HomeMy WebLinkAbout2016-00985 - plumbing CITY OF ORONO * Z 0 1 6 - 0 0 9 8 5 *
,� 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2100 SIXTH AVE N
PIN : 27-118-23-31-0024
LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW: 1 WATER CLOSET, 1 LAVATORY, 1 SHOWER
VALUATION OF PLUMBING 1600
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.80
WELD& SONS PLUMBING CO INC. TOTAL 50.80
3410 KILMER LANE N
PLYMOUTH, MN 55441- Payment(s)
(763)475-0296 CHECK 10443 50.80
Minnesota State License#: plbg-PC646375,mech-MB003315
OWNER
Orono Woodlands
2100 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 additiona►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 atter work has commenced.
The applicant is responsible for assuring required inspections are
requested in conformance with th State: uilding Code.This permit may be
revoked at a y time for due cau . ���
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Applicant Permitee Signature Date Issued By Signature Date
�pN City of Orono FOR CITY USE ONLY
O P.O. Box 66 Date Received: �' ����(i3
2750 Kelley Parkway Permit# `G��(�� "-��J �
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Crystal Bay, MN 55323 �
'"�^ �� (952)249-4600—Main Approved By: - C `-�--J (�
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Amount$: � . ; �
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 return 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 invoived, 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)
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� Residential �Commercial (Approval Required) [sackflow Dev�ce: ❑AVB ❑ PVB]
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�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: Z 1�� CoU/1 �`y I�� �O
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �Pil� � �o�,s P1 vM�j��9Contact Person: I�A ✓K
Address: � /�� �� �►��` �-h� �tl State Bond #: /�'�� O�3/S
City: P�� ru o J� Zip: S�'� �I Expiration Date: �-����
Phone: 7� 3 �}7.� O 2 �� Alternate Phone:
� Insurance — Current: c�. Sc�a� � �✓t f �h
Page 1
•FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
' TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
�(� �Q� OC�c .0125 $ S� . O �
(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) $ c.�� � g�
'` 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.
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: �~'" � Date: 8-1 7�1�
Building Official/ Inspector: Date:
Page 2
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CITY OF ORONO CALLED IN L'
INSPECTION NOTICE `. SCHEDULED _S��c ___��
PERMIT NO. :` �:I Ir, �f_j:�►''��COMP ETED
ADDRESS G�i �i`� :�Z> J �
OWNER TELEPHONE N/O. �`� 7� �/fo
CONTRACTOR � ( �
� DESCRIPTION v��-� � �
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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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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W� �RIESATISFACTORY:PROCEED QK 5�CG ❑ PROJECT COMPLEfE
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V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector. � r-- �
White Copyllnspector's File Canary CopyfSite Notice
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CITY OF ORONO CALLED IN �'1' � �
INSPECTION NOTIC scHEnuLED -�y l�C� �!�
PERMR NO. —� �COMPLEfED ,
ADDRESS �/� Q�(J`'C-
OMINER ELEPHONE N0.7� ��ay�
CONTRAc'roR �1 N QJti�
`' DESCRIPTION � " f�
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ CAV/GRADIN(iIFILLIN(3
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
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� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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W ❑W�ORK SA7ISFACTOHY:PROCEED �ECT COMPLETE
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D ❑OOF�ECT WORK.CAII WR f�INSPECTION TEMPORARY
L ����N� PERMANENT
❑(�ORRECT UNSAFE CONDI'T10N WITHIN HOURS. p PHOTO TAKEN
INSPEC7OR WILL RETURN
❑STOP ORDER P08TED.CALL INSPECTOR ❑GTATION ISSUED
O INSPEC110N REOUIRED.CALL TO ARRANOE ACCESS. •
c•sll tor the next Mspection 24 hours�n advanoe. (952) 249-4600
on site:
Inspector:
YVhlh CaP1���V��Flb ��ry C���
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DATE TIME
CITY OF ORONO LED IN
INSPECTION OT E Q SCHEDULED ==_.-1�
PERMtT NO. ` COMPLETED
ADDRESS � l �d �
�NNER TELEPHONE l a'�6 7 �
CONTRACTOR
�' DESCRIPTION '� � "`' '- ����
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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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
W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL
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V BEFORECOVERINO PEqMANENT
❑CORRECTUNSAFECONDCTIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR YVILL RETURN
❑3TOP ORDER POSTED.CALL INSPECTOR �aTAT10N ISSUED
❑INSPECTION REQUIRED_CALL TO ARRAN(iE ACCESS.
Call for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
InSpeCto�: /'"�j.!'ir•C/ G.
YYhit�CopyAnapactor's Flh Canary CopylSib Noda