HomeMy WebLinkAbout2018-00168 - plumbing � � �
CITY OF ORONO * 2 0 1 e - 0 0 1 6 e *
2750 KELLEY PARKWAY DATE ISSUED: 02/16/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1720 SHADYWOOD RD
PIN : 17-117-23-21-0019
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : PLLTMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(1)BATHTUB,(3)SHOWERS,(2)KITCHEN SNIKS,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(2)FLOOR DRAINS,(2)WASHERS,(1)WATER HEATER,(1)DOG WASH
VALUATION OF PLUMBING 25000
APPLICANT PLUMBING FIXTURE FEE 312.50
STATE SURCHARGE PLBG(VALUATION) 12.50
SERVIN PLUMBING&HEATING TOTAL 325.00
24752 705TH AVE Payment(s)
DASSEL,MN 55325 CREDIT CARD 4098 325.00
(320)275-0190
OWNER
HANSBERGER,TRAVIS
651 LEXIE CT
EAGAN,MN 55123-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
tt►e approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
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 construcNon 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. �
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Appli t Permitee Signature Date Issued B� Si ature Date
� . �
�pN City of Orono FOR C US� NLY�
O P.O.Box ss Date Received: /�
2750 Kelley Parkway ` ��j
y Crystal Bay,MN 55323 Permit# O
c� (952)249-4600-Main
R��kaseoa�' (952)249-4616-Fax ApProved By:
Amount$: -� • BT�
CITY OF ORONO-PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State P�(or to City Approval)
htto:/lwww.dli.mn.aov/CCLD/PDF/ne ulumbolan�evann.ndf
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offlces. Applications wiil be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTiI 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 bullding permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. Ali work must be inspected and air tested before it 1s oovered. Call (952)249�600.
(24-46 hour notice required)
TYPE OF PERMIT(Check All That Apply)
�.Residential ❑Commercial(Approval Required) [Backflow Device:�AVB ❑PVB]
�New ❑Additionai ❑ Repairs ❑ Replace
❑ In Accessory Structure?
'You will need crior annroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Infonnation:
Site Address: � 7-2 � Sttrraya..�on p ��.
Owner. r"��SBE��[-G E� Mailing Address:
City: Zip:
Home Phone: Altemate Phone:
Contractor Information:
Contractor: s��✓�^� ���,�►t, � N���t► Contact Person: ���� 3?�• l�,Zt�-SZ2�/
Address: 0�'�7�2 7o f'-� A�� State Bond #: -7�l S�Z 3L PG�ys'7f�
City: AA'S S CL Zip: S�53Z.f' Expiration Date: /-�- 2`�'
Phone: �2 �- �'I130 - ��O(o� Altemate Phone:
❑ Insurance-Current: _ ��'�in��E6L lM,,,.�rk.,��
Page 1
r . '�4
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT �sr 2No pTHER FIXTURE BSMT �sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � � Floor Drains 2
Lavatory � S Sewer Ejector
Bathtub ( Laundry Tray
Shower 3 Washer � j
Kitchen Sink Z Water Heater �
Disposal I Water Softener
Dishwasher � Wet Bar
Sillcocks Z Miscellaneous D��
�,!�s r+
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Mintmum Fee of a50.00)
� � 5� "�� x .0125 $ 3 �250
(contract price) (minimum $50.00)
2. STATE SURCHARGE
/2 ��
x .0005 $ �
(contract price)
3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 3'� � �
* 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 and the regulations of the State of Minnesota, and
certifies that all statements made on this application are complete, true and correct.
ApplicanYs Signature: Y ` '^ ���` Date: �` ' �v �B
Building OfficiaU Inspector: Date:
Page 2
INSPECTION NOTICE
DATE TIME
CITY OF D/rD�d CALLED-IN
SCHEDULED �%�
PERMIT NO.�iK `�1�� COMPLETED � 'I�
ADDRESS /7a� �Sll.t,c�y� �F • 1P� \
OWNER/CONTR. .SGrd�n, 10�.
❑SITE INSPECTION O MECHANICAL RI ❑REINSPECTION
❑CONC SLABS O MECHANICAL FINAL ❑FOLLOW-UP
❑FOOTING ❑INSULATION ❑COMPLAINT
O POURED WALL O RATED ASSEMBLY ❑FIREPLACE
❑FOUND.DRAINAGE 0 BUILDING FINAL ❑SPRINKLER SYSTEM
❑FRAMING ❑SEPTIC INSTALL ❑
� O SHEATHING ❑SEPTIC FINAL �
�LUMBING RI ❑S&W HOOKUP ❑
� ❑ LUMBING FINAL ❑GAS LINE MANOMETER ❑
o COMMENTS:
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� FURTHER CORRECTIONS MAY BE REGIUIRED ❑ PERMIT FINALED
��VORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
p ❑CORRECT WORK&PROCEED
V ❑CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr.on site:
Inspector: �.s...o�—' _
�, _� s�-
DATE TIME
CITY OF ORONO CALLED IN -�✓?' - g��gp
INSPECTION�� ^�q.j�//„�SCHEDULED �J � /\'�l a ��.
PERMR NO. ���d<<� COM ETED
ADDRESS �� � �o�- d-
OWNER �� _�II,.�PHONE NO. �����g
CONTRACTOR (���J� Q
� DESCRIPTION �i"'�' OV - pd�j/�
4~j ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE v❑ PLUMBING F�NAL ❑ 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 �
? OWNERICONTRACTOR MEET Y�OU:_YES_NO
y COMMENTS: •C�• � . v
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W� ❑W'ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
��ECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK�LL FOR REINSPEC710N TEMPORARY
V BEFORECObERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advar�e. (952) 249-4600
OwnedContra�tor on site:
Inspector:
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