HomeMy WebLinkAbout2015-00161 - plumbing ,'.'�i Y}...
CITY OF ORONO * 2 0 1 5 - 0 0 1 6 1 *
2750 KELLEY PARKWAY DATE ISSUED: 02/09/2015
� ORONO, MN 55356-
4
952 249-4600 FAX: 952 249-4616
ADDRESS : 1310 SPRUCE PL
PIN : 08-117-23-32-0017
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK O10
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATERCLOSET
(1)LAVATORY
(1)BATHTUB
(1)LAUNDRY TRAY
VALUATION OF PLUMBING 5500
APPLICANT PLUMBING FIXTURE FEE 68.75
STATE SURCHARGE PLBG(VALUATION) 2.75
J&E PLUMBING TOTAL 71.54.
970 99TH LANE NE Payment(s)
BLAINE,MN 55434 CREDIT CARD 9804 71.50
(763)258-7414
OWNER
RIFKIN,ROSS&CHRISTINE
1310 SPRUCE PL
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� / //
Applic t P rmitee Sigr►ature Date Issued Signature Date
�
. FOR CITY USE ONLY
�O� City of Orono
" P.O.Box 66 Date Received: Permit#
� � 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
(952)249-4616—Fax
y�'tq ��` CITY OF ORONO—PLUMBING PERMIT
xss y o� (All Commercial Permits Must be Approved by the State Prior to City Approval)
htt :i/www.clli.mn. ov/CCLD/PDF/ e lumb lanreva . df
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 A ly)
� Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need arior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: ( �I D �P I'Iti c4 ��•
Owner: ��� C�n.f�5 ����.� MailingAddress: � �l� Sprv�c� �L
City: �,,,� Zip:
Home Phone: (��2-2 2 l'QS7le Alternate Phone:
Contractor Information:
Contractor: �� p��.r.R,o Contact Person: J��— bu�....�.c��.,�.
Address: 47D 9�1-F� t N N` State Bond #: PC L�36�l0
City: �t,.,rti.�. Zip: �SY�yExpiration Date: � 2/31/�s
Phone: 763-2sg 74�i�-i Alternate Phone:
� Insurance—Current: /��r.�-�j � L 33 4 a3
1
�
R
.y ,,.. ,y � a�_. .-r .. � ...�" _ �s
't� �l���l" ���' �Yi �2..�� >.,i ��� ��,. �� ����� ��R
� r �
N +
`
w "
, ,�
��� .._. .,.,. 1n „ s: , . � ...:.: „ .u,.r �: � �,,
�
_ �..�b�
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet l Floor Drains
Lavatory , Sewer Ejector
Bathtub ` Laundry Tray I
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
�
, ,
a;� � � , � .. ��
�u u�. ,. ,d��
❑ Yes,this section applies
The replacement of only one Residential fixture or a�pliance that meets all fhree of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludins the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On l�Iext Page)
2
�
�r �`�4+7:�` �, .i`z ^... yi"'��4�4 t t 6,d����4,�.�,'ia�rF'��:����;.C.�'�' ��,�����YJ}� �1 � ��!a&�},+t'�,f.C".�,j�p,�,�.y���';
_ ,
i
� �`. f � �"��"y�5 �Mc
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
s5�4a�a� x .0125$
ontract price) (minimum$50.00)
2. STATESURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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.
,�-�-�� ��-t�'��$,��� � f �,�"f
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 on this application are complete, true and
correct.
Applicant's Signature: Date: z��
3
C � � DATE TIME�
CITY OF ORONO CALLED IN c�-9 =_^���
INSPECTION OTICE�/ / SCHEDULED c9-/C�-/S �
PERMIT NO. � MPLETED
ADDRESS ����
OWNER TELEPHONE N��'S�" �
n
CONTRACTOR
� DESCRIPTION �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ IC FINAL
Q ❑ POURED WALL �-PCUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FiN L ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNE NTRACTOR T EET YOU�S_NO
� COMMENTS:
� �L�.r� ,
� �," rOb� lt���lOw �
o �WV �n � suf• � - l,l. � . —
�. --�
� T4�J',� �/�G. , �wv, -
° J``-t� ��✓ 6�es � -� ,�� �i vlcD� of -
W
�
Q
� ��li��t,f N`f �"/�✓Gc y �( 1'!!�C 7� he CeJ
� Q�,`�,vo i_Du kc-a -a � E -
� (��(/ -f.� L X/e /
�
a
4��10(QRKSATISFACTORY:PROCEED G PROJECTCOMPLEfE
Q. —
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the ne ' spection 2a hours in advance. (g52) 249-46��
Own r on Site: �" ��G
Inspector. r�
White Copyllnspector's File Canary CopylSite Notice
� � -`� ` DAT TIM�
CITY OF ORONO CALLED IN � � __�
INSPECTION IC SCHEDULED ..�-y��
PERMIT N '4d� COMPLETED
ADDRESS /
OWNER ELEPHONE N07 � � s `Z �
CONTRACTOR �
� DESCRIPTION
4~j ❑ FOOTING ❑ DE FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PL ING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURWEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICOHTRACTOR TO MEET YiOU:_YES_NO
v�i COMMENTS:
W ,�G'• - �w I/ - �vC Sc.f � _
�
j -5'—'r q..:- f�s'� �S /�o���.e S ,
O /
�
� 0� � �Y'a ✓
W
�
Q
�
W
�
W
�
J
� KSATISFACTOR�FPROCEED ❑ PROJECTCOMPLEfE
� ❑CORRE WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in a . (952) 249-46��
OwnerlCoMractor on site: �/��G
�
Inspector: r'-"'
White CopyllnspectoPs File Canary CopylSite Naice
��
DATE TIME
��CITY OF ORONO CALLED IN
INSPECTION NOTIC � I1_�SCHEDULED _(�� L ��
PERMR NO. � �L COMPLEfED ��
ADDRESS � I �� .�'i �I�Y�_l�� 1� I
OWNER TELEPHONE NO. ����-� 7���
CONTRACTOR ��1 _��� ��1 � VYl �
/ r- �
� DESCRIPTION `� , � <� �
�
ty ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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 ❑ EP IC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: ES_NO
v�, COMMENTS: �—
a ,�. �f.�C rc�nc.�,�
�
J
O rj�i � �✓s.t��Q —�
� l� ���BS i
� IYIDIId !S /�a l�� -�s� —
W
�
Q
zLl/a��K �'o�LI��Ct�a �
� D _� w� •G � s rt�e/Q�
W
�
�
W O WORKSATISFACTORY:PROCEED �FPROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspectoe � �r--- �
White Copyllnspector's Flle Cenary CopylSfte Notiee