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Home My WebLink About2011-01356 - plumbing CITY OF ORONO PERMIT NO.: 2011-01356 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/31/2011 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 840 OLD CRYSTAL BAY RD S PIN : 09-117-23-12-0002 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT: 1 WC, 1 LAV, 1 SHOWER,2 SILLCOCKS,2 FLOOR DRAINS,URINAL&DRINKING FOUNTAIN 1ST FL: 1 WC, 1 LAV, 1 KITCHEN SINK,2 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR 2ND FL:3 WC,5 LAV,3 TUB, 1 SHOWER, OTHER: 2 FLOOR DRAINS VALUATION OF PLUMBING 22000 APPLICANT PLUMBING FIXTURE FEE 275.00 KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 11.00 1168 IFFERT AVE SE BUFFALO,MN 55313- TOTAL 286.00 (612)282-5041 Minnesota State License#: 609777 OWNER WILLIAMS,JAMES&HEIDI 840 OLD CRYSTAL BAY RD S WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at.• tie or due cause. ' (03/ i Applicant Pe itee Signature Date Issued By ature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AVafe I FOR CITY USE ONLY 460'47)41- ' '\ City of Orono P.O.Box 66 Date Received: ,.Permit# 2750 Kelley Parkway Crystal Bay,600 MN 55323-Main Approved By: Amount$: y <4411:10124_,./ �l , 952)249-4 1:1 ((952)249-4616-Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt•://w ww.dli.mn.aov/CCLD/PDF/•e •lumb•lanreva• 1.•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 BEGIN UNTIL 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. (24-48 hour notice required) TYPE OF PE'RNITT (Check All That.Apply) ' VI Residential ❑Commercial(Approval Required) [-08 New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: vyv C r�sl c( Owner: J% Mailing Address: 4;40 of cQ. Crysat1 y e< City: cis,, Zip: S s 3z3 Home Phone: 6,1Z- 3-£hoz 0 Alternate Phone: Contractor Information: Contractor: 4 1�(, f V r.b;t \mac- Contact Person: e,.. Hv 7 O,J Address: 11 io T Few- I ./e Sc State Bond#: .Z/o 05-79 b(O G 17'' 4 City: Zip:s,313 Expiration Date: (2-3/-1 I Phone: 6/Z--2eZ- Alternate Phone: ❑ Insurance—Current: --o-. ( 1 T e `..PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT ls' 2ND OTHER FIXTURE BSMT 1s' 2ND OTHER TYPE FL FL TYPE FL FL • Water Closetr Floor Drains / Z Z Lavatory / S Sewer Ejector Bathtub Laundry Tray Shower / / Washer Kitchen Sink Water Heater Disposal Water Softener / Dishwasher Z Wet Bar / Sillcocks Z Miscellaneous A CAZ1-AC DZ,niu �Y��in BERM `��,� _ ALCULATION( ❑ 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. 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 Next Page) 2 h ,`I � , a, ' ' (S) JOBS OVER $500.00 LL . ,� . , 1. If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) .-1(ouj• UJ x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE 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. ,i• ,�• . , :., Bk P.:, ,° rA T APPLICP,', m" ..1., 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: lct-3/- 3 — / AT TIME ` CITY OF ORONO CALLED IN �-3 I INSPECTION NOTICESCHEDULED ii--/-ii L/i60 PERMIT NO. 0°//- D/°•-•'6. COMPLETED� ADDRESS 3'6 01 J Cil�CL ` -E /Q,,/"' S OWNER TELEPHONE NO.6/Z ZS Z ,Sv(/( CONTRACTOR ii" G. Pz-ze--en-e DESCRIPTION pl ii,r14.6 1-T5 ," , 4.• 141 CI FOOTING CI PLUMBING FINAL CI EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ti ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL CISEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc LU a CC J vA. a A-r-c r 0 v,„ e o ti 11 o S- Ib s7-- OR W ac Q toZ W Z W CC 0 LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Otj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: // Inspector. C.�/ (/`/r e si White Copy/Inspector's File Canary Copy/Site Notice F_ DATf TIME CITY OFORONO CALLED IN I7`�.1 �� INSPECTION NOTICE / SCHEDULED / '�� :2 c' PERMIT NO. aril�L �Sl COMPLETED ADDRESS ?`f U ��_ (� ,� I4 al f'',/ OWNER 4i/de.0 TELEPHONE NO. -743 YV` ?74'3 CONTRACTOR el(-d DESCRIPTION 1),e1-1, ▪ ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W CC 0. CC Q. „521 CC W z W cc 0 ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CL ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 13,81s Inspector. White Copy/Inspector's File Canary Copy/Site Notice os �� 50--- / SATE TIME CITY OF ORONO CALLED IN b 7 INSPECTION N TICE SCHEDULED 30 PERMIT NO. ( : `f —(f 3 c' COMPLETED ADDRESS 'a r e 4110i ' OWNER TELEPHO E NO��c 3 L� l( [ —(1 /7`Y3 CONTRACTORilkme ' UL4 10 DESCRIPTION (Lt fib M3/ k. LU ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING LL.• 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS O 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS • 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL J 0 PLUMBING RI 0 SE FINAL 0 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO 1 • COMMENTS: 1---LC (,j ;Cc vit- rtt cc Q. CC CC -7—`v /3 ,OCc'e S S 0 LU � ; i ' / 7)A i' . Q z 4-fic.C€ 45 AT c-il "1 W z W cc 0 Lu ri/VORK SATISFACTORY:PROCEED PROJECT COMPLETE WCC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 :: ttt01. on site: / / , 3 ctor. White Copy/Inspector's File Canary Copy/Site Notice