HomeMy WebLinkAbout2017-01532 - plumbing � �
� CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 7 - 0 1 5 3 2 *
DATE ISSUED: 1 U20/2017
ORONO,MN 55356-
1 (952 249-4600 FAX: 952)249-4616
ADDRESS : 345 SPRING HILL RD
PIN : 25-118-23-43-0008
LEGAL DESC : REG.LAND SURVEY NO. 1429
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED
NOTE: WATER CLOSET(1),LAVATORY(2),BATHTUB(1),SHOWER(1)
VALUATION OF PLUMBING 1500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.75
EASCO PLUMBING&HEATING INC. MAIL-IN FEE 0.00
7965 PIONEER TR
LORETTO,MN 55357 TOTAL 50.75
(612)369-5486 Payment(s)
CHECK 50.75
OWNER
RILEY,ROGER
345 SPRING HILL RD
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 sepazate
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 conforma ith the State Building Code.This permit may be
revoked at any ' e for due cau
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. �0, �7 II , z�, �7
t Permitee Signature Date Issu By Signature ����' Date
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` � gp� City of Orono FOR CITY USE ONLY
O P.O.Box 66 Dat� Received:
2750 Kelley Parkway
y �. Crystal Bay, MN 55323 Permit#
�"� o` (952)249-4600—Main
'�KESHOa�" (952)249-4616—Fax Approved By:
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/ae plumbplanrevaap 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 finro working days.
2. Permit cards will be sent by retum 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 peRnits 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 AppIY)
i"
� Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New �dditional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
''You will need arior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article I�
Job Site/ Owner informa#ion:
Site Address: 3�.� S � � � ,� ` ��
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_
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
� SCO �- 4 �
Contractor. � � � Contact Person: ��
Address: � �� S j�iG�P�� �i� State Bond #:
City: L � � P�U Zip: J�� Expiration Date:
Phone: 10��' 3�O 9 �Gl� (� Alternate Phone:
❑ Insurance— Current:
Pagre 1
� `P�U�fl�B11VG F�XTUR�S;�F1N�C�:;INSTALLED��:�,��` �"�. Y W�.m ���%�-�.` '
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FIXTURE BSMT 1sT 2ND OTHER FI�PE E BSMT Floor Floor OTHER
TypE Fioor Floor
Water Closet � Fioor Drains
Lavatory Sewer Ejector
Bathtub i Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00)
x .0125 $
(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) $
r
* 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.
� &, � ,�.� � ..�` � `i?�..��'�1+���:,P�RM1.�'.q��?L.��►� a �"~�R_ � 'r��- `` � `��,���" :��.�:
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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 o ' tion are complete, true and correct.
;j� .,__._—�
-' Date: I—a D- `
Applicant's Signature: ____�.___..
Building O�cial/ Inspector: Date:
Page 2
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DATE TIME
ITY OF ORONO CALLED IN � ��_
i ir��
INSPECTION NOQTI���/s3�SCHEDULED �=
PERMIT NO.�_� COMP��eo��
ADDRESS v � /'�
OWNER TELEPHONE NO. � � ����/
CONTRACTOR � �
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� DESCRIPTION �
4~j ❑ FOOTING ❑ DEMO-F L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
��3 ❑ FOUNDATION DRAIN TILE �PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS:_��5�u A�
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W O CORRECT W'ORK d�PROCEED ❑ISS E CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
�CORRECT UNSAFE CONDITION WITHtN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cae forthe next inspection 24 hours in advance. (952) 249-4600
OMmerlContractor on site•
Inspector: � ^�'".
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEWLED ._U.�L_ 3�3�
PERMIT NO. 2Dl-1- 0 I�3Z COMPLEfED
ADDRESS �� � ' �L
OWNER TELEPHONE NO.
CONTRACTOR �����
� DESCRIPTION �u�''✓��I
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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� t�jQ�pRKSATISFACTORIF PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pMOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C�11 for the next inspection 24 hours in advance. (g52) 249-4600
OwneHContractor on site:
Inspector:
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