HomeMy WebLinkAbout2017-01672 - plumbing - �- CITY OF ORONO * z � 1 7 - 0 1 6 7 2 *
2750 KELLEY PARKWAY DATE ISSUED: 12/28✓2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3257 SHADYWOOD CIR
PIN : 20-117-23-11-0047
LEGAL DESC : SHADYWOOD VILLAS
: LOT 6 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS(4)LAVATORIES(1)BATHTUB(2)SHOWER(1)KITCHEN SINK(1)DISPOSAL(1)DISHWASHER(3)
SILLCOCKS(3)FLOOR DRAINS(1)LALJNDRY TRAY(1)WASHER(1)WATER HEATER(1)WET BAR
VALUATION OF PLUMBING 13000
APPLICANT PLUMBING FIXTURE FEE 162.50
KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 6.50
1168 IFFERT AVE SE MAIL-IN FEE 0.00
BUFFALO,MN 55313- TOTAL 169.00
(612)282-5041 Payment(s)
Minnesota State License#:plbg-PC644046 CREDIT CARD 6188 169.00
OWNER
Casco Ventures LLC
16192 STATE HWY NO 7
MINNETONKA,MN 55345-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 sepazate
permits. All provisions of laws and ordinances goveming 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 aRer 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 du cause.
/ /
Applicant rmitee Signature Date Issued By Signature Date
� ' � �p� City of Orono FOR CITY USE ONLY
O P.O. Box 66 Date Received: � a$ /
2750 Keiley Parkway >
Crystal Bay, MN 55323 PeFmlt#: ��<t 7 " �1 7 0�-
y�" oZ (952)249-4600-Main
t�kESHOR�' (952)249-4616-Fax Approve d By:�,
Amos�nt$: ��o`j�- �
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to Ciry Approval)
htta:Nwww.dli.mn.qov/CCLD/PDF/pe alumbplanrevap� adf
GENERAL FNFORMATION
1. You may apply for plumbing permits by mail or in person at the City offlces. Applications wifl 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 licsnsed 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 Tha#Apply)
�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
� New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Owner Information:
Site Address: '�S7 s�a� � C►,�,d�..
Owner: G-�.'ti C�p� Go Mailing Address: �so� .�,b �,�: r�
City: {��,,�-.�Aa. Zip: ��IH 7
Home Phone: �2 3SS ►��- Altemate Phone:
Contractor lnforma#ion:
Contractor: 1��5� �p\„r-.�, ,� ���, Contact Person: Zv►z��k- .�+t�
Address: ���� ?h���- �� 5� State Bond #: ('C (ou ���`��
�
C�tY� �� Zip: __c�• Expiration Date: I'L�-� �-��
Phone: �otZ- ZBz�-���-�r Alternate Phone:
❑ Insurance— Current:
Page 1
i 1-
�' � ` '� �� �T�?�LU�7I�ING FIXTURES 8E11VG°`INSTALL"EDk�' �`"��,} �����`�x :. ., _. .�� ���:, � �
.t
�8{���ry`�,�97 �� �� Ie�b Y Fi 4�'
FIXTURE BSMT 1sT 2ND OTHER FITMPE E BSMT Floor Floor �THER
TypE Floor Floor
Water Closet � 'z Floor Drains '� Z
Lavatory \ �j Sewer Ejector
Bathtub � Laundry Tray �
Shower , � Washer �
Kitchen Sink � Water Heater �
Disposal � Water Softener
Dishwasher � Wet Bar �
Sillcocks Z � Miscellaneous
.�a +,t'�r � :'} ,'�, "A '+Z'a�'+ v�J + '.
t +.��s��' � ��m �s��i+,��.�`. �`��,`'f� M!�..�v��,y�i � ���� � t�-*�X^��'°Y"�t>a�3.�',-k� 3; �,^'?,'�"3`k�, ._�`,-�.�.'�' '�;
-�+ -} � �� '-''`�, :�vs�
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
�'/�,(,�,p 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.
yyy��,,��� �,' -� , ` ��s��.` � �:�r
r IT �� ' k.z �Z � �•��.�' i,j;)ff�.s �w'`W°�''�.: �'�- r,y,'�� �*�
.��'��������;���, �w�.�>. 4��-�71�(B�NG P-�tA��'�./��?YL`��A�' R � a .�
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: �Z—�""�7
Building Official/ Inspector: Date:
Page 2 �
V
DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED
PERMIT NO. —6 � COMPLETED l l� �
A D D R E S S v�S_7 � W C`/'
OWNER TELEPHONE NO '2 �
CONTRACTOR �'
� DESCRIPTION /� �`� �
4� ❑ FOOTING ❑ EMO-FINAL ❑ 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERICONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENT'S: ,�.w V _ScL. U J � �G a�
� S /__ 5 a� o�
�
0
�
0
W
OC
Q
�
�
W
�
j
W �B.WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(3 PERMANENT
❑CORRECT UNSAFE(:nNDIT10N WITHIN HOURS. p pHpTO TAKEN
INSPECT�i WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRAN(iE ACCESS.
Cafl for the next inspectbn 24 hours in advance. (g52) 249-4600
OwnerlCor�tractor on site:
��spectpr �tS�n :�2 t�
Mlhite CcPYMspecto�'S Flk Canary CopyfSits Notkx
� V o�
D E C/ TIME
ITY OF ORONO CALLED IN �— �f� d
INSPECTION NO�IC^E /�,�J SCHEDULED � ��' .�"
PERMIT NO. O�-(JI 7�0�if'/ OMPLET D L3
ADDRESS �� �
OWNER ELEPHONE NO � ' 8 -�
CONTRACTOR �
� DESCRIPTION �
�
4� ❑ FOOTING ❑ DEMO-F� SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? 01NNERlCOI�ITRACTOR TO MEET YiOU:_YES_1�
� COMMENTS: �•`s• — ��'V t/� N vG c�'_�`�
�
oS�- a.-. �.s t %�s ��s.�as -
�.
° � 6���es►� �'/cnr cp✓�..� '
W �'jo� i•1 /����aL
Q ��rnc — � r��o v�i�e acGess�e �atou�lQ_
zo'Z-'` t r�D e� I/is si.+�G a•2 �. G. —
� � �
j �-6� D�� "" O�-�' GOtJc.r�
C �*SC.
W� ❑WORKSATiSFACTORY:PROCEED ❑PROJECT COMPLETE
w �ECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECObERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContracbr on site:
�nspe�tor.��
WMte CopyAnspectoPs File Cenary CopyfSita Notbs