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HomeMy WebLinkAbout2017-00266 - plumbing CITY OF ORONO 1 11 1 1 1111 1 1 11 1 1 11 l 1 111 I1 I I I II H 2750 KELLEY PARKWAY * 20 1 7 — 0 0 DATE ISSUED: 04/17/2017 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2060 WAYZATA BLVD W PIN : 34-118-23-21-0037 LEGAL DESC : AMBER WOODS OFFICE CENTRE : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (8)WATER CLOSETS,(14)LAVATORIES,(3)KITCHEN SINKS,(2)DISHWASHERS,(10)FLOOR DRAINS,(1)WASHER,(1)WATEI HEATER VALUATION OF PLUMBING 29000 APPLICANT PLUMBING FIXTURE FEE 362.50 STATE SURCHARGE PLBG(VALUATION) 14.50 PALADIN PLUMBING LLC TOTAL 377.00 13963 45TH PLACE NE Payment(s) ST MICHAEL,MN 55376- CHECK 3031 377.00 (763)432-5260 Minnesota State License#:plbg-PC644101,mech-MB005632 OWNER CBS MN Properties P O BOX 575 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. Ir i 1 L'(r.C \ I f C r' Applicant Permitee Signature Date Issued By Signature Date 4 • cLpN City of Orono RECEIVED FOR g.TX USE O4Y 0 MAR 0 y P.O. Box 66 2750 Kelley Parkway / ,, i Crystal Bay, MN 55323 Date Received:2O 7 Permit# �� -7 — N �0 (952)249-4600–Main Approved By: KfSHOA (952)249-4616–Fax N \ CITY OF ORONO Amount$: J��j \ . 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 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 ❑PVB] ❑ 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: p Site Address: . tax's-' We A. 1,, [-el RIO() , j l� Owner:I Ie IRiC +'i(c rr - v.c.Mailing Address: 1471 f/ S- L k cez,t)&Ala aZu 11 � City:Le IA 5 .--j-357,� Zip: j Home Phone: Alternate Phone: /�� Contractor Information: Contractor: riVA r . PIO Nd i Contact Person: J Qrr Address: i3(1 LI4iNt& t\ - State Bond #: pc,�YH( City: c ItiC e, Zip: /IN Expiration Date: / --.3,-./9 Phone: `"14,3 --f3,3— 5 °0 Alternate Phone: ly1 Insurance- Current: (Lrt(d I, re ci (aS t Page 1 0 FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet _5 9 1 Floor Drainst 11 Lavatory l Sewer Ejector Bathtub l Laundry Tray Shower Washer I Kitchen Sink 3 Water Heater I Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � . r"aur % +r 4'' 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) ',(?at l x .0125 $ ,isJ6.a5l) (contra6t price) (minimum $50.00) 2. STATE SURCHARGE c> i•O`i 000 x .0005 $ /q3--U (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ "-2-.00 – w' 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 30/ * 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. v tea. P' i4.,L :, ..:t''v 4 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. Applicant's Signature: - i•V C-f Date: 3 r�v�1 BuildingOfficial/ Inspector: �' Date: - ` 7//7 P �% � U (' Page 2 (� -T(E,� �7 TIME f CITY OF ORONO CALLED IN f'zIt7 ) / `/ INSPECTION NOTICE , SCHEDULED '1-2$'1'1 2:oofavv1. PERMIT NO. a<2/7 -- 2(c-- COMPLETED ADDRESS aO(pO LlaNlz Q,k)c-)• OWNER DonISe_ TELEPHONE NO.-NA' 2=5240 CONTRACTOR DESCRIPTION fn \ 'A SPI Ctie — Qiunt'wtc 4, ❑ FOOTING Xr PLUMBING FINAL IDEXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS h 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 2 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS I, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP IQIDDEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO 0 2 COMMENTS:<A 1/ 04A©r j'/urr) X05 An/fir .@f,e,/ cc aW. / h/& Ao/d1' q on -,1 74,, e s7 �cn. j ° ct7L 0.0. W cc Q WCl,i rer-i r�QJ /C��'T r..-1,e..,,, /f Co M o/ (�Q.crof i'tA 40 I,/6/"....6,,I.' p10,15.44,0%31017 s e.,..-• W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW O CORRECT 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 ❑CITATION ISSUED 0 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. -.P-7';'.. G• White Copylinspector's File Canary Copy/Site Notice DATE TIMV CITY OF ORONO CALLED IN INSPECTION mi TN E SCHEDULED PERMIT NO. i – COMPLETED - 7/7 !k:05 ADDRESS �!© / (`Za (01 VC/ OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL cc ❑ Q POURED WALL PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF 0 LUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ,._‘t ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v 0 DEMO-SITE 0 SEPTIC INSTALL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO co COMMENTS: C le c�/ 7 1-e - d ©4 vO/ /a4A / /€/vtté cc0 Ix Le)6 .W V K4 — I)1 C- C_c'4y ✓7oa l Q �'do f vv' +es /19 i s✓FZ `�iv i f�� -�Ilrl ion's;�(t W /` z W cc J LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 0 a RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Ai z' 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑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 OwnerfContra on siteg7, / _ - s" Inspector. C17-1- , ' White Copy/Inspector's File Canary Copy/Site Notice