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Home My WebLink About2013-00405 - plumbing 1111111111111111111110111111111111111111111111 CITY OF ORONO * 2013 - 0040S * 2750 KELLEY PARKWAY DATE ISSUED: 05/24/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4500 NORTH SHORE DR PIN : 07-117-23-31-0030 LEGAL DESC : WILDHURST TRAIL LOT 005 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE PLBG(VALUATION) 0.75 265 CTY RD 110 NORTH MAIL-IN FEE MOUND,MN 55364 (952)472-9200 TOTAL S2y75` Minnesota State License#: 060524-PM PAID WITH CC# 4708 OWNER BESSESEN,BETH 4500 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. 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 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 cau 5� �I73 AppPermiNeigaturDate Issued By i ature Date lic t SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY �O • _O ity of Orono P 0 P.O.Box 66 Dau Received: permit# 2750 Kelley Parkway Crystal Bay.WN 55323 Approved By: Amount S: (952)249-4600—Main y A. (952)249-4616 Fax c` CITY OF ORONO-PLUMBING PERMIT KESt"io (All Conunercial Permits Must be Approved by the State Prior to City Approval) htt ://`N,ivw.dli.mu. o-*-JCC`LD/PDF/ a Plumbplanrevapp. df 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 BEGINUNTIL 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. (2448 hour notice required) TYPE OF PERMIT Check All That Apply) 4Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs 1AReplace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Inforniation: Site Address: L490'0 1,-) 4we-0 r iy4e- Owner: &4/�- 6e-SSP_S52J — Mailing Address: i4 rj S I sye city: zip: SS 3 ro Home Phone: cl�a- 44"7x' (D y'a--L' Alternate Phone: Contractor Information: Contractor: f ontact Person: Address: aJp 5 C 0, IZel I 11 State Bond#: �11� (� coo 5 City: rn Zip:y5A,-Expiration Date: Phone: aSL-L4- A Z.E1D Alternate Atlon Insurance-Ci nrent: e5 1 PLUMBING FD(TURES BEING INSTALLED FIXTURE BSMT IST 2m OTHER FIXTURE BSMT IST 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATIONS) BASED OFF-2002 STATE STATUE ' ❑ Yes,this section applies The replacement of only one Residential fixhire 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;excluding 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 Neat Page) 2 . r 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$50.00) J00� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 15 Cc� 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 fiunished 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: fjSgj�?=� Date: Cj�a-�� 3 INSPECTION NOTICE DATE TIME CITY OF Io AV CALLED-IN SCHEDULED PERMIT NO. F60i-60IrOf— COMPLETED ADDRESS `J d0 Nor-th S-eave- ��' OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL JAEOLLOW-UP ❑FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE ❑FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑FRAMING ❑SEPTIC INSTALL ❑ ❑SHEATHING ❑SEPTIC FINAL ❑ 4J'LUMBING RI ❑S&W HOOKUP ❑ OOEPLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: z -- an /3 • i 6 12Z 0 w Q. 0 cc 0 Lu cc w Z cc ��✓N` • ems 0 FURTHER CORRECTIONS MAY BE REQUIRED ERMIT FINALED U' ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN O ❑ CORRECT WORK&PROCEED U ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING ❑CORRECT UNSAFE CONDITION IMMEDIATELY. ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr.on site: Inspector: