.TE _ � � � � � � ��., x:� ❑ Yes,this section applies The replacement of a Residential fixture or a lpp iance that meets all three of the following requirements: 1. Does not require modificafion 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 contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 . '� �'�. ������:. ._. A ,� . .: �;�,� . � : _-.. �`�*1�.`���'+� �,' ��3�;���".�'�'�. ' �_ ����.{�{} .. .za ... . . '�� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 45,300.00 x.0125$ 566.25 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50) 45,300.00 x.0005 $ 22•65 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. 'Y'O'i'AL PERI4�II�'FEE(Add Lines 1-3 Above) $ 590.40 ■ * 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 mazket 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. A ��.�� ��� P���. ��P�RI��` , ;�����1�'�`�+�N . , ��� =�.. �-�.__._..:.. , ;- � _ _ ,;. �x_..�., 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. � 11/07/07 Applicant's Signatur . Date: ,Fi�s#��rm ___.. .._�....µ..,,..�.�.. �..��._._ 3 � � ATE TIME �/ , CITY OF ORONO CALLED IN ` d� INSPECTION QT,I E SCHEDULED �� PERMIT NO. 6� COMPLETED �"� � ADDRESS D OWNER CONTR. - Q'-�- TELEPHONE NO.�vl�0l�1" �/JJ�`-- � `��o Co� � DESCRIPTION ` �• � �G � ❑ FOOTING �ECHANICAL RI ❑ EXCAV/G ING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE1WEfLANDS y � INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z 0 WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT "� ❑ DEMO-FINAL ❑ SEPTIC IIVSTALL. ❑ FOLLOW-UP _ �LUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL - � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � 1'�1.��� / !�o�� a o V �3�s C.r �- G'G s' � � 1�/i.o � �P �►IK., � �� o ' � W � Q � w � W � � �ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECQVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTORUUFLL RERtRN ❑CITATION ISSUED ❑STdP ORDER PdSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARFtANGEACCESS_ Cali for the next inspection 24 hours in advance. (g52) 249-4600 OvunerlCor�tra r a Inspecto. White Copyllnspector's Flle Canary Copy/Site Notice ,�il - � i � � ' �- �� ���A�E��� TIME CITY OF ORONO CALLED IN /�� � INSPECTION N TICE SCHEDULED � PERMIT NO. COMPLETED ADDRESS �Z-C�� I�� Sl'1(iYP (�� . OWNER CONTR. �'J—Q-�Z- �`��� TELEPHONE NO. ��� � LG� ����-'� � DESCRIPTION L��fe`'� � T" � ���� T7 � � ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL +/ ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:JL YES_NO �� � COMMENTS: � W 4 � � O a � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on si e: Inspector. � �✓`S White Copyllnspector's File Canary CopylSite Notice � / �--7 �- � / ATE TIME V CITY OF OROIVO CALLED IN / � INSPECTION fd JI E SCHEDULED �So$' iD.'DO PERMIT NO. ` � co PLETED ADDRESS G�—S D � OWIdER CONTR. TELEPHONE NO. '-' S � � DESCRIPTION � � ❑ FOOTING ❑ M ANICAL RI ❑ IXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLAIVDS 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 v ❑ DEMO-FINAL ❑ SEPTIC IIdSTALL ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a j O � O � W � Q � Z W �c W � j O W WORK SATISFACTORY:PRQCEED PROJECT COMPLEfE W ❑CORREGT WORK&PRQCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONW{THIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL IPISPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n t inspection 24 haurs in advance. (952) 249-46�� Ovmer/Can � ite: Inspector. WhRe Copy/lnspecto�s Flte Canary CopylSfte NoHce � E TIME � � � CITY OF ORONO CALLED IN INSPECTION NO SCHEDULED -°Z`� �-�O PERMIT NO. � g COMPLEfED ADDRESS `�����''� E � > OWNER CONTR.�l Z , � TELEPHONENO. R52 ��7 �8�� � DESCRIPTION � f�'� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWEfLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � a � � �+ ST�1� lq�ca S6�t ��' 0 � �CCO S-� �c�-f' °TcJ.a 0 � W � z �� ,�./ /�1t1�J � �� � � � �'� ��I �� , � a W RKSATISFACTQRY:PRQ�EED ❑ PROJECTCOMPLEfE � RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFONECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURId ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED �INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for tf�next inspection 24 hours in advanc�. (952) 249-46�0 OranedContractor an site: Inspector. �r WhHe Copyflnspector's Flle Canary Copy/SRe Notice