HomeMy WebLinkAbout2017-01227 - plumbing ' CITY OF ORONO * 2 P1 1 7 - 0 1 2 2 7 *
2750 KELLEY PARKWAY DATE ISSUED: 09/29/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1150 PINE VIEW DR
PIN : 28-118-23-42-0009
LEGAL DESC : PINE VIEW
: LOT 3 BLOCK 1
PERMTT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: WATER CLOSET-8
LAVATORY-9
BATHTUB-1
SHOWER-6
KITCHEN SINK- 1
DISPOSAL- 1
DISHWASHER-2
VALUATION OF PLUMBING 46545
APPLICANT PLUMBING FIXTURE FEE 581.81
SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 23.27
11473 KENYON COURT MAIL-IN FEE 2.00
BLAINE,MN 55449- TOTAL 607.08
(763)614-7963 Payment(s)
Minnesota State License#:plbg-PC643871 CHECK 10702 607.08
OWNER
WOHLWEND,DAVID
4526 BLUEBELL TRAIL S
MEDINA,MN 55340-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approvedplans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
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 co�xpied with whether or not specified herein.This permit will
expire and become null and void if consWction 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 ali required inspections are
requested in confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Sign ture Date Issu By Signature Date
y ! •`�� —
' p City of Orono FOR CITY USE ONLY
� �O P.o. Box ss Date Received: `��o`Z�f �l 7
2750 Kelley Parkway Permit# �Q� / -� � �a�
,�' ;, � Crystai Bay, MN 55323
�;l ;�` (952)249-4600-Main Approved By: ��
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— Amount$: U 7 � J
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.qov/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�n 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: ❑AVB ❑PVB]
�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: � � �� II �'���ew 'J�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 1 � r i r`-� l� � �/Wl.l1 �-�(Contact Person`r�S �^ °,� ��1
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Address: I I �'I 7 3 IG�-�I-N� � State Bond #: �C � �3 � � /
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City: �-�-�- Zip: �� � Expiration Date: �a�3� �� �
Phone: �� � � ��� ` � �' � � Alternate Phone:
❑ Insurance— Current:
Page 1
� .
FIXTURE �SMT 1sr 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � � �j Floor Drains �
Lavatory � Sewer Ejector
Bathtub Laundry Tray (
Shower � Washer �
Kitchen Sink � ' Water Heater �
Disposal � Water Softener �
Dishwasher � � Wet Bar I
Sillcocks ; 3 Miscellaneous �
1. C{7NTRACT PRICE "`is 1.25% of contract price with a (Minimum Fee of$50.00)
-1 � ��-� x .0125 $ � � � • � �
(contract price) (minimum $50.00)
2. STATE SURCHARGE
` `P � � �- � � x .0005 $ � J` a�
(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, t 'nant or any other party, the reasonable market value of such items must be added to the
estimat cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount f the job cost, the City may request the submission of a signed copy of the actual contract.
i
The un�ersigned 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
certifie�that all statements made on this application are complete, true and correct.
ApplicanYs Signature: ��� '�'`-'r_�1 Date: CI ��� '� �
Building Official/ Inspector: Date:
Page 2
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D TE.// TIME
CITY OF ORONO CALLED IN /'��`'��
INSPECTION ��C������-����-�� �HEDULED �
PERMIT NO. � � COMPL D � �
ADDRESS � ��
OWNER T�Fy�PHON NO. 31- �
CONTRACTOR �J
� DESCRIPTION ^v�`—
4~j ❑ FOOTING �DEMO-FI ❑ SEPTIC FINAL
� ❑ POURED WALL PLUMBING RI ❑ 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 OWNERICONTRACTOR TO MEET Y'OU:_YES_NO �
� COMMENTS: Lr L.,�'" /1�I�L• — ��S �t �'f'L �
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O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
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INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
�QpISPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector:� w� 7�
VYhiM CopyAnapector's File Canary CopylSite Notkx
�\ DATE TIME _ /
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CITY OF ORONO CALLED IN �
INSPECTION OTICE SCHEDULED �
PERMIT NO.���" v� °ZO� COMPL �
ADDRESS
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OWNER EPHONE N ��'3"'y`7���
CONTRACTOR `
� DESCRIPTION /�
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS: � �? s.fL h'�� ��
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0 ❑t�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p p f{pT0 TAKEN
INSPECTOR WFLL RETURN
O STOP OR�ER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cau ror the next inspection 24 hours in advaru:e. (952) 249-4600
OwnerlCorrtractor on site:
Inspector: ���
White CopyAnspectoPa Ffls Cenary CopylSite Notke
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DATE TIME
CfTY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED /t�-�� ���
PERMR NO.�D17' D�a�oZ�I COMPLETED
ADDRESS I��� YI✓Le..U1�u��t�•
OWNER TELEPHONE NO l/3�y 7��7��7
CONTRACTOR S � I
� DESCRIPTION �
4~j ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL �PLUMBING RI �•G - ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OMINER�CONTRACTOR TO MEET Y�U:_YES_NO
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y COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspectfon 24 hours in advance. (952) 249-460�
on site:
Inspector:
WMte CopyAnspector's FIN Cenary CopyfSits Nodw