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HomeMy WebLinkAbout2016-00095 - plumbing � , CITY OF ORONO * 2PJ 16 - PJ0095 * 2750 KELLEY PARKWAY DATE ISSUED: OU29/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4645 ST.ANDREWS ST PIN : 06-117-23-31-0011 LEGAL DESC : LAKEVIEW OF ORONO : LOT 14 BLOCK 3 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (7)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(5)SHOWERS,(2)KITCHEN SINKS,(1) DISPOSAL,(2)DISHWASHERS,(2)SILLCOCKS, VALUATION OF PLUMBING 20000 APPLICANT PLUMBING FIXTURE FEE 250.00 STATE SURCHARGE PLBG(VALUATION) 10.00 HUIKKO PLUMBING INC. TOTAL 260.00 1001 RIDGE HAVEN CIRCLE Payment(s) BUFFALO,MN 55313 CREDIT CARD 3595 260.00 (612)919-1923 Minnesota State License#:plbg-002743PM OWNER Source Land Development Inc. 18215 45TH AVE N STE D PLYMOUTH,MN 5544Cr 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 pertnit is for only the work described and dces not grant permission for additional or related work which requires separate permiu. AI►provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This percnit 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 de.This permit may be revoke at any time for due cause. , �� � �� ��� � / �a 9� � licant Permitee Signature Date Issued B ignatwe Date � .. t w �pN City of Orono FOR CITY USE ONLY �.. '� O P.O. Box 66 Date Received: e2 D l'l�!—Ue�f��'r�.�` 2750 Kelley Parkway °' y �. Crystal Bay, MN 55323 P@m11t# � � oZ�`— /�+ 3 �'�1 ��c? (952)249-4600—Main Approved By: kE5H0 (952)249-4616—Fax Amount$: �-�O , o� - CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.aov/CCLD/PDF/pe plumbqlanrevaqa.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 PERM�IT(Check All That Apply) �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 lnformation: Site Address: ��P �.J � / ( ��.��� �S S � Owner: �Gr1�A-n> .So� �o��S Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor lnfo`rmation: Contractor: �� o N�Contact Person: �,�N"� //��i��U Address:�DD� /�/ .11 �Tr4 PN C� State Bond #: PL' ��_�3'7 City: /�(J��/,�L�i_�!'f � Zip: �S j/3 Expiration Date: l� 3 J Dl rf Phone:���— ��� 1��3 Altemate Phone: �1i2— ���` 3��� ❑ Insurance— Current: Page 1 � " � . FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floor Floor 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 � Miscellaneous 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) ��i (� � 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 �-/ � � V `� 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. 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: � � Building Official/ Inspector: Date: Page 2 DATE TIME CITY OF ORONO CALLED IN y INSPECTIO NOTIC — SCHEDULED i ` � � `-� PERMIT N � � COMPLETED ADDRESS ��o�t� � t ����� �C�"� OWNER TELEPHONE NO. �� � ��1C��� CONTRACTOR � �-�` ��.-�-� ���-��-4 � DESCRIPTION / \ ��-9-�—�-r—e �- , ���-u� ly� ❑ FOOTING ❑ DEMO-�iRtR� ( ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOV L v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR NfFLL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION FiEQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 4 hours in an . 952� 249-46�0 OwnerfConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ��� T TIME CITY OF ORONO cnLLED IN Z�' �� INSPECTION NOTICE SCHEDULED - �o //,'!J`d PERMIT NO. � ' coM �eo ADDRESS ��-S ��'[�1tP L['.3 �. OWNER T qHONE NO��? '�111�-?��'l�� CONTRACTOR � �� j DESCRIPTION P�� v�Y� � tt� ❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL `r� � ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF �p�LUMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01MNERICONfTRACTOR TO MEET YOU:_YES_NO y COMMENTS: �u s ' - � ��� �e�- �,�/�,� .^c, _�� � 0 .K•7.0 r4o��-2 v�.�� � 5�,..c,o - � . � L°'.���?. siC !�'IS t!llr�/�f ltJG�tt� �!,rl�.� � �O W � � r✓.��--6 �� C��ev Q � � W � j O W� ❑ KSATISFACTORY`.PROCEED ❑PROJECT COMPLETE � WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDiT10N WRHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra on site: Inspector: Whits Copyllnspector's Fils Canary CopylSite Notiee � DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED 1 S � PERMIT NO.��o-- ��� COMPLETED ��{ �--�`� s�- ��-�c.�.:� � ADDRESS "-� OWNER TELEPHONE NO. �� ��.� ��� CONTRACTOR � � DESCRIPTION � ❑ FOOTING _g D.EIy]Q.�lI11AL__,� �J ❑ SEPTIC FINAL Q ❑ POURED WALL ��`PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF u rLUMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � -- J � O ). � O �" � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT VYORK&PROCEED �❑ I SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 -46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice