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Home My WebLink About2013-00814 - plumbing CITY OF ORONO * z 0 1 3 - 0 0 B 1 4�� , - � 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4315 NORTH SHORE DR PIN : 07-117-23-43-0028 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMTT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL � CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAIN, 1 SEWER EJECTOR, 1 WATER HEATER � 1 ST FLOOR: 1 WC, 1 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER 2ND FLOOR:3 WC,4 LAV,2 TUB,2 SHOWER VALUATION OF PLUMBING 52850 APPLICANT pLUMBING FIXTURE FEE 660.63 FREEDOM MECHANICAL STATE SURCHARGE PLBG(VALUATION) 26.43 8382 172ND AVE SE BECKER,MN 55308- TOTAL 687.06 (612)363-6190 Minnesota State License#: 004042PM OWNER CLEVELAND,BRADLEY&PAT 4520 JUNEAU LANE N PLYMOUTH,MN 55446- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at e r due cau . � CJ l /�l l� l / Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED O . FOR CITY USE ONLY O City of Orono P.O.Box 66 Date Received: Permit# , � 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: � (952)249-4600—Main (952)249-4b16—Fax ti� c,` CITY OF ORONO-PLUMBING PERNIIT lqk6S H�� (All Commercial Permits Must be Approved by the State Prior to City Approval) GENERAL INFORMATION 1. You may apply for plumbing permitc by mail or in person at the City offices. Applications will be reviewed aad a pemut will be issued within two working days. 2. Permit cards will be sent lsy raturn ma.il after a raview is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB S1TE. 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. Ca11(952)249-4600. (24-48 honr notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure7 *You will need nrior annroval and may need .(Per Orono City Code,Chapter 78,Article I� Job Site/Ov�mer Information: Site Address: 7 J� /� /V��f� sYt O-o,�� '��C�-�. Owner: U�.1�2-�e�r10� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractar: �Pe�c� c� MQe1�e��ec�ontact Person: � � Address: �3� 1`lo�rc� r�� S� State Bond#: ��S City: �e�e� Zip:� Expiration Date: Phone: �f� '363-g r�a Alternate Phone: ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet ( ( � Floor Drains �] �a Lavatory � � � Sewer Ejector � Bathtub a Laundry Tray / Shower r � Washer � / Kitchen Sink � Water Heater i I Disposal � Water Softener Dishwasher i Wet Bar / 1 Sillcocks � Miscellaneous � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or anpliance 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 Petmit $ 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 CALCULATION S —JOBS OVER$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) J�� • x.0125 $ � (wntract price) (minimum 550.00) 2. STATE SURCHARGE .5�� '.S�� 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. 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: � ��— �� 3 �`�'� S^D� TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO E f�' SCHEDULED S-3D- l:O� PERMfT NO. � �"� COMPLETED ADDRESS '�'�3�5 ��''�i ��'�-D�P `�"1J OWNER TELEPHONE NO.IO�Z 7d g �� CONTRACTOR _ /"� �G�. � DESCRIPTION �!�� Or�'S - v�� ty ❑ FOOTiNG 0 PLUMBING FINAL � EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFiEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT70N Q ❑ RAQON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE O SEPTIC MAINT. � FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � J � r �O .. � O W � Q � W W � � j O � ❑YIFORK SATIS ACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINf3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. Catl forthe next inspection 24 hours in advance. (952 -460� OwnerlContractor on site: Inspector: White Copypnspecto�'s Flle Canary CopylSite Nodee � D �ME �/ CITY OF ORONO CALLED IN �- � INSPECTION N CE SCHEDULED -Z7- � PERMIT'NO. — � �� COMPLETED ADDRESS ��I '�J' �U�� 1� ��1/ OWNER TELEPHONE NO. �� z rZ g�� CONTRACTOR � DESCRIPTION � � ❑ FOOTING PLUMBING FI ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESHORFJINETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNEFUFIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE � SEPTIC MAIM: ❑ FOLLOW-UP `� _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNbATION/HEMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � j 0 � 0 W � Q � W W OC � O W� RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE RRECT WORK S PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY � ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORECOVERlN(3 PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p p�{pTOTAKEN INSPECTOR WFLL REfURN p�ATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 241murs in adva 2) 249-4600 ownenc�ttr�ctor on site: Inspe�tor: wn�e coPynnspecmrs Flie ce�ary co �tee No�e d� DA TIME �/ CITY OF ORONO CALLED IN �`�� INSPECTION NOTI�EQ��.! � SCHEDULED � � PERMPT NO COMPLETED � ADDRESS 3� �`� �� OWNER � TELEPHONE NO. CONTRACTOR _ �E'�'�'1 �F� � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BUHNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ pRpC,q� � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = p DEMO-FlNAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL v �LUMBING RI(,�,�y� 0 SEPTIC FINAL 0 FOUNbA710N/REMOVAL 2 ERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a Cl.G • 1 �/�i ^ �� 5c�i. � 0 � .J � !ti r ��`� f1e/�it� � 0 � '' l�f�d6K �6 �%�� u RaCD ..r�'aS,�'�..Z�^ Q � a � � �c da— c�c��/ � , J � �ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ��CA RECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANGY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN p CITATtON ISSUED ❑STOP ORDER POSTED.GALL INSPECTOR �INSPECT►ON REQUIRED.CALL TO ARRANGE ACCESS. Ceil for ths next inspectfon 24 hours in advance. (952) 249-4600 Ownerl ntractor on s�te• �� Inspector: VYhite Copyflnspector'e Flle Cenary CopylSite NoUee ______ _ _ c�� ` �� DATE TIME �� CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED � Q�4� PERMIT NO. ?�� "�� COMPLEfED ADDRESS �J�l y Md ��=-�� OWNER TELEPHONE NO.�"ldTL�� CONTRACTOR ��SZ�47�'L ��' �; DESCRIPTION � • � � � ❑ FOOTING P UMBIN INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ECHANICAL FI ❑ LAKESHORENVETLANDS y ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � � O � W � Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WFIL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION FEQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: Inspector. White Copyflnspector's File Canary CopylSfte Notice