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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 l . �0, �7 II , z�, �7 t Permitee Signature Date Issu By Signature ����' Date � ` � 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 � � � ,� ` �� � � � / _ 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 ���%�-�.` ' �' `�:;�� ������ �� ,� ;�'�� � ��r �E.'���+-'W ,A•.1'S•l�.„s�.�.,rr:.'": �.�'�✓�.1� r,�nw 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 �; ..__ � F:v;; - �t: "- :r��'��k"-' ., q�-�: � � ��.� ..:, -�.. . �: � � _�_ '. � �� � �� . � - _ , . : r�,. ; , � :. . . * ��, _. � _ .� • . _ . , .. . Mti 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��- `` � `��,���" :��.�: ,�� � t���. ��� �� ==� :�` ,. �. ��,�-��:.� 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 �� V DATE TIME ITY OF ORONO CALLED IN � ��_ i ir�� INSPECTION NOQTI���/s3�SCHEDULED �= PERMIT NO.�_� COMP��eo�� ADDRESS v � /'� OWNER TELEPHONE NO. � � ����/ CONTRACTOR � � ! / � 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� a �� ,�. �_ o � ���� �-�d- '' – ✓Ic tv S �� � ,�a5 — � � nG�IJ K� .G_ - c�a.va G �Oc��,bv�, _` Q �°�kr�S �'J�� � .SGtl�iC - � 2 � �r c< <b ny�J/c,E t — r � .�l�«� �-�a� J � ❑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: � ^�'". White CopyAnspector's Fi� Cenary CopylSfte Notiee � --�1 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: W a ��l �'er��G� o - r�lx.t.� �c.h� �S/(�c!, s`1v3. /��•- '' �k>!/ - �85 ��(. 4� ' f�� �' � ° �c� s�i�� I��S �• �ra _ � � r e/v �.���e ��e., /���s -. Q ,pa` - � W �� �— �'p� ���'tk L � W � � � 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: yyMM CopypnspecMr's Flle Canary CopylSke Notfee