HomeMy WebLinkAbout2014-00397 - plumbing � ., CITY OF ORONO * Z 0 1 4 - 0 0 3 9 7 *
2750 KELLEY PARKWAY DATE ISSUED: OS/05/2014
ORONO,MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 1245 SIXTH AVE N
PIN : 26-118-23-34-0007
LEGAL DESC : AUDITOR'S SUBD.NO.291
: LOT 000 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (7)WATER CLOSETS,(4)LAVATORIES,(I)SHOWER,(3)KITCHEN SINK,(1)DISPOSAL,(2)
DISHWASHERS
VALUATION OF PLUMBING 16820
APPLICANT PLUMBING FIXTURE FEE 210.25
STATE SURCHARGE PLBG(VALUATION) 8.41
SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00
6219 CAMBRIDGE ST
ST. LOUIS PARK,MN 55416- TOTAL 220.66
(952)926-4488 Payment(s)
CREDIT CARD 3074 220.66
OWNER
GRANT,PETER
1245 SIXTH AVE N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signatu Date Issu By Signature Date
May 05 2014 3: z5PM HP LRSERJET FRX p. 7
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City o[Orono
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2750 Kelley Parkway -
G}ystal Bay,MN 55323 APP�'�d 1��; .A�adooit'$.•
(952)249•4600—Main
(952)?,49-4616—Fax
c� CITY OF ORONO—PLUMBING PERMIT
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�'� S�a�� (All Commercial Permits Mwt be Approved by the State Prior to City Approv 1)
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1. You may apply for plumbing permits by mail or in person at the City offices. Applications will
reviewed and a ptrmit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMTIS ARE NOT �
VALID UNTII.YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POST�D ON TIiF JOH SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and ta property owne
residing in the dweliing.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained. �
5. All work must be done�accordance with State Code requiremems.
6. All work must be inspected and sir tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
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�esidential ❑Commercial(Approval Requirad)
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❑Ncw ihona] ❑Repairs �Replace
❑ In Accessory Structure?
"You w�l need nrior annroval and may need�1P,.(Per Orono City Cod.e,Chapter 78,Article IV)
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Site Address: o�� � l�T� I
4wner �C�a�' Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
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Contractor: C�`l.�'!�t��k,�� Contact Person: l..E �5
Address: ll.o"��C�fi7�►�l�J� State Bond#: .,,�— d0�-
City: 1�8�-�Zip:��1�o Expiration Date: %/ 1(�
Phone: �� '����� Alternate Phone: '��'���
�� Insurance-Curretrt: J�
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May 05 2014 3: 26PM HP LRSERJET FRK p. 8
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FIXTURE BSMT 1 2 OFI�R FIXTURE BSMT 1 2 O R
TYPE FL FL TYPE FL FL
Water Closet � � 3 Floor Drains
Lavatory � � � Sewer Ejector �
Bathtub Laundry Tray
Shower I W��r
Kitchen Sink ,•� Water H�ter
DisPo� � Water Saftener
Dishwasher � Wet Bar
Sillcodcs Miscetlaneous
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❑ Yes,this sectian applies I
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The replacement of only one Residential fixt�xre or applisnce that meets all the�ee of the following �
requirernents: I
1. s not reyuire modification to electrical or gas service. I
2. Has a�of$500.00 or iess;excludine the cost of the fixture or appliance:and
3. Is improved,instelled or replacad by the homeowner or liconsed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Tot�l Perm[t Fee $ i
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(Permit Fees Coatinued On N�t Page)
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May 05 2014 3: 26PM HP LRSERJET FRX p. 9
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If above dces not Eollow �delines below: �
aPP1Y� Bu
1. CONTRACT PRICE "is l.25%of contract price with a(Minirnum Fee olSS0.00) i
_ (P.�� � x A I25$ .�
(contract price) (u�iei�rum S�O.UO)
2. STATE 3URCHARGE ��}r.� X.0005 $ a •�l
sv I
(connacc prico) "�—
3. POSTAGE&HANDLINCi(Only on Mail-In Applications) $ 2,pp I
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �iw,�a �
■ * CONTRACT PRICB or JOB COST m@ans the actual or estimaUed dollar amount charged for e
permitted work including mata�ials, labor,pmfit,and other fixed costs. It is the amount to be charg
W the customer for the work dane. If any material, equipment, labor or installations are fumished y
the owner,tenant or any other paRy,the reasonable market value of such itecns must be added to 0
estimated cost or contract price for permit fee purposes. In ti�e event diat there is a dispute an e
amouni of the job cost, the City may reqaest the submissian of a signed copy of the actual con .
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ll
work in strict accordance with the ardinances of the City and the regulations of the State f
Minnesata, and certifies that all statements made on this application are complzte, true d
correct.
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Applicant's Signature: Date: ���`� I
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' J5.. ;T5 TIME
CITY OF ORONO CALLED IN `t
INSPECTION OTIC �HEDULED -�b-_� �
PERMIT NO. � �003 f COMPLETED
ADDRESS �z�S ��'�— �� /�
OWNER TELEPHONE NO.4�Z�8� �9z
CONTRACTOR S e��� /"��G�-
� DESCRIPTION �� /`�
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� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RA N SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FI AL O SEWER HOOK-UP ❑ COMPIAINT
v ❑ EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
iDEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
2 ERfCONT1UCTOR TO MEET YCU:_YES_NO
y COMMENTS:
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� FiKSATISFACTOFlY:PROCEED O PRWECTCOMPLEfE
W RRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance. (95 ) 249-4600
OwnerlContractor on site:
Inspector:
YVhite Copyllnspector's File Canary CopylSite otiee
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� DATE I �IME
CITY�''F ORONO CALLED IN V
�1SP ^TION NOTICE SCHEDULED
PERM�NO. nnP ED
ADDRESS ��'� ��
OWNER TELEPHO N
r �
CONTRACTOR �/��tl �
� DESCRIPTION
�
� ❑ FOOTING MBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ HANICAL RI p LAKESHORE/WETLANDS
❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑UVORKSATISFACTORY:PROCEED OJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours' advance. jg52) 9-4600
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notiee