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HomeMy WebLinkAbout2014-01074 - plumbing 111111111111111111111 lull 1111111111111111111111 CITY OF ORONO * 2014 - 01074 * 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2014 ORONO, MN 55356- (9-52) 249-4600 FAX: 952 249-4616 ADDRESS : 3955 WATERTOWN RD PIN : 32-118-23-32-0004 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: 4 WATER CLOSET,6 LAVATORY, 1 BATHTUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS, 1 FLOOR DRAINS, 1 LAUNDRY TUB,2 WASHER, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMBING 13500 APPLICANT PLUMBING FIXTURE FEE 168.7.5 MASTER PRO PLUMBING STATE SURCHARGE PLBG(VALUATION) 6.75 3313 WILDWOOD TOTAL 175.50 PRIOR LAKE,MN 55372- Payment(s) (612)290-4654 CREDIT CARD 9030 175.50 Minnesota State License#:plbg-065584 PM OWNER Pillar Homes 3955 WATERTOWN RD MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after The applicant is responsible for assurin quired inspections are requested in conformance with th ate Building Code.This permit e revoked at any time for due c se. ermitee Signature Date Issued By Signature Date • FOR CITY USE ONLY �O A TO City of Orono i V P.O.Box 66 Date Received: ' Permit# 2750 Kelley Parkway 30 Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main A. (952)249-4616—Fax yFtq ��` CITY OF ORONO—PLUMBING PERMIT kFSHo� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.eov/CCLD/P:DF/pe plumbp1anrevapp.pff 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 maybe 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 A ly) � sidential ❑ 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/Owner Information: Site Address: c q 5 Jt /mt^ io,,o izD Cts_ Owner: I c Mailing Address: 1700 Ajj 0 nLor G V City: akl) Zip: c5 EU 9 Home Phone: Alternate Phone: Contractor Information: Contractor: Ma-S+e�-- yrn ►7/ b!� Contact Person: ��'eV e Leo/i� Address: .i III AarIC11 -r'ral) State Bond Dr 05 City: PC nr La kL Zip: 553 Expiration Date: Phone: ybsy Alternate Phone: Q---Insurance—Current: 1 i li FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains ` Lavatory Sewer Ejector Bathtub Laundry Tra I Shower I Washer Kitchen Sink I Water Heate Disposal Water Softener Dishwasher I Wet Bar Sillcocks Miscellaneoi is ❑ Yes,this section applies The replacement of only one Residential fixture or appliance thatm ets all three of the following requirements: 1. Does not require modification to electrical or gas serye. 2. Has a total cost of$500.00 or less;excludine the cost If the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner old 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 1 i i u r If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(l ,jnimum 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. 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 a 'cation are complete, true and correct. Applicant's Signature Date: 3 ,// DPg0 TIME CITY OF ORONO CALLED IN tJ INSPECTION NOTIC SCHEDULED /D- T off% 4� PERMIT NO 7 COMPLETED ADDRESS R4 gk� OWNERIt TEL NE NO.1�� �" CONTRACTOR >- DESCRIPTION ❑ FOOTING ❑ PLUMBIN FI L ElEXCAV/GRADING/FILLING Q L3 POURED WALL �MECHA CA I ❑ LAKESHORE/WETLANDS y ❑ 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 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL r ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_N vOi COMMENTS: W L�C�� �dP ib r r[e -�yI��✓ !fir K �dcNe O W IV LUcc a W W J ujp4vow SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p 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/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice v DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED aw A4,1 PERMIT NO., D/�-�/�� COMPLETED ADDRESS (iL OWNER TELEPHONE NO. j `�Gx CONTRACTOR is DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q El FRAMING El 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 LITJ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 04RLUMBING RI ❑ SEX FINAL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO ET YOU: YES—NO ti COMMENTS: LQ cc cc 2C �• Q � 100rOU trJ C 4� /w /�Y{ LcAer L Uj J GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice � / vJ ATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -BD PERMIT NO. 14 COMPLETED ADDRESS 9 S� OWNER TELEPHONENO.6/Ol 0740 V,6* CONTRACTOR f�V DESCRIPTION �`�� 7� ❑ FOOTING PLUMBING 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 ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QZ a IS holes - a ✓ h ggaLLe r- OK T P9 ko' lu e 0 Q /Uylh-¢- 1/13 4:70 r 40 6 I J a) 60AUlkleServi�.e bdl cx.� ,D�ess��� f+a4 k Uj LU ❑WORK SATISFACTORY:PROCEED OJ ECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 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 ext inspection24 hours in advance. (952) 249-4600 Ownerdntractor o site: [J Inspector. i White CopylInspector's File Canary Copy1Site Notice