HomeMy WebLinkAbout2017-01262 - plumbing i
CITY OF ORONO
* 2017 - 01262 *
2750 KELLEY PARKWAY
DATE ISSUED: 10/05/22011
7
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 225 TONKA AVE
PIN : 05-117-23-13-0051
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 000 BLOCK 003
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: WATER CLOSET,LAVATORY,SHOWER
VALUATION OF PLUMBING 1250
APPLICANT PLUMBING FIXTURE FEE 50.00
SICORA INC STATE SURCHARGE PLBG(VALUATION) 0.63
5601 WEST LAKE STREET TOTAL 50.63
ST LOUIS PARK,MN 55416- Payment(s)
(952)929-0098 CREDIT CARD 2366 50.63
Minnesota State License#:BUIL-BC253425
OWNER
TOFTELAND,RYAN&MARTHA
225 TONKA AVE
LONG LAKE,MN 55356-
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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
c
tc e /0,
App rmt ignature Date Issued B ignature Date
t
�pCity of Orono FOR CITY USE ONLY
O P.O. Box 66 Date Received:
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit#
(952)249-4600—Main
�KFSHO a� (952)249-4616—Fax Approved By:
Amount$: • V3
CITY OF ORONO— PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
hftp://www.dli.mn.gov/CCLD/PDF/De PlumbalanrevaRp 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 All Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/ Owner Information:
Site Address: 2e25
Owner: o Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person: —7 �
Address: (4k& State Bond #: �� 7�
City: , ��QLC"� Zip: ��L\t l6 Expiration Date:
Phone: Alternate Phone:
Insurance — Current:
1J
Page 1
xI IB.NG F.IXTIJRES,BEIN�z:]NsST,ILL D ' .r ",� °r.;,= � .r r•
FIXTURE BSMT 1ST 2ND OTHER FITMPE E BSMT Floor Floor OTHER
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
'' r' .`�i i xr
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
1�aSc�-6� x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
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.
b x � h. lSIGP,.ERMIT:P►? ?LGAN ._ 5M T
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 on this application are complete, true and correct.
Applicant's Signature: Date: b
Building Official/ Inspector: Date:
Page 2
ALJ— 4 /
DATE TIME V
CITY OF ORONO CALLED IN
IN$PEgrNZ-Vi
10E�!� HEDULEDPERM , ED !�
ADDRESS
OWNER TFLFPHONE NO -750-79(o Cj
CONTRACTOR A
DESCRIPTION
Iy ❑ FOOTING ❑ DEMO- IN)L ❑ SEPTIC FINAL
❑ POURED WALL MUMBI RI ❑ EXCAV/GRADING/FILLING
0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v
[3 DEMO-SITE ❑ SEPTIC INSTALL
2 OWN RTO NUT YOU:_YES_NO
COMME
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W
W
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W - YrORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t spectlon in advance. (952) 249-4600
Owner�Comrec on te:
Inspector:
INNM Cop>/A�IPOc1oes GnUry ��
\ TIME
DATE
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.%tai - D CoED
ADDRESS oaa5— �6Yt 7✓�
OWNER TELEPHONE O.
CONTRACTOR i t si''c.o/`aL
DESCRIPTION Plb
W ❑ FOOTING ❑ DEMO- Al ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVIGRADING/FILLING
O ❑ FOUNDATION WATERPROOF MPLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W [3AS BUILT-SURVEY [3SEWER HOOK-UP [3FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWHOUCOKTRACTOR TO MEET YOU._YES_NO
COMMENT&
W
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O WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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us ECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN
INSPECTOR WILL RETURN
O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
call fwvw next inspection u hmm in advance. (952) 249-4600
on site:
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