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Home My WebLink About2005-P09480 - plumbing PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p0948o Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 12/12/2005 SITE ADDRESS: 4445 North Shore Dr Unit# Mound,MN 55364 PID: 07-117-23-31-0001 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Gas Line Inspection Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 200.00 valuation: $ 16,000.00 State Surcharge Fee: $ 8.00 TOTAL FEE: $ 208.00 APPLICANT: Jerry's Plumbing, Inc. OWNER: James&Margaret Kelly 3731 Thurston Ave.N 5240 Nolan Dr. Anoka,MN 55303 Minnetonka,MN 55343 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPUANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ,� ; % �i��_ 4 � � � -� '�,c� C� �—'�`'(, L.� AP ICANT PERMITEE SIGNATURE }—r ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USF�-ONLY 0�` City of Orono �S Q o¢ `�'O P.O.Box 66 Date Received: �Z�/2� Permit# / U�� ;;:..w, 27�0 Kelley Parkway � � �j{?1.;r'.-' � Crystal Bay,MN 55323 Approved By: Amount S:�� ;;��i��t~ (952)?49-4600 ��HaB CITY OF ORONO —PLUMBING PERMIT (All Commerciai peimits must be approved by the Building Official or 6lspec[or) 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. Pemut cards will be sent by retui7l mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. V1'OKK MUST NOT BEGIN UNTIL THE YERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new consri�uction or remodeling is involved, a separate building pemut 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 ❑ Conunercial(Approval Required) [� New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? � *You�vill need prior approval and inay need CUP. (Per Orono City Code, Cliapter 78,Article IV) Job Site/ Owner Information: Site Address: S%'�/'S/(—/ffj;��S�/�.r�.�'�- �/� . Owner:,�u�G�'�9�-j'�ff�n�' Mailing Address: z��/�� City: Zip: Home Phone: 7G;1--'Y�L,� -`1�� Alteinate Phone: Contractor Inforniation: C'ontractor: /" ;� ' __ Contact Person: yr,� Address: �7;�i��vk{j ��,,�� rv� State Bond#: S.(- /�Ov�J�� i City: /�.w�-� Zip:,�o,� Eapiration Date: o�'�� Phone: �L�~�l�o ��/ot�J" Alteinate Phone: 7G��o -�f a(,(� ❑ Insurance— Cui-rent: �,',, ,; �{ /c 1 , , P�:�UIt{lB�N;G"`��XT'URES,$EIl�C;INS�A�.�E� ` , . ; `�` 4 ;� �S 3;. .�._ FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet � / � Floor Drains / Lavatory � j �` Sewer Ejector Bathtub � Laundry Tray � Shower �, � Washer � Kitchen Sink ` Water Heater Disposal / Water Softener I Dishwasher � Wet Bar � � Sillcocks e� Miscellaneous �af d (',� ��,,� i �-f�'��. l� ��,.��/�� f- ,�,„,�,�,`" � � PER1�IiT��CA�,CL��Z�� , t a � �; � �:� A , krr �� , � ,_ � ��, �� w �� , : . � �� _ s � ' � � -� � ��. v�� ,"�'`"B��'d� �'�'��1�� t � � �`»� � "� . _ ; > y s � �: �,�, h � .�d z' '� �� , ❑ Yes,this section 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;excludin�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) $ 1.50 7'otal Peraaiit Fee $ (Permit Fees Continued On Next 1'age) 2 � .. P��I�"F��^�AL�LTI,A�'�ON� , JOB��3��Stl��.0 �`��;, ,',,_ � ,��.� � � .�..:� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �� x.0125$ (6ontract price) (minimum$35.00) 2. STATE SURCHARGE *'"Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 1.50 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. ■ ** 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. � � � � ' r, ,��; � ' .��-��, '��:��3,�'�F�RM�T,.�:E'F�I� ,�� .�,��f �lti��'�'y� � 3��",, �:: � �. , �.: 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: c1 / 3 � / , -�" �.!/ �� r DAT ! r`. TIME � CITY OF ORONO CALLED IN � V+L INSPECTION NOTICE_ scHEou�E� c ce. � . , _ , PERMIT NO. � �� COMPLETED ADDRESS lI�� y� ��- c��I,fNL ,�'� , OWNER CONTR. ' � TELEPHONE NO. `'> > � ��Cr� -�-��1�, � DESCRIPTION Tf-'.� �1 L,t �� V�J � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/N/ETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W 0. � J O � � O , � /�� `i IJ�J W � Q � Z W � W � j d � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. �� pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe�xt'nspection 24 hours in advance. (952� 24J-4600 OwnerlContractol.e�n 't : Inspector. � y White Copyllnspector's File Canary Copy/Site Notice � � DATE TIME � `� CITYOFORONO CALLEDIN "�y�v� INSPECTION NOT1GE ,_ SCHEDULED — � •�`�-��'�'�1 PERMIT NO. ��Y,�U COMPLETED ADDRESS �i'�y��Si ��V��d-'i� S��-,/e ��,�" OWNER CONTR. _7t a : -� � /-JLu��.2 9 TELEPHONENO. ��`� �� J+� y.� �� DESCRIPTION ,'�/k�C,(:' � ,' G l,% - lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO— 15 SEPTIC INSTALL. 22 FOLLOW-UP W� PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL - 10�PLU NG FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � O � �� L (J�. a � 0 � w � Q � � z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on :r Inspector. �` White Copyllnspector's File Canary CopylSite Notice DATE TIME " CITY OF ORONO CALLED IN ��i(�-0�� INSPECTION N�ICE �/ SCHEDULED �� 'C�� -��-�� PERMIT NO. rj �`��O � COMPLETED �-" / �1�. ADDRESS `��N1� j't-t--�/�t��-d/Z OWNER CONTR. �(��lal rS /��li:?n-�j . TELEPHONE NO. �L°'3 ��o� ��C�'� � DESCRIPTION��r:��r' Y�\��L I •�,`� �i 5�� y G''�-l<s �i",�c S ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED _�� ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,-� pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the n xt i�spection 24 hours in advance. (952) 249-4600 Owner/ �t r on it�: � Inspector. White Copyllnspector's File Canary CopylSite Notice � DATE TIME � � CITY OF ORONO CALLED IN � -�� INSPECTION N ICE SCHEDULED � •'3� PERMIT NO. COMP ETED ADDRESS ��1y..s �r�� Jr� 1�f2. OWNER CONTR. S �i1�I/�> TELEPHOIVE NO. ��e� c��ya--Cn� � DESCRIPTION /(O�� l�lf�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC IIVSTALL. 22 FOLLOW-UP W 9-�LtfRABMl6 23 SEPTIC FINAL 35 HARD COVER REMOVAL PLUMB FIN 36 FOUNDATION/REMOVAL � ER/ TRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � s a �— �� l� �K� il�. �i � �d � � O � W � Q � W ti � j O W� ❑WORKSATISFACTORY:PRO�EED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REftJRPI ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwrnerlContract ite: Inspector. White Copyllnspector's Flle Canary CopylSite Notice