HomeMy WebLinkAbout2018-00398 - plumbing � ', CITY OF ORONO * 2 0 1 8 - 0 0 3 9 8 *
2750 KELLEY PARKWAY DATE ISSUED: 04/03/2018
ORONO,MN 55356-
952)249-4600 FAX: (952) 249-4616
ADDRESS : 680 PINEHURST CT
PIN : 06-117-23-33-0015
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 16 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE"�-MULTIPLE
NOTE: (3) WATER CLOSETS,(4)LAVATORI�S,(1)BATHT'UB,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LALINDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR
VALUATION OF PLUMBING 18500
APPLICANT PLUMBING FIXTURE FEE 231.25
STATE SURCHARGE PLBG(VALUATION) 9.25
AMERICAN MECHANICAL CO,INC. MAIL-IN FEE 2.00
7120 71ST AVE.N.
PO BOX 205 TOTAL 242.50
LORETTO,MN 55357- Payment(s)
(612)750-0278 CREDIT CARD 6203 242.50
OWNER
MOLINE,JEFF&KARA
620 PINEHURST CT
MOLJND,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 wili
expire and become null and void ifconstruction 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.
G�n�C�� �°�� /�'
Applicant Permitee Signature ate Issued B gnature Date
2-Apr-2�18 21:04 From Paul Joseph Schumacher. Phone #6127500278 FaxZero.com p.2
. , �pN� City of Orono FOR CIT I�.Y
� O •, P.o. sox ec Date Received: /
� ttt , 275o Kelley Parkway �)
;,�1 � Crystal Bay, MN 55323 PefrTlit# ��` ��vv��
� �r
�% 1 �� (952)249-4600-Main
�'��KFSHn�`:� (952)249-4616—Fax APProved gy: a ��'�
�.____�=
Amount$:
CITY OF ORONO— PLUMBING PERMIT
(All Commercial Perm�ts Must be Approved by the State Prior to City Approval}
http:/lwww.dli.mn s�ovlCCLD/PDF/pe DIUr1'Ibp1811fCV8pq pdf
GENERAL INFORMATION
9. You may apply for plumbing permits by mail or in person at the City o�ces. 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 dweiling,
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) [Backt3ow Device:�AVfi ❑PVI3j
/
❑ 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: ' ! �� � �Gt
Owner:/�'!D {I`✓l.(� , Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Info ation:
, �
Contractor: � i / 7 � �' /Il C�Contact Person: C � � `;f'
, I
Address:
�L' .��'�,��� State Bond#: �G��/� �"
City: ( �,P��G' ���f� Zip:.. �,�,5 Expiration Date:�� �
� � � 6--o
Phone: � � �� / �Alternate Phone:
� Insurance —Current: � `
Page 1
2-Apr-2618 21:05 From Paul Joseph Schumacher. Phone #6127509278 FaxZero.com p.3
.
� PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1S 2 � OTHER FIXTURE BSMT 1S 2ND O7HER
TYPE Floor Floor 7YPE Floor Floor
Water Closet � 2 Fioor Drains
l.avatory � 3 Sewer Ejecior
Bathtub ( Laundry Tray �
Shower � Washer �
Kitchen Sink j Water hleafer �
Disposal / Water Softener
Dishwasher � Wet Bar J
Sillcocks �� Miscellaneous
��
PERMIT FEE CALCULATI�N
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
x .0125 $ . ��
(contract price) (minimum $50.00)
2. STATE SURCHARG
��'G' ��-�
x .0005 $ � —�
(contract price)
3. POSi'AGE 8 HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMlT FEE {Add Lines 1-3 Above) $ �� �
'` CONTRAC7 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 reasor�able 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.
PLUMBtNG PERMiT APPUCATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the an s of the City and the regulations of tne State of Minnesota, and
certifies that all stateme s this p� ation� complete, true and correct.
Applicant's Signat e� ? � Date: ��
Buildin� O�cial/Inspector: Date:
Page 2
n aCl�/` �
'1 �
DATE TIME
CITY OF ORONO cnLLED IN �
INSPECTION NOTICE - He�u�Eo -
PERMIT NO. ��� �MPLEfED
ADDRESS o v y� c
OWNER TEL PHONE NO. � -�O�o
CONTRACTOR �G
� DESCRIPTION ��"r"' �
W ❑ FOOTING ❑ DEMO-FINA ❑ EP IC FINAL
� ❑ POURED WALL ❑ PLUMBING 1 ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS: �s a V' � ✓
� •- � Q �/^ �S�
� f� Tv Gav�81^
0
�
° 1 o�''ov►. '�.� ��r r�=t- � � i 1
Q i'rs�o��
�
�
W
�
�
,
a
� Ti�WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE
W ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advanoe. (g52) 249-46�0
OwnerlContraator on site:
Inspector: ��of� � �
s
Whib CapyAnspecto►'s File Canary CopylSite Noties