HomeMy WebLinkAbout2017-00450 - plumbing CITY OF ORONO * z 0 1 7 - 0 0 4 5 0 *
� 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2040 SPATES AVE
PIN : 10-117-23-31-0090
LEGAL DESC : ORA PARK ON LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIY TYPE : WATER SOFTENER
NOTE: NEW: WATER SOFTNER
VALUATION OF PLUMBING 2500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.25
DON STODOLA WELL
3841 N. MAIN ST TOTAL 51.25
ST. BONIFACIUS, MN 55375- Payment(s)
(952)446-9355 CREDIT CARD 6279 51.25
OWNER
DAMMEN, SUSAN
2040 SPATES AVE
WAYZATA, MN 55391-
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 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conforman e with the State Building Code.This permit may be
e e for e cause. / )
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Appl�cant Permitee Signature Date [ssued By Signature Date-�
�p� City of Orono FOR CITY USE ONLY ,�
� O P.O. Box 66 Date Received: .:? ( / J •��-,!��L )
2750 Kelley Parkway r�
y � Crystal Bay, MN 55323 Permit# �%`.,��7
c,` (952)249-4600—Main '--
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Amount$: j! �`.�?
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 involved, 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)
� Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
[�New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/ Owner Information:
Site Address: � o`�� 5��4-�S ;q-�_ O �'an p SS3�J
Owner:C,T}��,�•s a �•�s�cr �� Mailing Address: �S►�s .S v:,h ti�,�,,• ,(��
City: �i r��;� Zip: �5 y Z�
Home Phone: Alternate Phone:
Contractor Information:
Contractor: '�n�} S�pc)a�a lA)c�ll ContactPerson: `�.c,{L
Address: ,,3�`� I 1� M a►n �'� State Bond #:
City: ��- �o�^ , Zip: �S 3 ��S'� Expiration Date:
Phone: `� ,�- � u � c13�. � Alternate Phone:
� Insurance — Current:
Page 1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sT 2ND OTHER FI�PEE BSMT Floor Floor OT�� �
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 Miscelianeous
PERMIT FEE CALCULATION
1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) �.
;�cS�00 x .0125 $ �� -'�- ,�
(contract price) (minimum $50.00)
2. STATE SURCHARGE ,,/
x .0005 $ �• � ` ��
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2•�"
�
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4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
, � -
* 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.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the inanc of the City and the regulations of the State of Minnesota, and
certifies that all stat ents made o t is application are complete, true and correct.
�
` Date: S -3 �
Applicant's Signature:
Building Official/ Inspector: Date:
Page 2
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�. � �� DATEy' ,) �J TIME
CITY OF ORON� CALLED IN r���� �
INSPECTION NOTICE. ��j��,SCHEDULED � ���
PERMIT NO. �G� � /COMPLETED
ADDRESS aD�-�. � ��D�x.. t �S �-�—
OWNER TELE O�NE NO. �'� 2 �t�.�����
CONTRACTOR <-=��cY�Lt � f.c � t � �
� DESCRIPTION �-�t V1 C�.1 L� �-�� �f <
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ EPTIC INSTALL
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CaVERINO pERMANENT
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
�INSP�CTION REW IRED.CALL TO ARRAN(3E ACCESS.
Call forthe next inspectfon 24 hours in advarx.e. (952) 249-4600
OwnerlContractor on site:
Inspector:
wn+a covrn�.Psowr.F�w c,�ary cov�r�sn.Noaa
pATE TIME
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CITY OF ORONO CALLED IN =;� �_�
iNSPEcnoN nce ��►+EDULED ___��_
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� DEBCRIPTION
ly � FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAW(iRADIN(iIFILLINO
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SCTE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPUIINT
r (�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4�1 �]AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL
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v ❑ DEMO-SRE ❑ SEPTIC INSTALL
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0 ❑OORRECT W�OFiK.CALL FOR HEINSPECTION THAPORARY
V BEFOREOOVEi�NO PERMANB�IT
❑OORAECT UNSAFE OONDI'TION WITHIN HOUR3. ❑PHOTO TAKEN
INSPECiOR YVILL RE7URN
0 STOP ORDER POSTED.CALL INSPEC'TOR ❑CITA710N ISSUED
O INSPECTION RE�UIRED.C/►LL TO ARRAN(iE ACCE88.
c.M tor+he next tnspect�on 24 nours�ed�►�o.. (952) 249-4d00
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