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HomeMy WebLinkAbout2014-01166 - plumbing CITY OF ORONO 2750 KELLEY PARKWAY * 20 1 4 - 0 1 1 6 DATE ISSUED: 10/08/22 014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2705 WALTERS PORT LA PIN : 21-117-23-23-0043 LEGAL DESC WALTERS PORT LOT 002 BLOCK 003 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB,(1)KITCHEN SINK,(1)DISHWASHER,(1)WATER HEATER VALUATION OF PLUMBING 3500 APPLICANT PLUMBING FIXTURE FEE 50.00 JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 1.75 TOTAL 51.75 720 PONTIAC PLACE Payment(s) MENDOTA HEIGHTS,MN 55120- (651)365-8680 CHECK 7188 51.75 OWNER CROSBY,RICHARD&PATRICIA 2705 WALTERS PORT LA EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a e for ue ca /D/ / Ap cant Permitee nature Date Issuel By Signature Date FOR CITY USE ONLY City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax tiF �` CITY OF ORONO—PLUMBING PERMIT tsHo�`� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.p_ov/CCLD/PDF/pe plumb lanreva . df 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) ❑New ❑Additional ❑ RepairsReplace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: 1 / f� Site Address: o2 70 5 Wo, 4er-s Por-)---)— Zdj Owner: C/-Os Mailing Address: Sc�+�►�.. City: Orono Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Ile—G 1910^ �'nr Contact Person: D4ve- Address: �-2o O4� l At C P1 State Bond#: City: /40741 Zip: 55J:�VExpiration Date: H'%h ij Phone: Alternate Phone: %297 ❑ Insurance—Current: 1 PUTTING 8 FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains Lavatory I Sewer Ejector Bathtub f Laundry Tray Shower Washer Kitchen Sink I Water Heater I Disposal Water Softener Dishwasher ( Wet Bar Sillcocks Miscellaneous tti xz ❑ Yes,this section applies The replacement of only one Residential fixture or aonliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 C If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �l 5 049 x.0125$ (contact price) (minimum$50.00) 2. STATE SURCHARGE 3 0 0� x.0005 $ � . '75 (contact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.000 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5*` ' 7J ■ * 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. a2 Applicant's Signature: Date: /0 3 gy— DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,-;-?Q/ -Q//41� OMPLETED ADDRESS a7� t OWNER T PH NE NO /7 -00 b CONTRACTOR i DESCRIPTION ❑ FOOTING ❑ PLL64NG FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ElSEWER HOOK-UP [-I COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP LT ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QZ W cc J O ac O U- W Cc Q 2 W W Ct WRKSATISFACTORY:PROCEED El PROJECT COMPLETE QZ W>< RECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci 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 ho in 071. 52 49-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice Q \ ; ATE TIME C F ONO O r�to f p CALLED IN INSPECTION OTI E ! ll� SCHEDULED 11.2 PERMIT NO. ,COMPLETED ADDRESS 0A" WG. OWNER TEL HANE NO s ' CONTRACTOR 1A ` DESCRIPTION ❑ FOOTING MBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP U ❑ DEMO-FINAL ElSEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: 4111, z2 a; W C J O O W W Q W W j Uj ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY ❑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 next ins ion 24 hours in a . (9952) 249-4600 OwnedContractor on site: Inspector. White Copyllnspector's Canary CopylSite Notice