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�,
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Applicant Permitee Signature Da� Issued By Signa Date
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CITY p� ORONO— Pi.UMBING PERMIT
(A11 Commerciat Permits hAust�be Approved by the State Prior to City Apprava{)
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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)
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� 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)
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Site Address: �a D J`� ��
Owner: �l�Nn Mailing Address; , �O �171,� .�� --
City: Zip:
Hame Phone: Q5 • ��� •�a g� Altemate Phone:
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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$�/ g7�7
CONTRACTOR —�-I/) G �!� I"ll�Lf'YIlO
� DESCRIPTION �1����
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑�PTIC INSTALL
2 OWNERlCONTRACiOR TO MEET Y�J: YES_NO
v�i COMMENTS: I� .�o- "'� '� 'G- �
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� �.�QfORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE
� �❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑COFtRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pF{�TOTAKEN
INSPECTOR WILL RERJRN ❑�ATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 j 249-4600
ctor on site:
In �"'�
coPynnspec�s Fl�s Cenary CopyfSite Notfee
.�
DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION N ICE SCHEDULED � �
PERMR NO � • �� COMPL ED
ADDRESS �� � '�—'
OWNER TELEPHONE NO. ��
CONTRACTOR S��
� DESCRIPTION ��^�� �'�''"`F'
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd
�� ❑ FOUNDATION WATERPRO PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNENCONITRACTOR TO MEET Y�WJ:_YE$_NO
� COMMENT'�
� � ��t•�,o.,, -�li' e �
� � ,�- T a� ��� r� � ,
� � C�c��� � � �.�� G' C� f v{.,, ��C.
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� � .�a� �'4� ��c �f— be:� � �� �� �-C
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� 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�