HomeMy WebLinkAbout2018-00092 - plumbing F * CITY OF ORONO
* 2018 - 00092 *
2750 KELLEY PARKWAY DATE ISSUED: 01/25/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)2494616
ADDRESS 4751 TONKAVIEW CT
PIN 07-117-23-32-0012
LEGAL DESC BERGQUIST&WICKLUNDS PARK
LOT 000 BLOCK 003
PERMIT TYPE PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (2)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)SHOWER
VALUATION OF PLUMBING 5998
APPLICANT PLUMBING FIXTURE FEE 74.97
SOUTHTOWN PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 3.00
6636 PENN MAIL-IN FEE 2.00
RICHFIELD,MN 55423 TOTAL 79.97
(612)866-3057 Payment(s)
Minnesota State License#: CREDIT CARD 5214 79.97
plbg-MB005557,plbg-PC643155,mech-MB005557,plbg-PMO
OWNER
KOUBSKY,FRANK&SUSAN
4751 TONKAVIEW CT
MOUND,MN 55364-
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. r ) j
r_y7'1,q1dV) Z",r 14 l t
Applicant Pertnitee Signature Date issueTh Signature Date
• 4
Clay of Orono .�/
O P.O.Box 86 FOR Crry U E
275D Kelley Parkway Date Received:
Crystal Bay,MM 55323 Permit
(952)249.4600-Main
'r SHO (852)2494616-Fax Approved By:
Amount :
CITY OF ORONO— PLUMBING PERMIT
(AB Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
1, You may apply for plumbing permits by mail or in person at the City offices.
reviewed and a permit will be Issued within two working days. Applications will be
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
PO -UNTIL THEPE MIT CARO S
STED ON THE d06 SITE
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property
residing in the dwelling,
p party owners
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)2494600.
(2448 hour notice required)
TYPE OF PERMIT(Check All That Apply)
gResidential ❑ Commercial (Approval Required) [Backflow Device:
E] New ❑AVB ❑PVH]
®Additional ❑ Repairs
❑ Replace
❑ In Accessory Structure?
"You will need nrlor Anerevat and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Owner Information:
Site Address: Cl_
Owner: 5/{ 'iL Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
e.
Contractor r c�Contact Person:
Address: 610 3 � �� State Bond#:
City: _I
Z+P: �a, ,_Expiration Date: /�-
Phone: 3Q "� Altemate Phone:
Insurance—Current.
Page 1
6 a6ed 690£998Z69 xed dH Wd99:£0 8602 9Z Uef
S e
FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT 1
TYPE Floor Floor -n,pE �OTHER
Floor Floor
Water Closet a Floor Drains
i
I Lavatory Sewer Ejector
Bathtub
( Laundry Tray
Shower ( Washer
Kitchen Sink Water Heater
Disposal
Water Softener
Dishwasher Wet Bar
Silleocks Miscellaneous
HIM
1. CONTRACT PRICE *is 1.25% of contract price with a (Minimum Fee of$50,00)
--- � 1:�K 60x .o�2s $ 7y,9'
2. STATE SURCHARGE (contract price) (minimum$50,00)
`S ?9'.Ob x.0005 $__
(contract price) .--
3. POSTAGE&HANDLING (Only on Mail-in Applicatlons) $ — 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 famished 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 orf the actual contract.
41;0111111
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 ara,00mplete, true and correct.
Applicant's Signature: ,,�J ite.* 1I �
Date.
Building Of iciaU Inspector:
Date:
Page 2
Z 96ed 690E998ZI,9 xed dH Wd95:E0 8LOZ SZ Uel
Ap
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. v,'Zo1 --OOO9riZCOMPLETED
ADDRESS /7/-7-'T-/�f' I V t,�L..L O f_— /
OWNER —TE 7PHONE NO.
CONTRACTOR
DESCRIPTION l
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS- Aw I/' tap Fv Ly Qk
0. rf H K L44& A �i &Jrj,!144-i A C yY1t! �'l l�t'a&" f su w
J
51 464 I01 'h
W
aC
Q
2
W
j
41 t,WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
Q O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION 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. (952) 249-4600
OwnerlContractor on site:
Inspector. � -4 30 ti
White Copyllnspector's File Canary CopylSite Notice
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION -09,91
�D �scHEDULED
PERMIT NO. ��r/� 40M ED �
ADDRESS IIAV
OWNER TELE HO
CONTRACTOR
DESCRIPTION
W ❑ FOOTING 11E O_
FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL jKPL MBING RI 11EXCAV/GRADING/FILLING
C
[I 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
.t ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: 62-0- reo(oc0g_l - /0, L,
A)w v - P VC sk--.4• //0 - a c�
00yc sem. ,5�o -
OAS
/I�y G`i.�Gt ✓bad ,f7 %�•S L�'KC
Of
O yC 7b Ca nor�.zu�
LU >GVRKSATISFACTORY PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C3ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION 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. (952) 249-4600
-4ractor on site:
-ectoes File Canary Copy/Site Notice