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HomeMy WebLinkAbout2016-01518 - plumbing CITY OF ORONO * 2 0 1 6 - 0 1 5 1 8 * 2750 KELLEY PARKWAY �ATE [SSUED: 12/OS/2016 �- ORONO, MN 55356- f (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3010 SOMERSET LA PIN : 04-117-23-22-0029 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)WATER CLOSETS,(3)LAVATOIRES,(1)BATHTUB,(1)SHOWER MATER BATH REMODEL-ROUGH-IN AND FINISH REPLACE TOILET AND LAV IN 1/2 BATH VALUATION OF PLUMBING 3200 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.60 LEGEND SERVICES,INC 201 N MEDINA ST TOTAL 51.60 P O BOX 382 Payment(s) LORETTO, MN 55357- CREDIT CARD 5960 51.60 (763)479-5002 Minnesota State License#: mech-MB005090 OWNER BUTLER, PATRICK&JILL 3010 SOMERSET LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali 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 are requested in conformance with Ihe State Building Code.This permit may be revoked at�ny time for�cause. ��i ���? ���� �, ,) `/�-��t;t.C`--� j � G=-- �D �� ; ` � � � � l Applicant Permitee Signature Date Issued y Signat re Date Dec 05 16 12:45p Legend Services Inc 763-479-6003 p.2 �/�Q�. City of Ofono FOR CiTY USE ONLY r �� P.o� �nx 66 Date Recenred: —� � '.y�11 '�� 2750 Kelley Parkway ;� Crystal Bay,MN 55323 Permit# f -dlJ�� ��� t� (952)249-4600—Main A ro�ed B : �1( � k�r�*��,�' (952)249-4616—Fax PP Y .� Amount$: � �' � CITY OF ORONO — PLUMBING PERMIT (A!I Commercial Permits Must be Approved by the State Prior to City Approval) t�ttp:llwww_dli.mn.qov/CCLDlPDFIpe plumbplanrevapp.pdf GENERAL INF��MATI�N 1. You may apply for plumbing permits by mail or in person at fhe Ciry o#fices. Applications wila be reviewed and a perm�t will be issued within two working days. 2. Permit cards will be sent by retum mail atter a reyiew is completec3. PERMITS ARE NOT VALID UNTIL YOU RECE�VE A PERMIT. WORK MUST NOT BEGIN UI�ITlL THE PERMIT CARD IS POSTED ON THE JOB SfT�. 3. Plumbing perrnits rnay be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. 1Nhen any new construction or remodeling is involved, a separate building permit mus#be obtained. 5. All woric must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call{952) 249-4800. (24-48 hour notice required) �_ TYPE OF PERMlT(Check All That Apply) �esidential ❑ Commercial (A�proval Required} [Backflow Device:❑ AVB ❑PVB] ❑ New ❑Additional ❑ Repairs [Replaoe ❑ �n Accessory Structure? "You wili need prior aqproval and may need CUP. (Per Orono City Code, Chapter 78, Ar�icle I� Job Site /Owner Information: Site Address; 3�'�� Se��-�-�-j L n� Owner: ���-f�`� Mailing Address: �%� �� -� b�'� City: Zip: Home Phone: Alternate P�one: Contractor Information: Contractor: _���j�:l� ����<<rs, ..:tr-� Contaot Person: ___C��l��- Address: �1 ,1��°x 3�1�2 St�ate 8ond#: ('L 6 Y�j5r1/ City: Lc�� � Zip; SS3S 7 E�iration Date: � 3�-f7 Phone: 7�3 -�/7`-�Pd� Alternate Phone: [�`Insurance—Current: ���'c 4��v-nf-�-S Page i Dec 05 16 12:45p Legend Services Inc 763-479-6003 p.3 PLUMBING FIKTURES BElNG INSTALLED � FIXTURE BS14AT �sr ZND OTNER FIXTURE BSMT 1ST 211D OTFfER TYPE Floor Floor TYPE Floor Floor Water Cioset � 1 Floor Drains Lavatory � ,;� Sewer Ejector Bathtub � Laundry Tray Shawer � Washe r Kifchen Sink Water Heater Disposal Water Svftener Dishwasher Wet Bar Silloocks Miscellaneous �!�' �-$K�t V.'+ft• �Q✓i't4'� - n-L t�ie;:sh — �f'=�F�cx (Z�le.<?i c �t�(,r ,;v �.2 � C�� PERMIT FEE CALCULATION 'I. CONTRACT PRlCE '" is 1.25% of contract price with a(Minimum Fee of$50.00� � 3�0�> X .0�25 $ ��% (contract price) (minimum$50.00) 2. STATE SURCHARGE �� 3�uC� �° x.0005 $ 0: (contract price) 3. POSTAG�8 HANDLING (Only on MaiE-In Applications) $��� 4. TOTAL PERMIT FEE �Add Lines 1-3 Above) $ �lx �� * CONTRACT PRICE or J�B COST means the actual or estimated doilar amount charged for the permitted work including materials, labor, profit, and other fxed costs_ It is the amo�nt to be charged to the customer for the work done. {f any material, equipment, labo� or Enstallat9ons are fumished by the owner, tenant or any other party, #he reasonable market value of such items rnust be added to the estimated cost or contrac! price far permit fee purposes. In the event that there is a dispute on the amount of fhe job cost, the City may request the submission of a signed copy of the acival contract. �LUMBING PERMIT APPLICATfON AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordanc� with the ordinances of the City and the regulations of the State of Minnesota, and cert�es that a9!statements made on this application are complete, true and correct. Applicant's Signature: r/��' /�cz��� , � -1� ✓ Da#e: ��- Building �ficiall Inspector: Date: Paye z �� � ,_`��--.___'---_ --��_K.s DATE TIME CITY OF ORONO cnLLED IN �� INSPECTION NOTICE l� SCHEDULED 7 -/� //��=�Z� PERMIT NO. �� �'� � �MPLETED ADDRESS ,��D`� ��l��l S-�7� Ci�LI� OWNER TE EPHONE N0.��3�7�5�� CONTRACTOR �'�y� � DESCRIPTION ��5�.'vl ` ty ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERlCOKiRACTOR TO MEET Y�U:_YES_NO � COMMENTS: U�.S �!R�i — � IN�S�r /1 a�i� Ye �— j D ��/- 1�� �xz�e��Lc �4 ���� �' � e�x.r 6'��K y Ig-B S sGA- �U - � 0 � _ ven�"�Hf n�C �'!� ✓vo� � -�-�<s �� — iC�vi�i i.r��a i � S��e-s�io�e i�/J• �.�J h� •t � �f��`� �o�.t�if,e r -F -f�✓�c vor'�-� � - � �K -� ror►��K�� �r%�fidlTISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT YMORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HWRS. p pHpTOTAKEN INSPECTOR WILL REfURN �STOP OR�ER POSTED.CALL INSPECTOR ❑GTATION 15SUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advsr�ce. (952) 249-4600 OwnerlContractor on sfte: Inspecta: �'''" WINts CapyMnapecMrs FlN Canary CoprlSib NoRkx � �-- � '�'`�y} DA � TIME ITY OF ORONO CALLED IN _� INSPECTION TI (�HEDULED �-' �C����� � � �n PERMITNO. �15 �cOMP � ADDRESS �` � ��'�� �NNER ELE ONE NO. 7y `� 2' CONTRACTOR � � t�`' DESCRIPTION �'�'�° - � y ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER�CONTMCTOR TO MEET YOU:_YES_NO �� COMMENTS: � � /� .M � , o " � � '.� �� �` n-'�-'G 1 ' �"�'� � `D��:; �J` ' p " �.+ '� ��' �� �,[. ,c � �' ., s j Q � W � W � � W �IORK SATiSFACTORY:PROCEED ❑PROJECT COMPLEfE W�a CORRECT WORK 3 PHOCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY O ❑f�RRECT NfORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERINO PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{OTO TAKEN INSPECTOR WILI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on ite- Inspector: i� :��L VYhits CopyAnspector's File Canary CopylSits Notice �' � DATE TIME CiTY OF ORO O cnLLED IN a—�r'1� INSPECTION NO ICE� r SCHEDULED �'�b —1 7 /b' � PERMfT NO. � COMP TED ADDRESS �d�� ��� OWNER TELE H NE NO� � �� CONTRACTOR I��-L��C� 4�`' DESCRIPTION � j ❑ FOOTING ❑ DEMO I AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM RI ❑ EXCAV/GRADING/FiLLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WAILS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERICOKTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � - ; � � -li j -- d O /L � �j � � /�, � � /Cl .C✓` .v� !/ "'C.�!7 W � �:l ^ .iv` Q 2 ... ��s � ;�- � � � � _ �,. � � ❑WORK SATISFACTORY: ED �W ECT COMPLETE � ❑CORRECT WORK 3 PROCEED ISSUE CERTIFlCATE OF OCCUPANCY O ❑WFlRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C01/ERINO PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHpTOTAKEN INSPECTOR NfILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CAIL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advanoe. (952) 249-46�� OvvnerlContractor on s : Inspector. �� ' White CopYAnspector's File C�nary CopYlSib Notks