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:
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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
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J
O
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W
W
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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