HomeMy WebLinkAbout2018-00268 - plumbing � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 2 6 8 *
DATE ISSUED: 03/12/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1480 SIXTH AVE N
PIN : 26-118-23-32-0008
LEGAL DESC : DOUGLAS ESTATES
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER
VALUATION OF PLUMBING 6100
AP�LICANT PLUMBING FIXTURE FEE 76.25
STATE SURCHARGE PLBG(VALUATION) 3.05
B&D PLUMBING&HEATING INC. IVI,AIL-IN FEE 2.00
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- TOTAL 81.30
(763)497-2290 Payment(s)
Minnesota State License#:mech-MB003016 CREDIT CARD 6866 81.30
OWNER
GULBRANDSON,DAN&ERICKA
1480 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 dces
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances governing this type of work
shall be compied with whett►er or not specified herein.l'his 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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Applicant Permitee Signature Date Issued By S' ature Date
From:7634974263 03/12/20�8 OS:O5 #225 P.005/006
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�pN City of Orono FOR, ITY, SE` LY
� P.O. Box 66 pat8'R�CeiYBd.;���'"��
2750 Kelley Parkway pery��t# ����'"✓���
Crystai Bay,MN 55323
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`�'f SHOQ'E (952)249-4616—Fax APP; � .` ::
Amount$:, ' �Y
CITY OF OROPIO—PLUMBING PERMIT
(A{I Commercial Permits Must be Approved by the State Prior to City Approvai}
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GEN�RA� 1NFORMATIQN
1. You may apply for plumbing permits by mail or in person at the City offces. 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. V�1 ORK AAUST NOT BEGIN UNTiL THE PERMIT CARD IS
POSTED ON THE JOB 81TE.
3. Plumbing permits may be issued ONLY to licensed ptumbing 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. AI(work must be done in accArdance with State Code tequirements.
6. AI!work must be inspected and air tested before it is covered. CaA (952)249-4600.
(24-48 hour notice r�equired)
TYPE OF PERMlT(Clieck Ai�That Appty)
❑ Residential ❑ Commercial (Approval Required) [Backflow Device:�AVB ❑PVB]
❑ New ❑Additional ❑ Repairs �Replace
❑ In Accessory Structure?
`You will need arfor aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site!Qwner Informat�pn:
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Site Address `1`��� �� � ' I`� S
Owner: �`�'``` G`''I �"•'"^�S�:� Maifing Address: �Y�`� C��' ���'� I`�'
City: L<t��`J �.-�-�-� Zip: 55 �.� � �
Home Phone: ��� �3`���'�h '! Alternate Phone:
Contractpr`lnformation:.
Contractor: Q�•� P! �'"�''"���. E�c'E��}"�5 �, ��� Contact Person: `��_x?� �`�s�r�'�
Address: � � y� �"}i`���'�z:�. �-,� �"'� State Bond#: ���� � a `b�
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City: 5� ' rv i , �"��`.�'� Zip: S�3"��' Expiration Date: ����'l/J�'
Phone: �C-5 ��(��- '����1� z �l- +3�'�
Alternate Phone:
❑ Insurance—Current:
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From:7634974263 03/�2/2018 08:06 #225 P.006/006
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FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2No OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � Floor Drains
Lavatory a- Sewer Ejector
Bathtub Laundry Tray
Shower j Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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a e..�. ..� '.31��r �'z:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00}
���� ! C�� . `�`� x .0125 $
(contract price} (minimum$5�.00) ,
2. STATE SURCHARGE '
� �� f ��``� � .�,c_�
x .0005 $
(contract price)
3. POSTAGE 8 HANDLtNG (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 cha�ged 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. lf 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 alf statements made on this application are complete, true and correct.
ApplicanYs Signature:��`--r �l`"-- Date: 3�a�� �
Building O�cial/Inspector: Date:
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� DATE TIME�
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � �
PERMIT N��`1.� 60�0� COMPLETED
ADDRESS I�-F�O ���-�`�_�,
OWNER TELEPHONE NO. ��2 ' �2-� ��
CONTRACTOR � �
� DESCRIPTION __�� � r'�/'��'`�'���
W ❑ FOOTING ❑ DEMO-FINAL , ❑ SEPTIC FINA,�
Q ❑ POURED WALL PLUMBING�FD ❑ EXCAV/GRADWG/FILLING
�3 ❑ FOUNDATION DRAIN TILE PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
�.�r6RRECT 1NORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
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. (g52) 249-460�
OwneHContractor on site:
Inspector: i�w �
White CopydnspectoPs Flle Cenary CopylSlte Notice