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HomeMy WebLinkAbout2016-01432 - plumbing CITY OF ORONO * 2 0 1 6 - 0 1 4 3 2 2750 KELLEY PARKWAY DATE ISSUED: 11/14/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 3465 WATERTOWN RD PIN 32-118-23-43-0008 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (1)WATER SOFTENER (2)MISC FIXTURES VALUATION OF PLUMBING 4450 APPLICANT PLUMBING FIXTURE FEE 55.63 BERGERSON-CASWELL INC. STATE SURCHARGE PLBG(VALUATION) 2.23 TOTAL 57.86 5115 INDUSTRIAL ST. Payment(s) MAPLE PLAIN,MN 55359 CHECK 101492 57.86 (763)479-3121 OWNER AUL,JUSTIN&LYNSEY 5791 SUNNYBROOK LA MINNETRISTA,MN 55364- 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 criod of 180 days at any time after work has commenced. The applicant i es onsible 1110 ' g all required inspections are requested in c i ante nth th tate Building Code.This permit may be revoked any i e for a taus Applicant Permitee Signature Date Issued VNignature Date FOR Crl'Y`tia ONLY Q City of Orono x P.O.Box 66 2750 Kelley Parkway ta'Lj Crystal Bay,MN 55323 .4pvRjf: R •• kt (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO —PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dii.mn. ov/CCLD/PDF/ a glumbplanpa df 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) C;k A. ■❑Residential ❑Commercial(Approval Required) ■❑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 I Owner btforMatiow Site Address: 3465 Watertown Road Owner: Justin & Lynsey Aul Mailing Address: 5791 Sunnybrook Lane City: P� Minnetrista Zi 55364 Home Phone: Alternate Phone: Contractor Information: Contractor: Bergerson-Caswell, Inc. Contact Person: Mark Klein Address: 5115 Industrial St State Bond#: Maple Plain 55359 City: Zip: Expiration Date: Phone: (763) 479-3121 Alternate Phone: (612) 685-2528 ❑ Insurance—Current: 1 FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL 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 ❑ Yes,this section applies The replacement of only one Residential fixture or appliance 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 $ f (Permit Fees Continued On Next Page) 2 S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00) 4,450.00 x.0125 $ 55.63 (contract price) (minimum 550.00) 2. STATE SURCHARGE 4,450.00 2.23 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $57.86 ■ * 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 ordi es of the City and the regulations of the State of Minnesota, and certifies th a 1 stat ents de on this application are complete, true and correct. Applicant's Signature: Date: 11/14/16 low W Reset Form 3 ATE TIME CITY OF ORONO CALLED IN INSPECTION CE()) SCHEDULED 117 PERMIT N c M E ADDRESS OWNER TELEPH NO. CONTRACTO V���YI 37 DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 QJ [IFINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v [I DEMO-SITE El SEPTIC INSTALL Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: LA L�L G ` o 2 7 y Q, C��✓t✓t GcTt. G/ (0 ✓4 `JS,UA- '� ✓li�,L� �i C'�� Q S !� LAJ ❑WORK SATISFACTORY`.PROCEEDECT COMPLETE W ❑CORRECT WORK 3 PROCEED E0tWE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Can for the next kmgw tlon 2a hours In advance. (952) 249-4600 OwnerrAmtractor It Inspector: 3 �— WMN Copyfin*Wtoes FIN Canary Copyraft Nodes DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS 2)Lf 5 O - INW-400^— kV� OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION ��v W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING vOi ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNE111,11CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 4 G��• r .D �r��d� �yr 50��e��✓ �O W ct i l�e�yt- •�.��is n� W J Ul ❑WORK SATISFACTORY.PROCEED COMPLETE cc W ❑CORRECT WORK A PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C./ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours In a&ance. (952) 249-4600 Ownwr,ontractor on site: Inspector — Whit Copyfinspector's Fila Canary Copyf lle Nods