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HomeMy WebLinkAbout2016-00730 - plumbing CITY OF ORONO 2750 KELLEY PARKWAY * z PJ 1 — 0 0 7 0 DATE ISS — 06/23/22 016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 155 TRUFFULA TR PIN : 33-118-2344-0040 LEGAL DESC : MEADOW WOOD POND LOT 006 BLOCK 001 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)WET BAR VALUATION OF PLUMBING 2300 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.15 WESTIN PLUMBING&HEATING INC TOTAL 51.15 15494 67TH STREET Payment(s) BECKER,MN 55308- CREDIT CARD 6236 51.15 (763)913-8613 Minnesota State License#: PLUM-PC645 827,mech-MB003 074 OWNER STAGGS,JEFF 155 TRUFFULA TR 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. Applicant e e Signature Date Issued Signature Date N L-0 City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: 4- - A3 -/.h 2750 Kelley Parkway r� Crystal Bay, MN 55323 Permit# CSD/�o 7 t' (952)249-4600—Main Approved B KFSHo4 (952)249-4616—Fax pp y' 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 plum bplanrevapp.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 ❑ 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: �� '/dG� �, 1-fel) Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: j , � Contractor: a)ljl ,���* C Contact Person: / 7144 Address: /M 0r� 5 State Bond #: City: &' 4 ,- Zip: A ff30� Expiration Date: )Z//7 Phone: -7-ol1 --713_- � Alternate Phone: [� Insurance — Current: Page 1 t FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 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) 3 p b, o b 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. 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 INSPECTIO OTICE SCHEDULED PERMIT NO. 3 COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR ,a„ lYl Cts 3Z DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL ❑ SITE INSPECTION Q ❑ FRAMING CHANICAL 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 OWNEWONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc a Aa yonate� '47- 99 11,0 4greh¢ W cc Q --0c: a W ❑ RK SATISFACTORY:PROCEED 13 PROJECT COMPLETE QZW OORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY 0 ❑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 El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. <^—� White Copynnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /! -t16o l a : 3 PERMIT NO.d4:-'I 1-'t)073C,COLETED ADDRESS `�-- OWNER PHONE 140, CONTRACTOR DESCRIPTION PILL) W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF J3*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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNEWCONTRACTOR TO MEET YOU-_YES_NO t� COMMENTS: WZ Az j 0 W Q W Z J Uj ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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 OwnerlConftctor on site: Inspector. White Copyllnspector's Fila Canary CopylShe Notice