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Home My WebLink About2016-00513 - plumbing „ CITY OF ORONO * Z 0 1 6 - 0 0 5 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2000 SHADYWOOD RD pi� : 17-117-23-31-0001 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW:4 WATER CLOSETS,6 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 SILCOCKS, 1 FLOOR DRAIN5, 1 SEWER EJECTOR, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMBING 18000 APPL[CANT PLUMBING FIXTURE FEE 225.00 STATE SURCHARGE PLBG(VALUATION) 9.00 CARLSON PLUMBING TOTAL 234.00 19240 ISETTA ST NE Payment(s) EAST BETHEL,MN 55092- CHECK 6544 234.00 (651)291-7788 Minnesota State License#: plbg-PM062270 OWNER Sustainable 9 Holdings LLC 124 MAIN ST SE SUITE#343 MINNEAPOLIS,MN 55414- AGREEMENT AND SWORN STATEMENT The wark 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 oY'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. ` � G`� 1 �c� � � 1�� Applicant Permitee Signature Date [ssue By Signature Date � J ;'��N City of Orono FOR CITY USE ONLY �, P.O. Box 66 �� Date Received: �S�/Z,/� 2 7 5 0 K e l l e y P a r k w a y � � �� Pet'mit# Z—��(O " b / �'�� a � Crystal Bay, MN 55323 �f ,9 , � � ��^�q Ec> (952)249-4600—Main � �t p�� A POved B � \KfSHOR (952)249-4616-Fax r �u .,�� pp y' � Amount$: � � CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.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 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 requiredj 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 aqproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/ Owr ,- Information: ^� Site Address: � Ci (� a �wner:_ �„_ Mailing Address: C�� S�UG� W C>CX�1 �� c�t,,: ��1� �� , z�p: S � ��--?� Home Phone: Alternate Phone: Contractor Information: Contractor: �(� v � 1 Contact Person: � � ��`� �S �� Address: ``'�� l��'�+ �� State Bond #: � � ' ) � �o�� Co`�� City: �5 ,�L��-` Zip:��J_Expiration Date: 1 31 �� Phone: V�,� ��"�� !� Alternate Phone: �9�Jt '� � � ��s � Insurance— Current:�� '�� C)��*� �(��'�d��- Page 1 � � PLUMBING FIXTURES BEING INSTALLED 1 FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Fioor Water Closet Floor Drains � Lavatory Sewer Ejector � Bathtub " v'`� Laundry Tray 1 Shower ' Washer I 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) _� �� C-% c'' C" x .0125 $ (con ract 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 a d the regulations of the State of Minnesota, and certifies that all statements made appl' i are complete, true and correct. A IicanYs Si nature: ' � � � � Nr g �ate: Building Official/ Inspector: Date: Page 2 � � � _ C% _ -- __ _ _ _ � DATE TIME�/ CITY OF ORONO CALLED IN INSPECTION l�IOTICE SCHEDULED '"z — �v �G".' - C� PERMIT NO.�-"v�`�� -S�COMPLET D ADDRESS � �� `� � OWNER TE � �NE N0.6S/- ;�/C7S CONTRACTOR �� v � � DESCRIPTION � ' �`-� •� �L-�' ty ❑ FOOTING ❑ DEMO-FINAL� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI`" ❑ EXCAV/GRADING/FILLING O ❑ 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W 4 J � O �. � O � W �� Q � 2 W � W � J d W ❑VIfORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V ORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 49- �� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice , � ,� , DATJ� /� TIME CITY OF ORONO cnLLED IN O� � INSPECTION I SCHEDULED ' PERMIT NO. '� COMPLETED 4.�,� ADDRESS OWNER TE NE NO. ' �� CONTRACTO � DESCRIPTION � tV ❑ FOOTING ❑ DEMO- NA ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMB I ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF �❑�LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOWUP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO c� COMMENTS: �•G- -•f f�•G - ^ W � b�� - A�S ' �• � • j " � # c�.� -E mS� /.S �to��•� • �O � ° � P�v�.�.�- �•��f �o� CI�v ��. ��a ` � Q �S P�#r ✓�.r� �%-� L�, fi s�� 4s � �s��s�o a . � � r�.•6� Ca r��cecti�� p w v f1.C� . i•.. L.L . °� q��6 t r �ID�D� �s ,/ocr.�c� J - d W ❑WORK SATISFACTORY:PROCEED ❑PHW ECT COMPLETE W �ECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDiTiON WITHIN HOURS. p pHOTO TAKEN INSPECTOR 1MLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. r the n - ron 2a twurs in advanc:e. (952) 249-4600 orKractor on ��rf Inspector: � M- White CopyAnspecto�'s Flle Canary CopylSite Notiee � �_ - -�'�fi� � `'f jc'�` � � D� TIME�`Y�7 TY OF ORONO 2. CA�LED IN �� ___G� INSPECTION NOTI E ��j '� SCHEDULED ' " �'�t� PERMIT NO.��-�� C MPLET D ADDRESS � OWNER T LE NO.�S/-7SS-/j�7 CONTRACTOR � DESCRIPTION tF`i� ❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ P U BING RI ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTFiACTOR TO MEET YOU:_YES_NO c�., COMMENTS: W �a � � 'Sn�r-�. P/' o - �� '' - v a � ° - . ,�� W � Q � 2 W � W � � W ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK R PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONOITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 ror the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on�i�. Inspector. � White Copyllnspector's File Cenary CopylSfta Notfce