HomeMy WebLinkAbout2016-00857 - plumbing CITY OF ORONO * 2016 - 00857 *
' 2750 KELLEY PARKWAY DATE ISSUED: 07/21/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3310 WATERTOWN RD
PIN : 32-118-2344-0015
LEGAL DESC : N/A
LOT 002 BLOCK 001
PERMIT TYPE PLUMBING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(1)SHOWER,(2)KITCHEN SINKS,(1)DISPOSAL
VALUATION OF PLUMBING 7500
APPLICANT PLUMBING FIXTURE FEE 93.75
EXCEL MECHANICAL,INC.
STATE SURCHARGE PLBG(VALUATION) 3.75 11582 COUNTY RD 13 Payment(s)
TOTAL 97.50
WATERTOWN,MN 55388
(952)393-2403 CREDIT CARD 0810 97.50
OWNER
MCCLANAHAN,ROBERT&KRISTIN
3310 WATERTOWN RD
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.
licant Permitee Signature Date irssued By ature Date
�pN City of Orono FOR CITY USEJQ
LY
O P.O. Box 66 Date Received: - ��
* 2750 Kelley Parkway
Crystal Bay, MN 55323 Permit#
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CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.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 OFPERMIT(Cheok All That Apply)
'Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New 11�6 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: ���� ( tvvn ydOwner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information
Contractor: E4ct( 9/1(— Contact Person:
Address: 1 VU rPrT I3 se State Bond #:
City: tJ--k-kl-bNr\ Zip: s53fff' Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Current:
Page 1
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FIXTURE BSMT 18T 2ND OTHER FIXTURE BSMT 1sT2ND OTHER i
TYPE Floor Floor TYPE Floor Floor
Water Closet ( Floor Drains
Lavatory l Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal ( Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous _7
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
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.
. .g.
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 statemen s made on this application are complete, true and correct.
Applicant's Signatur Date: - =4,
Building Official/ Inspector: Date:
Page 2
i �
ATE TIME
CITY OF ORONO CALLED IN 7 � (o
INSPECTION NOTICE SCHEDULED 7 Z
PERMIT NO.,—i�CJf(_-Co9'S7 OMPLETED
ADDRESS
OWNER TELEPHONE NO2�2
CONTRACTOR CA
DESCRIPTION
W ❑ FOOTING ❑ DEMON AL ❑ SEPTIC FINAL
Q ❑ POURED WALL UMI RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑`PLUMBING 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
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q
OWNER/CONTRAC
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W T WORK&PROCEED ❑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 ❑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
Owner/Contractrorroon site: ��aa 0-em!z
Inspector. `{t`/
White CopylInspector's File Canary Copy/Site Notice
1
DATE TIME
CITY OF ORO
NO CALLEDIN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS . ?3 Z D
OWNER TELEPHONE NO.
CONTRACTOR C `
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING 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 ❑ SEP IC INSTALL
Z OWNEWCONTRACTOR TO MEET YOU: Y _NO
COMMENTS.
j
O
O
W
0t:
Q
W
W
aC
J
WK SATISFACTORY`.PROCEED PROJECT COMPLETE
d
ac
W
CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
C
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WALL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Can for the next InspWIon 24 hours In advance. (952) 249-4600
OwnerlCm"ctor on site:
Inspector:
White Copylinspectoes Fila Canary CopylSho Notfea