HomeMy WebLinkAbout2017-01458 - plumbing CITY OF ORONO soon 010M
r 4 2750 KELLEY PARKWAY * 2017 - 01458 *
ORONO,MN 55356-
DATE ISSUED: 11/0812017
952 249-4600 FAX: 952 249-4616
ADDRESS : 3265 SHADYWOOD CIR
PIN : 20-117-23-11-0048
LEGAL DESC : SHADYWOOD VILLAS
LOT 7 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED
NOTE: WATER CLOSET(3),LAVATORY(4),BATHTUB(2),SHOWER
KITCHEN SINK,DISPOSAL,DISHWASHER,SILLCOCKS(2),FLOOR DRAINS(3),LAUNDRY TRAY,WASHER,WATER HEATER,WET
BAR
VALUATION OF PLUMBING 15000
APPLICANT PLUMBING FIXTURE FEE 187.50
KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 7.50
1168 IFFERT AVE SE MAIL-IN FEE 0.00
BUFFALO,MN 55313- TOTAL 195.00
(612)282-5041 Payment(s)
Minnesota State License#:plbg-PC644046 CHECK 195.00
OWNER
Charles Cudd LLC
15050 23RD AVE N
PLYMOUTH,MN 55441-
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
II , � , 17
Applicant Permitee SignatureDate Issued y Signature Date
City of Orono FOR CITY USE ONLY
O P.O. Box 66 Date Received:
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit#
ti �` (952)249-4600—Main
kfsHO'A (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.dii.mn.gov/CCLD/PDF/pe plumbplanrevapp 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)
esidential ❑ Commercial (Approval Required) [Backflow Device:
❑AVB ❑PVB]
2'ITew ❑ Additional ❑ Repairs ❑ 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: 2:x)(a`7
Owner: C�,e-,, C,,a,�. C=am Mailing Address: i S o so :��Za Akc nj
City: 04 0,-A" Zip: 49`1
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 4<R(,;; Contact Person:
Address: ,cam, -(.(-7 State Bond #:
City: Zip: S�3� .3 Expiration Date: .z-�►
Phone: 6(Z-Z1a7 S o L/ I Alternate Phone:
Insurance — Current: �..+��,�� �.,�„z.�.� �;- c,-,y A�-�,
Page 1
PLUMBING FIXTURES BEING INSTALLED
.�
FIXTURE BSMT 1sT 2ND OTHER FITYPEE BSMT Floor Floor OTHER
TYPE Floor Floor
Water Closet Z Floor Drains i 2
Lavatory i °�' Sewer Ejector
Bathtub ( I Laundry Tray I
Shower Washer
Kitchen Sink I Water Heater I
Disposal Water Softener
Dishwasher Wet Bar I
Sillcocks ` Miscellaneous
PERMIT,FEE CALCULATION: .
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
f• 5,��,�, . 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.
PLUMBING PERMIT APPLICATION AGREEMENT- .
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: -/'7
Building Official/ Inspector: Date:
Page 2
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED —I1=1� 10' 311
PERMIT NO.2 ' COMPLETED
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR AJ1 l 0 A
DESCRIPTION
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Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP [IFOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwneHContractor on site:
Inspector. 7:5-4 So
White CopyAnspectoes File Canary CopylSMe Notice
,5_ DATE TIME
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CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.-'20U-01157 co PLETED T
ADDRESS 32,61-
OWNER vv TELEPHONE N0.760 3 a13'?a73
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3: DESCRIPTION
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❑ 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/No Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /a �l Dt1
PERMIT NO. 5�OMPLETED -G -r7
ADDRESS 3,261 i p
OWNER TELEPHONE NO.
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DESCRIPTION r Q ?, z �v � V.,6j,
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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
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t inspection 24 hours in advance. (952) 249-4600
Oww/Contra r site:
Inspector. 1
White Copy/Inspectoes File Canary CopylShe Notice
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CTIME VX
CITY OF ORONO CALLED IN O7
INSPECTION NOTICE SCHEDULED
PERMIT NO. C LETED /J
ADDRESS �^
OWNER LEP ONE NO.
CONTRACTOR
3Z DESCRIPTION
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❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE plff-RLUMBING 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 OWNERICONTRACTOR TO MEET YOU:T YES—NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Ownerr,ontrector on site:
In
Co prospector's File Canary Copy/She,Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. =-7-6 l HISS COMPLETED
ADDRESS o�s V 1,11 Ar .�
OWNERELE ONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADING/FILLING
C ❑ 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 [IAS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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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 next inspection 24 hours in advance. (952) 249-4600
OwnerrAmtracto site: pp
Inspector. .rs�-ll 4
White Copyllnspectoes File Canary CopylSite Notice