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HomeMy WebLinkAbout2016-00358 - plumbing � CITY OF ORONO * 2 0 1 6 - 0 0 3 5 8 * �_ 2750 KELLEY PARKWAY DATE ISSUED: 04/l U2016 ORONO,MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 60 SMITH AVE PIN : 02-117-23-21-0003 LEGAL DESC : ORONO ORCHARDS : LOT 041 BLOCK 000 PERMTT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 4 WATER CLOSETS,5 LAVATORY,3 BATHTUB, 1 SHOWER,2 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS,2 FLOOR DRAINS, 2 LAUNDRY TRAYS, 1 WASHER, 1 WATER HEATER VALUATION OF PLUMBING 28250 APPLICANT PLUMBING FIXTURE FEE 353.13 STATE SURCHARGE PLBG(VALUATION) 14.13 GLACIER PLUMBING INC MAIL-IN FEE 2.00 680 VALHALLA DR NE CEDAR,MN 55011- TOTAL 369.26 (763)413-1883 Payment(s) Minnesota State License#:plbg-PC643630,mech-MB003957 CREDIT CARD 6703 369.26 OWNER MILLER,ROBERT 60 SMITH AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any rime for due cause. n�, . r— /G�'/ �� G�.,1 ( �'(I� � � � � 11 � I(� Applicant Permitee Signature Da� Issued By Signa Date i of Orono �::,�;,,., ���w:��'� ._,�;;;:,r:;,�::�;:;;::.::, � "".::,::. _;w ',:; �1.�� yry ` :�:;,:�,::�s;::� a�: FYii:�'' �y`''ii`i/ .j�' .... Ci t�/ �"1�b�;::.;;;;; ; .��:��.;�..,. - �,�,,, ' � ''i�iaie �r�.l � ,rp r�a i �� �,�.�,�,: � .::::A�.,�:,.:;:-,�LL,. r � p_o.eoX ss :A��::�'�'��- ' .���.'Y�L.�:,;::,:;«; ,:.,�:.�r., ` ,!: ��:'; � h;;�:�..,�.;:. .r::_,;.. 2750 Kelley Parkway . :; �-a ':M�:4. ^•» _ � . ,.,,,., ,.��.:: ^ �'I:.i �:hlei.:.. ....,.. . . C I B2 MN 55323 ��'ti. -� �^' 4� r� ;.��,�:r�'��;;,;:�r._�����,s;��;'�+i�:.;;;: ..a�� u�,' �a:,,,:�::;a;�rr �.n r},rn::'� ';F'w: r ..a�i.,.a.. � �� v :� -C,i�d�tr.�xu> +� k'���:�ii';',: iwJ�.er.�>:{���,�„� ' �: ..`?;>" u ! ��,,��_.��r�{: � :e f��� •' .�:a�. ','r.':s'�f�,'�: 1'.�sar ��.'-' ..., G� (952)249-4600—Main ���'d'. "Fa'N9;��'�-'�.i4...;ti;..:.� :.�;...� nn�;--�'_,�,_::„:•�, � �w�' r. (•�u;��_:�! a.5w•.��....��:�- K-1'�:fi.�d.','�"'�.i::l�:�l � sKo�` (952)249-4616—Fax ;,�;,�'M , a�,��� ��•:;.�r°:�I d"�i�;L[IKP" �y.�.�,_,�.� f�::,��:. .�;�.�� , ��� Wl.k� � ��...r.i�r,r,.,o rou. .M �����,':�,". ..ti!!`:!,' �zaa:::k.. .:.r. �,,r .."!h'. CITY p� ORONO— Pi.UMBING PERMIT (A11 Commerciat Permits hAust�be Approved by the State Prior to City Apprava{) . htto•!! dli mn aov/GG�.,DlRDF/pe �iumbplanrevaap.t�d� . :.... .....,.�.�..... , . ..iro�c�u�n.�Kc.'J.;•.s:a:�r.eMiuMu.':[ei'r... df:'Ft '::7��cJa ":�.li:::'.�r_��An��� �a%*A��:_ '!Sr.-� .........:�:. � �. ::�,-�. ;, . . �, =:���.,�� .,. . x�, ..��l.��m.<,�.r_�. �:�re`x:.. nn:,�_°��,�<.�J...}:n •"yla!ii':;!s"I�s�r_.a: r'.":Ye?,. sa � �:...�.���.. .,; :!�::s;:i��F " ,. . ' f� IrM.r. . ���•I (.µ�i�'SM '";�r�,ri,t7� �"'�•'�.�n. �R. •';�� `L�:ILY._y...41�I�pA':� '. :i'��A ,- .�. +� .� . . . ".: '�. �..c� ::I„y��. �.,�*:t'' .:.:.c"; . :p�,�s•'�,', ;'.' 2'•";.::'.p;Li� , • �•�g ;,. �� N.�ne�a.�u �:��. ��e .,e,� y�, a.a.,' r,. ..r-.- ti. . .ik�a� '� 1.. oe}. .!..... ..i.:' . '' ��,. t."tNi•�f"�E:. '_n!�.. I �:t. r:•- .,...::`':. 1. You may appiy 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 campleted. PERMI7S ARE NOT VALID UNTIL YOU R�CEIVE A P�RAAIT. WORK MUST NbT BEGIN UNTIL THE PERMIT CARO IS POSTED ON THE J4B SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contraciwrs and to property owners residing in the dwelling. 4. When any new constructian or remodeling is involved, a separate building.permit must be obtained. 5. Alf work must be done in accardance with State Code requirements. 6. All wark must be inspected and air tested before it is covered. Cali(952)2�49-46QQ. (24-48 h4ur notice required) ...........,... _. . .....��...:,.�����•r. ....... ����_��..� ,.u:,,'J:�..•:.};.,,• ��,K.�n';:.... .r .i�i':i:...;...v�.��,;,;;aih�ini;;,.-:;iw7i�'�";y:I�1.r`�'�iS -' G;i[.';":,'::. w"M,::,::,�, ,�� �;.:�:,::_;f� , ,.�.,�:,. �,.�+J',� �!�� :•;;��.•;.,w� ;` _"; �.n=a�,�QGi.i:.;.�- ,...,,,._:,:ty.,:�R;�:^.h�'`�,,:.=:;,� -:�s;:�:ve+-,l.�..�i:{;�'iw.1:".-iE�:a:�H?��""'•�l.C���:�yiF:v`�49!{F3iy rlY(.�.�J�,��}� ;{�' 4•f. 1 ��1.. �.�o:-rle^�':�w��;�����k:�..«% :9k.�rk�.���. ,.7..: <;:-��.�} .1.�� .�?�INL���1,^.�.IiA:pF v!'� �„�f1.1�.,,T�.�'ii:1••�,�'.�'�'�.'�c'e'i'+�.i.�l�?��.� �•IDi�.=ii'�ANe. i��.�L.�trlb*...lWl�ii�n�+, ..r.�ll:i�.i:.. _���.�{�,«,5:��...:;L«t,.�.�'�" m.,,..,a��a::id:::�f,•i..'aeeiia.dl.:u�„�..'":. �.a.�:�. i ra�n:,. w. -w7� w?�. � Residential []Commerclal (Approval Required) [Back�low Device: �AVB ❑�VB� (�NEw ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need rior a roval and may need CUP. (Per Orono City Code, Chapter 78, Artide IV) -'r',1'k�:�t,1'{�'"�:+��•'�.iy�,�m";y��e+' K'lr�'!yI _ ..r�'' r'1rq �ry�ii��NrAa Ifr'a'"•�L'r'iI!�r�i�� 'Cti1'v:1�iu'i•4i�R.�M:i�";::`,'r.+ �.�i_li� ��4�k'��~^ -°`o��i!��f._�:F�'li:'E�:uw;a.• Site Address: �a D J`� �� Owner: �l�Nn Mailing Address; , �O �171,� .�� -- City: Zip: Hame Phone: Q5 • ��� •�a g� Altemate Phone: ..:....�t,.:.. ......:,,..,,..: ,�„�.,;:...:� i•:�r t. • :a�;!r:z n;�y.;,r� :i. u:r�� 1...��I�.., �"r.�.. ."��N�.���y.r/i�A�\a� u •���T•+�y�.:. T�II� ��n•, ri_p . 1 . . .� r... x l:�p1l�C"��1'". . O� �� t�"?.�;;-;.�;'�;� r«.;•; ;e��� ;"�s:�.; kf. :u.Y.a'.' ' ��i�"�.... �r.s.��1�._..r,li{!.a Cantractor: �,���� ��������Con#act Person: � Address: �' g� a.�ha. e� �' State Bond #: �C CvK3(� 0 City: � ��d-�a��- ,�N _�;p: _,� ���0�� —Expiration Date: Ph�ne: ��c3��1 "���� Altern�te Phone: InSurance–Current: �-� Page 1 1 FIX'TUR� BSMT 1sr 2"D QTHER . FIX�'URE BSMT 1sr 2N4 OTH�R Typ� Floar Floor 'TYPE Floor Flpar Water Cioset l � Floor orains 1 `.- � �-� Lavatory ' ` Sewer�jector Bathtub � � Laundry Tray ' � �G �� Showe� Washer � Kitchen Sink Water Heater � Disposal � � Water Saftene� Dishwasher � Wet Bar Siltc�cks � Miscellaneous � 1. CON7RACT PRiCE " is 1.25% of contract price with a(Minimum Fea of$50.Q0) p� 8, � 5� x .0125 $ J��' i � �(contract price} (minimurn $50.00) 2. STATE SURCHARGE ��, �5� X .oaas $ 1 �(• �3 . (contract price) 3. PQSTAGE & HANDLING (Only on Mail-In Applic�tions) $ 2•�0 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � �� �� �� ' CQNTRAC7 PRICE or JOB COST means the actual flr estimated dollar amount chatged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged ta the customer for the work dane. If any material, equipment, labor or installatipns are fumished by the owner, tenant or any other patty, 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 ta the City for issuance of a Plumbing Permit, agrees to do all work in strict accord�nce with the ordinances of the City and the regulations of the State of Minnesota, and certi�ies that�11 statements made on this application are complete, true�nd correct. Applicant's Signature: '�-� p�te; � f t(�t� Building OfficiaU Inspector: pa�B�- • Page 2 � ��� � DATE TI� CITY OF ORONO cnLLED IN � � INSPECTION O CE SCHEDULED PERMR NO. � COMPLETED ADDRESS �� Sr� � � S'�'�'� OWNER TELE HONE NO. ��z-3$�/ g7�7 CONTRACTOR —�-I/) G �!� I"ll�Lf'YIlO � DESCRIPTION �1���� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL 2 OWNERlCONTRACiOR TO MEET Y�J: YES_NO v�i COMMENTS: I� .�o- "'� '� 'G- � � �k/v' ��/G S�� � � c� - o �vL ��+� �6" C1 � /��ssm.t. c�civ/nr�s �. � , ° — ���' ,.�•�' fi�� !s `lc�r •rc � Q � /'�r�p� 2 � �K --� Cc�/ � 3 � �.�QfORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � �❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑COFtRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pF{�TOTAKEN INSPECTOR WILL RERJRN ❑�ATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-4600 ctor on site: In �"'� coPynnspec�s Fl�s Cenary CopyfSite Notfee .� DATE TIME CITY OF ORONO cnLLED IN INSPECTION N ICE SCHEDULED � � PERMR NO � • �� COMPL ED ADDRESS �� � '�—' OWNER TELEPHONE NO. �� CONTRACTOR S�� � DESCRIPTION ��^�� �'�''"`F' ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd �� ❑ FOUNDATION WATERPRO PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNENCONITRACTOR TO MEET Y�WJ:_YE$_NO � COMMENT'� � � ��t•�,o.,, -�li' e � � � ,�- T a� ��� r� � , � � C�c��� � � �.�� G' C� f v{.,, ��C. ° T�� ,�.� , �� �.,, �,�.�:,. � ���.,.�.. ...���.- W ' � L �.�. Q � 2 / . � � .�a� �'4� ��c �f— be:� � �� �� �-C � j � O VMORK SATISFACTORY`.PFiOCEED � TSSIJ ECT COMPLETE W ❑CORRECT WORK a PROCEED O E CERTIFlCATE OF OCWPIINCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINa PERtiIANENT O CORRECT UNSAFE CONDITION WfTHIN H��- ❑ pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CsN for the next inspectlon 24 hours in advance. (952) 249-4600 OwnerlConfractor Qn site: Inspector: 3 S�� L. YVhits CcDYAnspector's Fils C�nary CopylSM�Notie�