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Home My WebLink About2015-00831 - residential CITY OF ORONO * 2015 - 00831 * 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4695 NORTH SHORE DR PIN : 07-117-23-32-0059 LEGAL DESC : TRISTANA COVE LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE VALUATION : $ 600.00 NOTE: I KITCHEN SINK, I DISPOSAL, 1 DISHWASHER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.30 LEGEND SERVICES,INC TOTAL 50.30 201 N MEDINA ST Payment(s) P O BOX 382 CREDIT CARD 1282 50.30 LORETTO,MN 55357- (763)479-5002 Minnesota State License#:mech-MB005090 OWNER PORTER,CAMERON&MOLLY 4695 NORTH SHORE DR MOUND,MN 55364- AGREEMENT 5364AGREEMENT 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 cause. (�C�,i I � � Applicant Permitee Signature Date Issued By Signature t3 Date Jun 261510:37a Legend Services Inc 763-479-6003 p.2 FOR4�M USE ONLY ' City of Orono P.O.Box 66 Date Received: m armit 205-on J2 Crys Kerley Parkway Approved B ,"P Amount$.' . Crystal Bay,MN 55323 PP Y� (952)249-4644—Main (952)249-4616—Fax CITY OF ORONO—PLUMBING PERMT `Rk stio (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.ma.aovlCCLD/PDF/ a iumb lanreva . df GENERAL INFORMATION I. 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 BEGIN UNTIL THE PERMrr 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 constniction 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. Gall(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A 1 Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ]Replace ❑ In Accessory Stnxdnre? *You will need t►rior aap-oval and may need CIDP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: `'lf fo Q S NORM S�d'r'G Q„ Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Informations Contractor: Contact Person: Address: PA AW State Bond#: City: i-efty Zip:50.57 Expiration Date: 1'Y 31i Phone: Alternate Phone: ❑ Insurance—Current: I Jun 261510:37a Legend Services Inc 763-479-6003 p.3 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT INT 2 OTHER FIXTURE BSMT l 2 D OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer)rjectar Bathtub Laundry Tray Shower Washer Kitchen Sink ( Water Heater Disposal Water Softener Dishwasher Wet liar Sillcoc ks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Hasa 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,ifthis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-in Fee(If Applicable) $ 2.00 Total Permit Fee S (Permit pees Continued On Next Page) 2 Jun 261510:37a Legend Services Inc 763-479-6003 p.4 PERMIT FEE CALCULATION S --JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) (100 X.0125$_ 50 (contmet price) (minimum$50.(10) 2. STATE SURCHARGE (000 ?j(J x.0005 $ • (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ SD 63v ■ * 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: J� i�1[�ILGC Date: (v-oZJr"! 3 G lc_� �_ 30 f DATE TIME r CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED PERMIT NO. 111 c IC'093) C`�IOMPLET,�ED ADDRESS ' ` Sh L��,,,Lf Dg== OWNER TELEPHONE NO. CONTRACTOR / L� -T� �4) i CO3 DESCRIPTION W ❑ FOOTING *LU�MBING -FINAL E] SEPTIC FINAL Q El POURED WALL RI ❑ EXCAV/GRADING/FILLING FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS IIE ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ S PTIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTQI3 TO uEJ�: YES_NO COMMENTS: P n Ste. c I UL_ t71� 01�i^CQ-- �'c�✓I c� J O cc O W 2 Q 2 W z W j W (RRECT K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc >01 WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in ante. (952j 249-4600 Owner/Contractor on site: Inspector. kv I /\ White Copy/Inspector's F Canary CopylSite Notice