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Home My WebLink About2009-00116 - plumbing � - CITY OF ORONO PERMIT NO.: 2009-00116 2750 KELLEY PARKWAY ' • ORONO, MN 55356- DATE ISSUED: 03/19/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4465 NORTH SHORE DR PIN : 07-117-23-31-0003 LEGAL DESC : BERGQUISTS ADDN TO SAGA HILL : LOT 005 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT WATER HEATER 15.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 2905 GARFIELD AVENUE S. MINNEAPOLIS,MN 55408- MISC FEE 1.50 (612)827-4033 TOTAL 17.00 OWNER THEISEN,BARBARA&JOHN 4465 NORTH SHORE DR MOUND,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. T'his permit is for only the work desctibed and does not grant perrrtission for additional or related work which requires sepazate , 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 witF►in 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 any time for due caLse. `�'YjC#,l,L �, l l G�;''�'t.D��'`� l l Applicant Permitee Signature Date Issued B ignature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. `%ia5".�:1�'V��J�,F.+jYl7�•QJI.L+;s,� ',:.m:' ..�.'...�:'.r'.: " ' .: :':.� .� :.��` ,'.��"�'�:'. �� City.ofOrono L;�p:::,'�..�.�'�'�� ,�;•iN;m,, •': ':`_; — P.O.Box66 , t,�.'it�ce�e�'��•:�•;_;Y�E.eiAnt�k;��-' ,""'_: � � :" _�:: �'::° �'°�'�`�:, ::. �'';:. ''' ,'. . 2750 Kelley Parkway .- f v:,; ;�-�-a�.:,-•.;;�.�. �..�,., :_, :� �.� �,,.F.�.:, o := :�!;.s. ,t�ian4�`�,"•�.�:s::�, �, � CIygffi(Bay,1VIN 55323 n�.'.�'��y,. 1 � a.�; ��r5a. !�c,.�... _ ii_5:°:.��!•'::'.�.� ^�:+i- "'�� (952)249�dG00 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be appmved by tha Building Official or Inspector) /�YT�'�1��f�''�A'L 1J+�\i'O ��`.�'�'��• :��-.� ,,t M.eH��c.vt,��'y.n� .6..�...� .: y.;�.:.��. . : . .yly�,�_ �'lIT+1V:L'1��-+ r N. .u?!c •„^.£"!,_,��•' eb':i:.;.A��''d`4:c... �;�' 'h::i ;,ti'.��. ^.��'��!':B��- �,I�'° "t/'' '� 1. You ma.y 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 Y�U RECEIVE A PERMIT• �'VURK MUST NOT BEGIN UNTII.�THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing.contractors and to properiy owners residing in tha dwelling. ermit must be 4. When any�new construction or remodeling is involved,a separate building p obtained. 5. tkll work must be done in accordance with State Coda requirements. 6. A�work must be inspected and air tested before it is covered. Ca11(952)249-4600: (24-48 honr notice reqnired) - ['�1S . .:-.-, .,,.;° ^$. ::�..`. . �'�• � . •j,J��ii.4'S"•`F`�_;•` ;O� ' f;,'-��• .a��'J`:�:�14��' .��.'.'.•.. — .l.�� .'�1.1��.,1�14i• 4id. e��; y'y::: `w.fi. ..,.j.�y� nnioi.��M1�� , . :'.'-,��'-:'x.��;A1�:ti�ai�;A:::_.�� :�. 's • :�''t�;�•...:d Residential ❑Commercial(Approval Required) . ❑New ❑�Additional � ❑Repairs ' �Replace / ` ❑ In Accessory Siructure? �`You will need uritor aqnroval and may need CUP.(Per Orono City Code,Chapter78,Article IV� ��... �.. ..,.,;a;.::, _''�,� . a$�. .':d.,r �4IQ1i:��i�_�l'��.e&��.,fqrr,ua��t"t�::;��'.�?.�,;�;:t;r:;;,..,�.�:.F. � � Yi Site Address: Barbara Theisen — 4465 Shore Drive Owner: Orono,MN 55364 s: 9524723186 ' � City: � . Home Phone: Altemate Phone: _ }^ � 5��.:, �.�;;;••:.m;.. ,.� I1 F'IT1��1 I)t��~ ' °''7,.t..�';N`:r%w. s U �:F� �. Q ��:�•� Y�:�'?"�-a.k�•"�.°: � N�(�'�(V�, alld,V�(lb) ContactPerson: - Contractor: �'iddress:�� S. State Bond#: � � ��I �r"' V ' Cl,�,; �,�, (�� Zip:�l.� Expiration Date: � � � � Phon�: ��a J g��^L��33 ��rnate Phone: " ❑ Insurance—Current: � 1 �,. 8 - - F�T�E BSMT I 2 OTF�IZ FIXTURE BSMT ` 1 . Z TYPE FL FL TypE � � �THER . • 'Water Closet Floor Drains La.vatory Sewer Ejector Bathroom � Laundry Tiay � Shower � Washer � KitcHett Sink ' Water Heater D3�� Water Softener Dishwasher Wet Bar - Sillcocks ` . M�scellaneous . , � � 3 � Yes,this secfion applies . � � . . The replacement of a�esid_ en_ tia(fixt�ne or a�,pliance that meets a11 f�ree of the following reqtiirementis: 1. Does not require modific�,tion to electrical or�as service. 2. Has a total cost of$500.00 or le,ss;excl " the cost of the fixt�re or apP1i��:�d 3. Is imProved,installed or re�laced by the homeowner pr licex�sed co�ractor. � , u Skip next section,if this applies; Cost of Permit State Surcharge $ 15.00 . Mail-In Fee � SO (If Applicable)' �$ 1.50 Total Permit Fee � 1 + � n • (Permit Fee.v Continued pn Nest page) . 2 Mar. 19. 2009 11 :47AM Norblom Plumbing � No, 9615 P. 1 PERNIIT�'F.E CALCULATION S —JOBS OVE�2$500.00 • If above does not apply;follow guidel3nes below:• • . ' 1. CONTttACT PRYC� ��s 1.25%of�ontracc prioa wrth a(Miuicr;um Fee of$35.00) . • x.a l25$ . (contact price) (min�ma S�S,oU) • 2. STATL SYIXtC�1�tGr� **Add t�e S�te Bld�Code Div.Suroharge(1►�Iiaimu�a Fea of$SO) � x.0005 $ (conusct price) (minimum 5 SO) 3:P+OSTAGE&�L4NDI-XNG(Only on Mail-Tn Applications) $ 1.50. , 4. TOTAL PERiVQ'��EE(Add Lines X-3 Above) S i7' �� • # COIVTRACT PRICE ar JOB COST mes�tbe actual or eslimated dollar�n4u�t cllatged for t6e . permitbed wark includ"ung metesisls,labor,profi�and ot3ier Sxed costs. It i�tb�e amouat to be cbar�ed . to tha cuswmer for 4he work doae. If say material, equipm�t,]abar or installations are fumi,shed by the owner,teneut or airy other party,the reasaDsble market value of snch iteAos must be added to the astuae�ed cosZ or ccntract price for permit fee purposes. 7n �e eveAt that tbere is a dispufie oa'tbe amount of i'he job cost, the City may reqn�at the snbmjssio� of a sisned copy'o�"the actuax'co�r,f�rac�,• ■ *'�Tha STATE SURCF�ARCx�is:0005 of tlte con4�t�.c'C price Under$1,000,000 or�.SQ,-whiohevar is greatar. For valu�sioas ovor$I,D00,000 aall the Buildmg Departrnent at(952)249-4600 for the griEe. • � PX,C7Ml31NC�PERMX�.A,PPT,��CAT�10N AGrREII�'T, ' .: . ' 'l'1�e unders�giaed.hereby applies to the City.for issuauce of a Plumbing Parmit, a�eas to du all ' ' v�r'oik in'sD�ict ac�3rdance vv'itb�'tlie ord'unaaces of the CiCy a�n6 tha regulations of the Siate of ' - - • Nlionesota, and certlfies that all statemezlts made on th�is a�plicariam are crnmplet�, true aud , �oirect. � . -- Applicaat's Si , , Date /r�` � ` ; � _ .. gn , . Reset Fomt ;� J • ' ~ ._ . • • .. . . ' I� . 1 • � � �� .DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NO ICE �(�SCHEDULED � ��— PERMIT NO. � '� COMPLEfED ADDRESS �� S l�ar� �.�� OWNER � CONTR. ��1��F�n r�,��- TELEPHONE NO. � — "- " �'"r�� , � DESCRIPTIOIV � - � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMWG ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z 0 WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � a � � O � � O � W � Q � Sc W � j � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORREGT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTIOIV TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECANDffiONWITHIN HOURS. ppHOTOTAKEN lNSPECTOR WkLL RETItRPI ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next ins�ction 24 hours in advance. (952) 249-46�� Owner/Contractor on ite• Inspector. White CopyMspector's Flle Canary CopylSRe Notice 1�� DATE TIME V � CITY OF ORONO CALLED IN � ' INSPECTION NOTICE SCHEDULED �-�' oZ=Ofl PERMIT NO.�?BB�� COMPLETEp ADDRESS � S /U � OWNER� %�� CONTR. ' , d OGs� ' � TELEPHONE NO. �✓rZ �7 Z- ��Q'� �1 � DESCRIPTION (Y'CC!/j'YI.D//2 4 � ❑ FOOTING ❑ MECHANICAL � EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE1WEfLANDS y ❑ INSULATION ❑ WOOD BURNEWFIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEP77C MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FlNAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEETYOU:_YES_NO h COMMENTS: � , a o I ('L� , c��r.S l`.)C.�-J l'.--/�S � C� � � t��- � ° _ �Q�e��v� , ('2 �►,�c�c� Q �.�9 f`� C.,�- �e� l�e �� r�- � z W Sc W � � � ❑WORKSATISFACTORY:PRQCEED �PROJECTCOMPLEfE � ❑CORRECT WORK&PRaCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETIJRPI ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Owmer/Carrtractor an site: Inspector. �. � o r � � White Copylinspector's Flle Canary Copy/SRe Notice