HomeMy WebLinkAbout2017-01390 - plumbing CITY OF ORONO * z � 1 7 - t� 1 3 9 0 *
2750 KELLEY PARKWAY DATE ISSUED: 10/24/2017
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3223 SHADYWOOD CIR
PIIv : 20-117-23-11-0044
LEGAL DESC : SHADYWOOD VILLAS
: LOT 3 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS(4)LAVATORIES(1)BATHTUB(1)SHOWER(1)KITCHEN SINK(1)DISPOSAL(1)DISHWASHER(2)
SILLCOCKS(3)FLOOR DRAINS(2)LAUNDRY TRAY(1)WASHER(1)WATER HEATER(1)WET BAR
VALUATION OF PLUMBING 15000
APPLICANT PLUMBING FIXTURE FEE 187.50
STATE SURCHARGE PLBG(VALUATION) 7.50
KRG PLUMBING INC
1168 IFFERT AVE SE TOTAL 195.00
BUFFALO, MN 55313- Payment(s)
(612)282-5041 CREDIT CARD 6188 195.00
Minnesota State License#: plbg-PC644046
OWNER
Casco Ventures LLC
16192 STATE HWY NO 7
MINNETONKA, MN 55345-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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
expice and become null and void if construction authorized is not
commenced within l80 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 ca e.
/ / / /
Applicant ermitee Si nature Date Issued By Signature Date
�p� City of Orono FOR CITY USE ONLY
O P.O. Box ss Date Received:
2750 Kelley Parkway
a �. Crystal Bay, MN 55323 Permit#
yF c> (952)249-4600—Main
�"9kfSH04� (952)249-4616—Fax Approved By:
Amount$:
CITY OF ORONO - PLUMBING PERMIT
(Ail Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.pov/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: ❑AVB
❑ PVB�
New ❑ Additional ❑ Repairs ❑ Re lace
P
❑ 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: ���-`�� ��ar�,,,.,�.:�� C',2,�1-cr
Owner: �'�.�.�4� [�,���� G;, Mailing Address: �Sc�� ��'� v��� rJ
City:���-��.�. Z;p: �5s��y�
Home Phone: (�IZ�� 5�3- �,<���� Alternate Phone:
Contractor Information:
Contractor: �� pw :.,-.�,.,` t�� Contact Person:��-a�.�- CF.��.;
Address: t l i�,� �k�C--� ,�w-- s� State Bond #: (�C��������
City: _�a4'�iv Zip: ��,�3 Expiration Date:
Phone: C�'z-Znz-S���� Alternate Phone:
❑ Insurance - Current:����, s���-�, ��„_s.�,�� ��-r a�v������-�.,�
Page 1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sT 2ND OTHER FI�PEE BSMT Floor Floor OTHER
npE Floor Floor
Water Closet I "Z Floor Drains ) �Z
Lavatory 1 '3 Sewer Ejector
Bathtub
1 Laundry Tray Z
Shower � Washer �
Kitchen Sink j Water Heater I
Disposai I Water Softener
Dishwasher I Wet Bar �
Sillcocks Z Miscellaneous
PERMIT FEE CALCULATfON
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
�j c���,�;;, x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE 8� 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.
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: Date: i�= -�'"i-1�7
Building Official/ Inspector: Date:
Page 2
� j' v DATE TIME
�/CITY OF ORONO cnLLED IN
INSPECTION��NO�T/I-C�E SCHEDULED � s
PERMIT NO.�LL.L' �� CQMPLETED
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OMINER TELEPHONE N .� � �� f
CONTRACTOR
� OESCRIPTiON
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Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV!(3RADIN(i/FILLINQ
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
� 0 FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
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o ❑OORRECT VMORK.CALL FOR i�INSPECTION TBiAPORARV
�1 ���� PERMANBVT
O(�FiRECT UNSAFE OON01'T10N WITHIN HOUR3. ❑PHOTO TAKEN
iNSPECTOR WILL RETl1FiN
❑STOP ORDER P08TE0.CALI IN3PECTOR �aTATION 188UED
❑INSPEC110N REOUIRED.CALL TO ARRANdE ACCESS.
csN ta u�e���no�m��oe. (952) 249-4600
on site:
Inspe�tor. �
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INSPECTION NOTICE
DATE TIME
CITY OF I�/�+G171J'� CALLED-IN
SCHEDULED
PERMITNO.liO��"� ✓��� COMPLETED�a�-�J1�(C
ADDRESS 3 S �� w�ro� C�-
OWNER/CONTR. Rh � ��SG��
❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION
❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP
❑ FOOTING ❑INSULATION ❑COMPLAINT
❑POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE
❑ FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM
❑ FRAMING ❑SEPTIC INSTALL ❑
� ❑SHEATHING ❑SEPTIC FINAL ❑
�LUMBING RI ❑S&W HOOKUP ❑
� PLUMBING FINAL ❑GAS LINE MANOMETER ❑
o COMMENTS:
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� FURTHER CORRECTIONS MAY BE REGIUIRED ❑ PERMIT FINALED
0 ��AI,ORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
p ❑ CORRECT WORK& PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on sit
Inspector:
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CITY OF ORONO � CALLED IN '-L Jr�7
INSPECTION N ICE M��j�,OSCHEDULED �—�� 4�
PERMIT NO. 7-�J y COMPLETED
ADDRESS �
OWNER TELEP NE NO. � ��
CONTRACTO
� DESCRIPTION " �
ly ❑ FOOTING ❑ DEMO-FINA SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING R ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnedConVactor on site:
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Inspector. .� � �e N �
White Copyllnspector's Ffle Canary CopylSite Notice
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CITY OF ORONO CALLED IN � /
INSPECTION TI E ��3�HEDULED �
PERMIT NO. 7� z P ETED � G�
ADDRESS � G��`
OWNER T EPHONE NO. � 7
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CONTRACTOR � •
� DESCRIPTION �/� �-
t1� ❑ FOOTING ❑ DEMO- AL ❑ SEPTIC FINAL
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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 �NNERlCONTRACTOR TO MEET 1f�U: YES_NO
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W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT V1fORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspeator:�
Whits CopyflnapectoPs File Canary CopylSlte Notk:e