HomeMy WebLinkAbout2017-00471 - plumbing * 3
CITY OF ORONO * 2 0 1 7 - 0 0 4 7 1 *
2750 KELLEY PARKWAY DATE ISSUED: OS/09/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2010 SHORELINE DR
� �PIN : 10-117-23-31-0001
L�C�AL DESC : LJNPLATTED 10 117 23
\ : LOT 000 BLOCK 000
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PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)KITCHEN SINK,(1)DISHWASHER,(1)LALTNDRY TRAY,(1)ICE MAKER LINE
VALUATION OF PLUMBING 4500
APPLICANT PLUMBING FIXTURE FEE 56.25
STATE SURCHARGE PLBG(VALUATION) 2.25
A JOHNSON PLUMBING INC
17285 211TH AVE TOTAL 58.50
BIG LAKE,MN 55309- Payment(s)
Minnesota State License#:plbg-PC642542 CREDIT CARD 3222 58.50
OWNER
REDMOND,THOMAS
2010 SHORELINE DR
WAYZATA,MN 55391-
AGREEMENT A1vD 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 sepazate
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 construction is
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conf ce with the State Building Code.This permit may be
revoked at a ime fo due cause.
.
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Applicant Pe i ee Signature Date Issued By Si ature Date
� �pN City of Orono FOR C TY USE ONLY
O P.O. Box 66 Date Received: _�/`7-D"� �7 f
2750 Kelley Parkway
� Crystal Bay, MN 55323 Permit# �i�-/�
y o�Z (952)249-4600—Main
���kESHO�f' (952)2a9-4616-Fax Approved By:
Amo�nt$: J`��l i 5
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approvai)
htta:Nwww.dli.mn.aovICCLD/PDF/pe qlumbplanrevapn udf
GENERAL FNFORMATION
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 PERMfT. 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)
r�
�"Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑ Additional Repairs eplace
❑ In Accessory Structure?
*You will need nrior aaaroval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Owner ln#orma#ion:
Site Address: �G� C� ,S'��;,� .� (�/'.`J e
Owner: Mailing Address:
City: �C�n-� Zip:
Home Phone: Alternate Phone:
Contractor lnforma#ion:
�
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Contractor: (� � Conta�t Person: �,�,���,^
Address: ��o2�i��1 � .�J-� State Bond #: _�C �Ua.�`�a
City: �>u ��,_�_p Zip: �,��� Expiration Date: l��31' �
Phone: �ola�-�2�5��7 Alternate Phone:
�nsurance— Current: _ J`�c,-�� CJu�il4t. S
Page 1
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FIXTURE BSMT 1ST 2ND OTHER FI�PE E BSMT Floor Floor OTHER
TypE Floor Fioor
Water Closet Floor Drains
Lavatory ` Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscella�i�us �
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1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00)
`�,5.7;�''< d(� x .0125 $
contract 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.
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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 ma on this ap lic tion are complete, true and correct.
%"�/ Date: ���� � /
Applicant's Signature: -�--�—
Building Official/ Inspector: Date:
Page 2
J-5 ���----
DAT TIME
CITY OF ORONO / cnLLED IN — -� =1�
INSPECTION N C,� .�`��/`7 SCHEDULED
PERMIT NO. 7 I C PLETED �-��-/�
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ADDRESS ��
OWNER TEL PH NO. " �1 aI— �
CONTRACTOR - �`
� DESCRIPTION �
4� ❑ FOOTING ❑ DEM FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN�
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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 dWNEAICOKTRACTOR TO MEET Y�OU:_YES_NO
� COMMENT'�
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��WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLEfE
W ❑CORRECT YMORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANC�
O ❑CpqqECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERINd pEqAtANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REWIAED.CALL TO ARRAN(3E ACCESS.
CsM br the next Mspection 24 hours in advance. (952) 249-4600
OMn�rlContractor on site:
Inspector. /'�c�r/� �•
WMt�CcDYMspseta's FlM C�n�ry CopyfSlb NoNa