HomeMy WebLinkAbout2017-01472 - plumbing .r�
' CITY OF ORONO * 2 0 1 7 - OJ 1 4 7 Z *
2750 KELLEY PARKWAY DATE ISSUED: ll/13/2017
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2070 SHORELINE DR
PIN : 15-117-23-21-0005
LEGAL DESC : HARTWOOD
: LOT 006 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 22 FIXTURES
WATER CLOSET(5),LAVATORY(8),BATHTUB(3),SHOWER(1),KITCHEN SINK(1),DISHWASHER(1),WASHER(1),WATER
SOFTENER(1),WET BAR(I)
VALUATION OF PLUMBING 6500
APPLICANT PLUMBING FIXTURE FEE 81.25
ENM PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 3.25
120 TODD TOTAL 84.50
NEW MARKET,MN 55054- Payment(s)
(612)396-5748 CHECK 3795 84.50
Minnesota State License#:plbg-PM 066812
OWNER
HIRSCHMANN,MARK&KEELY
2070 SHORELINE DRIVE
WAYZATA,MN 55391-
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 sepazate
permits. All provisions of laws and ordinances governing this rype 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 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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App ' ant itee Sig re Date Issu� By Signature Date
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!�p� City of OrOno FOR CITY USE ONLY
� O�`. P.O. Box 66 Date Received: �'�-I�- I 7
�� � `�� 2750 Kelley Parkway Permit# OZ� 7�7�
�,-.� ; - Crystal Bay, MN 55323 �—
\'��� ,,� ' (952)249-4600-Main Approved By: `
�.'K�,H�,"`:� (952)249-4616-Fax
Amount$: ��S�'{• �
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 retum 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:___�� �[/ .S�i6r�O�„�.� ��-
/� �iirSC�► �'►ynn
Owner: ��''�� � �1���,/ Mailing Address: __ �� �� S�o�� ��.��. ,��
City: ���'�(� Zip: ����
Home Phone: Alternate Phone:
Contractor Information:
Contractor: E✓Uti, P���n�n i-�( LL � Contact Person: �
�✓ � �/'r�S t�_�_�e,�,��>
Address: l�(�T�>�dt� P� State Bond #: � Q��' ���
City: /1/� /L�q�� �� Zip: S50S y Expiration Date: /�-31—/ g
Phone: �,/�3�� " S 7�/�j Alternate Phone:
❑ Insurance — Current: �!�l�-�1 �f� ���fi �,�;� �T vLi��h���� I`t�' �'�G�� 1,��
L��ha�,�i�;'�.2/ S�Oyy
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PLUMBING FIXTURES BE1NG INSTALLED
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � 3 Ffoor Drains
Lavatory �j Sewer Ejector
Bathtub 3 Laundry Tray
Shower � Washer !
Kitchen Sink � Water Heater
Disposal Water Softener
Dishwasher / Wet Bar
Silicocks Miscellaneous
„�" , PERMIT FEE CALCULATION ' �
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE & HANDLING (On►y 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.
PLUMBING PERMIT APPLtCATION 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 thi pplication are complete, true and correct.
ApplicanYs Signature: � Date: �`� --
Building Official/ Inspector: Date:
Page 2
�/ DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION N TI SCHEDULED � _•��
PERMfT NO. '" � COM LETED
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ADDRESS �D�� ,� //L.SZ f`.
OWNER TELEPHONE NO.�l�3l��_7r�
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CONTRACTOR �
� DESCRIPTION
ty ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
i 01MNERlCONTMCTOR TO MEET YiOU:_YES_NO
� COMMENTS: -
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W �MIBRK SATISFACTORIP.PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK d�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
W
O O OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERINd PERMANENT
❑(�RRECT UNSAFE CANDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REQUIREO.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advarx�.. (952) 249-4600
OwneNCorttrsctor on site•
i
Inspector.
White CopyAnspecMrs FlN C�nary CopyfSiM Notkx