The URL can be used to link to this page

Home My WebLink About2017-00193 - plumbing RR CITY OF ORONO * Z 0 1 7 — 0 0 1 9 3 * • � 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2800 SHADYWOOD RD pIN : 21-117-23-13-0023 LEGAL DESC : REG. LAND SURVEY NO. 1196 : LOT 000 B LOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW FIXTURES: 5 WATER CLOSETS,6 LAVA'IORY, 1 BATHTUB,4 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 2 SILLCOCK5, 1 FLOOR DRAIN, 1 LAUNDRY TRAY,2 WASHERS, 1 WATER HEATER VALUATION OF PLUMBING 23700 APPLICANT PLUMBING FIXTURE FEE 296.25 STATE SURCHARGE PLBG(VALUATION) 11.85 COX PLUMBING LLC TOTAL 308.10 17041 172ND AVE SE Payment(s) BIG LAKE, MN 55309- CHECK 6406 308.10 (612)242-9247 Minnesota State License#: plbg-PC6441 19 OWNER BERGH, HANS&SHARON 2800 SHADYWOOD RD EXCELSIOR,MN 55331- 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 E3uilding 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 constraction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 AO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked at time for due cause. �� :�� f`G�...��. ''�c �� __�- .. ��-�. ,i�f.�� ..� 'I!��✓�—v `' l �= l l �� App ' ant Permitee Signature Date Issued By Signature Date Ap� City of Orono FOR CITY US ONLY -�., O P.O. Box 66 Date Received: � �'- � 2750 Kelley Parkway ' � � Crystal Bay, MN 55323 Permit#__ ,`-�, (J/ `� � ��j L,� � � c? (952)249-4600—Main � �` �A'rFSH04'� (952)249-4616—Fax Approved By: __ /'�j� �_ Amount$ «�C:;�� 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 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: �g�� /� �td Y�JD�J � Owner:�a2..��L�i/, � L.,�(cS'� h� Mailing Address: /SaZ;�-� �s�� f � c�ty: �'l/j�l�e C"rr�-o�� z�p: ��S"3/ I Home Phone: Alternate Phone: 7�..5�.�� /C� Contractor Information: Contractor. �X' �� ZLC-- Contact Person: ��L�GrH �� Address: _ /�DNI /7��✓�� . State Bond #: C ity: � G�✓f �1i' '' � � Zip: S ,S �Q � Expiration Date: Phone: '?�� '��o �- �7�/ Altemate Phone: __�/C� "� �f��`�?�f7 , �surance - Current: Page 1 _ g; ✓ /p' FIXTURE BSMT 1sT 2ND pTHER FITMPEE BSMT Floor Floor OTHER • TypE Floor Floor Water Closet � � Floor Drains � Lavatory 3 � Sewer Ejector Bathtub Laundry Tray � Shower � Washer � Kitchen Sink Water Heater Disposal Water Softener Dishwasher I Wet Bar Sillcocks � Miscellaneous 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) �p�� 7�6.� 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, profd, 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 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 o this application are complete, true and correct. ApplicanYs Signature: � Date: � ^�'�� Building Official/ Inspector: Date: Page 2 � DATE TIME CITY OF ORONO CALLED IN ="y`�*� 7 �r"`. INSPECTION NOTICE SCHEDULED PERMIT NO. � - 3 COMPLEfE ADDRESS ` `�,' ,� _ "�.' ', rI OWNER TEL HONE NO� � -"�� f y CONTRACTOR � .~' � t-%'�� 7 , � u c�`n� �, DESCRIPTION t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FI LL� 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 ' EPTIC INSTALL 2 OYVNERlCOMRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: w �,/,� � �u� V- $C�.S s��i - 4�d - a o '� �`4G�'�r� V'G� �z �u� ,�'/o .yl �U ` ,�r,�'. � � �`� e ` o �-�" � ; Q —J�- � �•� v1 c� �S ho l�i�� 2 - vJQG� (�4fCV �/�l(/C �/bv�lP� . � � 9�rQ4G �/1�r �✓�`^' ��' �^'t�Jt/Irs �i rNtB � C/�C--�"' �� W�R�fS"ATISFACTORY:PROCEED ❑PRWECT COMPLEfE a ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. Q�liw �- White Copyllnspector's File Canary CopyfSfte Hotks � U --�— � �_ DATE , TIME CITY OF ORONO cnLLED IN INSPECTION NO CE SCHEDULED — �� PERMIT NO. U� -� co Ereo �-3 -1 ADDRESS D 2 OWNER L HO ENO. ��-a�a-�a�� CONTRACTOR � DESCRIPTION �L �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ TIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ CAV/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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OIMNERICOI�fTRACTOR TO MEET YCU:_YES_NO � COMMENTS: � - Ow V - 5 �5G . 6 - o � ��`- G•r �e5'6 /� /1a�iQ�� Gesr��'[ Vtrt��Q � C�� 1�- !�'1,� � OO � _ . Q O/� � �'d rttti(l!G � W W � J � �WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � �OrCARRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINf3 PERMANENT ❑COFtRECT UNSAFE CONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: Q/�-- 7*` wh+�e coprn�av.��o��ro C�nary CopylSlb Notks G� ✓ DATE TIME CITY OF ORONO CALLED IN � q�18P OTICE scHeouLen ` PERMIT N � '�� COMPLETED ADDRESS � O�WNER TELEPHONE NO. a- � COKfRACTOR � DESCRIPTION 11� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q � POURED WALL ❑ EXCAWGRADINGIFILLIN(3 O ❑ FOUNDATION WATERPROO ❑ PLUMBING FINAL ❑TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP �Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DENIO-SITE ❑ SEPTIC INSTALL Z dIMNBYCOKTMCTOR TO YEET VCU:_YES_MO � � coMMEr� ,m,�• �Y�ss�a � �s �/^� � ` ��;r� crrrs - s�� + S�lr� o " G�i�-r V�lvc� �r0��ia�cd '�a� �/�tc/a.�.r.�.y� � � 1�rav��Os w� _ � .�• -Fe� 0 56 b:�s �•• r•'��oif . /d�a•r-� � p♦ ✓�rK6rc r p�or.;o� v��( 1/I�/fllC �a✓ � �r .M :1 _ s/ �� l {�/�Or�c� � - � � Cv f re� p,�., rd✓�rJ��'�'i�c d�� /y5 . W � z � � c�.,,� rd� -� ��s oc. � Corr�� c�r�+�' �'�,�/�� , � ❑WORK SA7ISFACTOHY:PROCEED �JECT COMPLETE `�OORRECT WOf�C 8 PROCEED ❑ISSUE CERTIF�ATE OF OCqJW1NCY 0��p CORRECT YNORK,CALL FOR REINSPECTION T6iAPORARY V BEFORE O�VEFdNd PEpMANENT ❑(bRRECTUNS/1FE00NDIT10NWITHIN Ha1RS• ❑pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL IN3PECTOR ❑qTATION ISSUED O INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS. caN�u�.��no„��,�oe. (952) 249-4600 on site: � Q�i�, �5(T' YVMb OoP11��"a FlN Gmry Cop�IM Noqe�