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Home My WebLink About2017-01190 - plumbing CITY OF ORONO 1 1 11 .11 111 11 111) 11 311111 11 1 * 20 1 7 - 0 1 1 90 * 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 490 OLD LONG LAKE RD PIN : 36-118-23-34-0010 LEGAL DESC : SUMMIT STATION : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (7)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(4)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) WATER HEATER,(1)WET BAR VALUATION OF PLUMBING 31200 APPLICANT PLUMBING FIXTURE FEE 390.00 RIVERSIDE MECHANICAL STATE SURCHARGE PLBG(VALUATION) 15.60 12460 ZINRAN AVENUE MAIL-IN FEE 2.00 SAVAGE,MN 55378- TOTAL 407.60 (952)894-7600 Payment(s) Minnesota State License#:plbg-PC644809,mech-MB650157 CHECK 6983 407.60 OWNER LITSEY,CAL&CHRISTINE 490 OLD LONG LAKE RD 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 any time for due cause. i P`-t- � // Applicant Permitee Signature Date Issued By S' tune Date RECEIVED %0QN'�.` City of Orono SEP 5 2017 FOR TY USE ONLY O .. P.O. Box 66 Date Received: " /7 + 2750 Kelley Parkway 1 I Crystal Bay, MN 55323 CITY OF ORONO Permit# /7 v//90 (952)249-4600-Main %,�t �k (952)249-4616-Fax Approved By: Amount$: fb71 (v(] CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf 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 PERMIT(Check All That Apply) Residential ❑ Commercial (Approval Required) [Backflow Device: El AVB ❑PVB] ❑ New El Additional ❑ Repairs <laReplace El In Accessory Structure? *you will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: f Site Address: WO Ol c Lm-, cf L1Z G i cJ Owner: Mailing Address: City: Or-0 Yl() Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Rit)ec'Side Aecyiecnkka,/ Contact Person: l4/'CIE /7oGs(// Address: / 4/66 'ir)re,-rr AI". State Bond #: PC(0 4/44 8Qci City: CCW e Zip: .- 5.3 I-g/ Expiration Date: /02.3/ •/ Phone: 9,502- 861q- 'LOO Alternate Phone: Insurance — Current: Ailo 14,0a,rs Page 1 •.�,w,xPia'J. ,- L`E.`W 'e�.,em® r8. '. ® uv .ta IN w.,.«.n:ir..aaxa a:rr.«ff. FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet a 3 a Floor Drains Lavatory a a Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal ( Water Softener Dishwasher - Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) 31,g x .0125 $`�9O (contract price) (minimum $50.00) 2. STATE SURCHARGE 431 ,ac, x .0005 $ /5--- co (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ -!0 ‘•-(-)--- . o * 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 dinances of the City and the regulations of the State of Minnesota, and certifies that all statem is m e on pplication are complete, true and correct. c/Applicant's Signature: Date: 2,Z-AA Building Official/ Inspector: Date: Page 2 i V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIESCHEDULED lO^CO I 40 PERMIT NO. CJ / ul i COMPLLk I ADDRESS I7 O OIG Kd( OWNER LE HONE NO._Tf'/ 7460 CONTRACTOR K/ /�,#/2151117/ 1UDESCRIPTION 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL A ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 62 O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION IC 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ..t ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC 4 pt....v. all #/ GJ$&i j CC y A. Oh �.jr fie Ai o2 C ✓t W CC 4iC 1N‘VORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours ht advance. (952) 249-4600 on site: inspector4eVs-2,-/ white GpyAnpeclorti FIM Canary Gp>If81N Nodes /4,r,4; C. '7 � TEy�/ TIME CITY OF ORONO CALLED IN /— / zz,�� INSPECTION TICE SCHEDULED /� 'a?' 9,"3 o PERMIT NO.l 1' (/7O /C MP ETED r� ADDRESS q0 Old 2 ( / Je OWNER / • T .d •As NE NO. /A-b q '� CONTRACTOR , ('�jL� Q- ,' i, DESCRIPTION 11 d p ° W ❑ FOOTING 0 DEMO-FINAL SEPTIC FINAL c ❑ Q POURED WALL 0 PLUMBING RI EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc Q. V< eabtC! oIFS ✓GS - Se -4 5e4/eQ cc 0 / e e P M-( 5•J k.- ,n+ evw.de✓ `J A -/s/•L._ Wi4o-k its -4 ifec 0 `/- l -,wr e - CC z2 6.'6 o 14 - co r i e---e -4- p e✓6.4 r//1 44.9 W Z W cc J W 0 WORK SATISFACTORY:PROCEED Q aQJECT COMPLETE CCW RECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 9,,,,, 4- White Copy/Inspector's File Canary Copy/Site Notice