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HomeMy WebLinkAbout2016-00595 - plumbing �„_ CITY OF ORONO * 2 0 1 6 - 0 0 5 9 5 * , 2750 KELLEY PARKWAY DATE ISSUED: OS/25/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2615 SHADYWOOD RD PIN : 21-117-23-23-0054 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL C01�TSTRUCTION TYPE : FIXTURE NOTE: REPLACE KITCHEN SINK VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 KRAHL'S PLUMB LLC TOTAL 50.25 3508 LYRIC AVE WAYZATA,MN 55391- Payment(s) (612)730-9988 5 CHECK 4377 50.25 Minnesota State License#:plbg-PC653470 OWNER Todd Realty LLC 206 N.CHESTNUT CHASKA, MN 55318- AGREEMENT AND SWORN STATEMENT The work 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 of 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 per'od of 180 days at any time after work has commenced. The applicant is res nsible for assurin all required inspections are requested in confo 2nce with the State uilding Code.This permit may be revoked at any ti d due c se. I l� � � . ��, �� ,��-_C � � �� � ���� -�� � ��' �� � ��� / � Applicant Permitee ig u Date Issued By Signat�.�re Date c � p City of Orono � � FOR CI�SE�OI�LY�.� � � � �O P.O. Box 66 Date��ReCeived: � ��� 2750 Kelley Parkway y �. Crystal Bay, MN 55323 Pe�I71it# � '1���,� b�� � � ��1 �o� (952)249-4600-Main A rOVed B Kf S H O�` (952)249-4616-Fax 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.�ov/CCLD/PDF/pe plumbplanrevapp.pdf GENERAL iNFOR1VIATION _ . 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pe�rnit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is compteted. 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 Appiy) ; . esidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ ln Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/Owner In#ormation: Site Address� � � Owner: U .X��'�-� Mailing Address: City: �c0�C1 � Zip: �iS'��'j � Home Phone: Alternate Phone: Contractor Information: c `�� Contractor: �� �'�-w Contact Person: Address: ��`�� �-�c,��� � State Bond #: City: W 4 '7.h� Zip: ?1 Expiration Date: , Phone: — � Alternate Phone: ❑ Insurance—Current: Page 1 � � FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER NpE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 1. CONTRACT PRICE * ' 1.25% of contra price with a (Minimum Fee of$50.00) C�vv � 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) S * 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. The undersigned hereby applies to the ' y for ' suance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances o e ' and the regulations of the State of Minnesota, and certifies that all statements made on i a ica ' n complete, true and correct. ApplicanYs Signature: Date: Building Official/ Inspector: Date: Page 2 n �/ C� DATE TIME ���� l� CITY OF ORONO CALLED IN =_� i�,_ ,,� INSPECTION NOTICE �,�/,�. SCHEDULED '�I� �� � � PERMR NO.�����'J��J`�COMPLETED ADDRESS � � �� OWNER TELEPHONE N . ���?`� CONTRACTOR �'�'e � � � DESCRIPTION a `� � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�i, COMMENTS: o� a j O � � ¢ 0 � W 2 Q � 2 W � W � J d W KSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan � 49-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyiSfte Notice C� v, � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED __���.- "�jp ,��v�-' PERMfT NO. � �� SCOMPLETED ADDRESS ���(r�� � S�CL�c�WU� OWNER TELEPHONE NQ CONTRACTOR d�a��,�� ��sn�;� � DESCRIPTION ��� ` �l[�c��-y�/-�_ � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �t/i,,,,.,, Q ❑ POURED WALL 3 ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINGrkr� 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑�TIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: �� � W a � J O �. � O � W � Q � 2 W . � W � � J d � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT VYORK 8 PROCEED ❑ I UE CERT�FICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pMOTO TAKEN INSPECTOR WFLI REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan -46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice