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Home My WebLink About2016-01091 - plumbing CITY OF ORONO * z 0 1 6 - 0 1 e� �.. 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 f ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2500 SHADYWOOD RD PIN : 20-117-23-11-0034 LEGAL DESC : REG. LAND SURVEY NO. 1630 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : COMMERCIAL- BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (8)WATER CLOSETS,(8)LAVATORIES,(4)KITCHEN SINKS,(4)FLOOR DRAINS,(4)LAUNDRY TRAYS,(4)WATER HEATERS VALUATION OF PLUMBING 30000 APPLICANT PLUMBING FIXTURE FEE 375.00 STATE SURCHARGE PLBG(VALUATION) 15.00 STEVE HAUCK PLUMBING LLC TOTAL 390.00 16413 JASPER STREET NW Payment(s) RAMSEY, MN 55303- CREDIT CARD 0347 390.00 (612)619-5749 Minnesota State License#: pibg-PM059349 OWNER Ugorets 8098 LLC 410 11TH AVE S HOPKINS, MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved pians 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 rclated N�ork which requires separate permits. All provisions of laws and ordinances governing this type of work shail be compied with whether or not specified herein.This permit will expire 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 1 SO 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 1�� revokqd at any time for due cause. �� ; ) t n \ _�-� ..'\\ � �• �� ..St�l � �� `'J ��/ J / � �— Appli� nt Permite gnature Dat Issued By Signature Date �pN City of Orono FOR CI USE ONLY �„ O P.O. Box 66 �..�� Date Received: �-7-�(�j 2750 Kelley Parkway ' �, � d6�� _�!D ! a y Crystal Bay, MN 55323 �' � Permit# 9J �F�q �c> (952) 249-4600—Main (^ � ,�I A roved B kFSHOQ' (952)249-4616—Fax �, pp y� Amount$: �' CITY OF ORONO — PLUMBING PERMIT (Ail 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 finro 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 ❑ 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: �5 �� :��--� r, _ , Owner: � � � 0 c �� Mailing Address: City: �n s�„�.,'� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor. e ��(, � �. �� Contact Person: �2,. � � Address� �� .� � Pl��. � l,� � State Bond #: City: G Y�'� 1� �- Zip: _��3 3� 3 Expiration Date: Phone: b`� �"� r � �� Alternate Phone: ❑ Insurance — Current: Page 1 ,�.: , . . , � ..,i�'� �IG�,�'�i'UR�S'SE1N�r�l,�I��,A1,�� °��'`, �� •.� -� � r �_ ,�� ,� �.�� :�. .,4.%� � ��;� �1 FIXTURE BSMT 1ST ZND OTHER FIXTURE BSMT 1sT 2ND OTHER .i TYPE Floor Floor TYPE Floor Floor Water Closet � Floor Drains �- � Lavatory L/ �f Sewer Ejector Bathtub Laundry Tray � � Shower Washer Kitchen Sink � �. Water Heater � '2 Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous . , . u,,-F �� . .��, .,�. a�,. 1. CONTRACT PRICE * is 1.25% of contract pri�with a (Minimum Fee of$50.00) J� ��v x .0125 $ (co ract 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. „ , ,.. ,. � w � ,��;� � �� ,�� " :w� � ��`��'��A�� ax sx �, ��'x �;'s.��"�s� ��'a��r � �� . 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: Building Official/ Inspector: � Date: Page 2 /� ,,�-- �/ � �" ' DAT TIME CITY OF ORONO CALLED IN �D"�� q-'� INSPECTION TI E C� SCHEDULED !�- , -1,h PERMIT NO '� � / C LETED ADDRESS � �NNER TELE NE N 2��y s 7 / CONTRACTOR � DESCRIPTION �y ❑ FOOTING ❑ DEMO-FI AL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI RI ❑ EXCAV/GRADING/FILLIN(3 O ❑ FOUNDATION WATERPROOF ❑ PLUMBIN F AL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERICONTRACTOR TO MEET YW:_YES_NO � COMMEN'T'� ' W ="� �/oU� �1�� ,��l �- �� : o ,�;� l'c�� :� � ��c� �1�� - Sl��1� � �`� � ,'� -� � l��li� ✓cy��'�� .��Q T �' r��j ��t�i v��i �-�'I/��c,��lS o� Q zd •� �� , ��, �� W 0� J �� WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE CORREC7 WORK�PROCEED ❑ISSUE CEATIFICATE OF OCCUPMNCY O ❑OORRECT WOFilC,CALL FOR REINSPECTION TEMPOFiARY V BEFORECOVERINd PERMANENT ❑OORRECT UNSAFE OONDITION WRHIN HOURS. p pF{OTO TAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �pTA710N ISSUED ❑INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS. Cafl forthe next inspectfon 24 hours in adrance. (952) 249-4600 OwneNContra on site: Inspector:_� � � WMt�CopyMsp�etor's FIN Canary CopylSM�Notfa �� 1� TIME CITY OF ORONO LLED IN � _DAr,�,/ 1S INSPECTION NOTICE �y,sc HEDULED `/- /,h ��! ,'� PERMIT NO. ��U/�coMP ED ADDRESS �� — � OWNER T PH N . ��1 S=5��`"� CONTRAcTOR c- � �� DESCRIPTION -� �� ty ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN R ❑ 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNENCONfTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: � �Z,-- �lt �'m�� c�il mU ��r��,� ,h,,/� � �. — �-�, � l roc�� i1��✓�� d��'��✓'C� ��. J'� i `." �P��l �rS /�'G � � �`15�'�^:. P �J S� � � �vy�E W Q � %�� (�� ' � � z W � W � � J � �K SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE ,❑OORRECT WORK�PROCEED ❑ISSUE CERTiFICATE OF OCCUWINCY ;0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN H��• O PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 on site j - Inspect . � Whits CopyAnapector's Fil� C�nary CopylSlb Notks p V �:'� !:� ��`�� T� CITY OF ORONO CALLED IN ' �"� INSPECTION N IC �G/ SCHEDULED �� PERMtT NO. �/ CO ED ADDRESS � " � OWNER ELEPH N N �02 � �� CONTRACTOR �-- � �- �'' DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROO�r"� ❑ PL MBING FIN L ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dMfNENCONTRACTOR TO MEET YiOU:_YES�—NO � COMMENTS: ��--� " 1Jd'' �t�'�oiti' .�il�v �1�1 � ,. o �t �d� [C� �� cv� �� i� �y��P '' ' �, m�r � � ° (,(�� t ;� �da f l�. l�t '�G 2 �s �� `� �/`a s � Q i �� -a ��c << � �v�� c �.�s� �� ,�� Xs-�e� � ' _ � 4�j K SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE ❑ RRECT WORK�PROCEED ❑ISSUE CEFiTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINO PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p p f{pT0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call fo�the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra on site: Inspector: �' ' VYhite CopYAnsPeetors FII� Canary CopylSM�Notin L �� DATE T1ME �� CITY OF ORONO cnLLED IN INSPECTION O CE� /�j scHeouLED %� /7 PERMfT N � �� COMPLETED �_ ADDRESS ��D� C'�oC C�JQ� OWNER TELEPHONE N . `� � ` COI�TRACTOR 1 (d' � � DESCRIPTION � LQ�� ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL D71 ��_!( Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING�� O ❑ FOUNDATION WATERPROOF ❑ PLUMBINCa 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 _ J ❑ DEMO-SITE ❑ TIC INSTALL 2 01NNERlCOMTRACTOR TO MEET YiW: YES NO � COMMENTS: � '� �V ��l` 4 G�� ,� f.er -- � � o � a � m � � ° ,� .��l�T Pr �e� �� y � Q � W � �vt n Qk� �rvr 1 ui�t �h i u e rt � -� i�� -F��, �e � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � CORRECT WORK�PHOCEED O ISSUE CEATIFlCATE OF OCCUPANCY W O RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p p►{OTO TAKEN INSPECTOR NfILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �pTAT10N ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Caq for the next inspectbn 24 hours in advanoe. (952) 249-4600 on site• Inspector: Whlte CaPYMspecto�'s FlM Camry CoPylBib Notla