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HomeMy WebLinkAbout2017-01617 - plumbing ., CITY OF ORONO * 2017 - 01617 * 2750 KELLEY PARKWAY DATE ISSUED: 12/11/2017 r ORONO,MN 55356- (952)249-4600 FAX: (952)2494616 ADDRESS 3425 WATERTOWN RD PIN 32-118-23-43-0010 LEGAL DESC UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER,(2)SILLCOCKS,(1) FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)SUMP PUMP VALUATION OF PLUMBING 13000 APPLICANT PLUMBING FIXTURE FEE 162.50 S.T.RYAN PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 6.50 P O BOX 483 SAUK RAPIDS,MN 56379- Payment(s) TOTAL 169.00 (320)260-2443 CHECK 3930 169.00 Minnesota State License#:plbg-PC643827 OWNER KATTERHAGEN,MATT&HAYLEY 1405 OLIVE LANE 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. -i / ( 17 �T" /,A/ it / 7 Applic Permitee Signature Date Issued B ignature Date pN 4F City of Orono FOR CITY USE`O�NL/ 7 ' P.O. Box 66 Date Received: / a� 2750 Kelley Parkway Crystal Bay,MN 55323 Permit# ��(�1 (952)249-4600—Main ApIxoved By: gkF3H�r�y/ (952)249-4616—Fax 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) Residential ❑Commercial (Approval Required) [Backflow Device:❑AVB [I PVB] Dd 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: 3 q; 5 U_�401_on "90J Owner. Ko_kfha s l canS� , Mailing Address: City: Zip: Home Phone: 3?D__J(o Alternate Phone: Contractor Information: A&rm'uContractor. S* T. Kir, �J'1C. Contact Person: �3ffP Address: 'Pc c�', qgg State Bond #: PC(A � c�3_1 City: )S Zip: 5 Expiration Date: I a -A Phone: J� OO `3 Alternate Phone: Insurance—current: Ixj\-O 01.t)VW S Page 1 (i PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet i 3 Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher + Wet Bar Sillcocks a Miscellaneous p Um PERMIT FEE CALCULATION 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$60.00) 5.o G 1E, ecc x .0125 $ 1(cd - (contract price) (minimum$50.00) 2. STATE SURCHARGE 13;c co X .0005 $ (!o, 570 (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1(C9 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 stateme made on his application are complete, true and correct. Applicant's Signature: Date: Building Official/Inspector: Date: Page 2 DATE TIME CITY OF ORONO CALLED iN INSPECTIO OTICESCHEDULED � PERMIT N@� _ 7 COMP ETE �} ADDRESS OWNER T PHO NO.t Z CONTRACTOR S'_1, DESCRIPTION W ❑ FOOTING ❑ O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL UMBING RI ❑ EXCAV/GRADING/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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z � ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNEMONTRACTOR TO MEET YOU:_YES_NO H COMMENTS: � - x ac Q LU 6 W TISFACTORY PROCEED ❑PROJECT COMPLETE ,00 W CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwrnerlContractor on site: Inspector. Whits CopyAnspector's File Canary CopylShe Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED I2 Z-7 3 6 _� PERMIT NO. —0 l(v COMPLETED ADDRESS 'ML6MAk6wn OWNER TELEPHO E NO. � -�6d..1—�� CONTRACTOR DESCRIPTION Atwb'm_( K.1 W ❑ FOOTING [IDEMO INAL ❑ SEPTIC FINAL ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: �k/v- #0 yG s � �o - tic W Q - i</a t ev A, f W LU „ 'VIIORKSATISFACTORY PROCEED ❑PROJECT COMPLETE cc W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REC HARED.CALL TO ARRANGE ACCESS. Cab for the next hvspection 24 hours in advance. (952) 249-4600 OwnerrAx&actor on site: Inspector: ��� VYhite CopyAnapectoes File Canary CWylSIte Notfee r DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. 0I OMPLETED ADDRESS y OWNER T TEL HONE NO. 6 CONTRACTOR / / iolkS. � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNEFIXONTRACTOR TO MEET YOU:_YES_ _0 y COMMENTS: � 7S YES-140 0 50e, *0 ecc '' �- ,O�vv roe !/•8v .e r ��e e5� of eVk e ry1 l — W c Q z /✓eGt wl 7cl`t�/o� W cc J LU ❑WORK SATISFACTORY:PROCEED 0<��ROJECT COMPLETE W 04�RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 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/Contractor on site: Inspector. White Copyllnspectoes File Canary CopyMe Notice