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HomeMy WebLinkAbout2016 - 00176 - plumbing CITY OF ORONO III 111111111III 1111 1111111111111111111 • 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2610 WEST LAFAYETTE RD PIN : 21-117-23-24-0043 LEGAL DESC : SHORE HILLS : LOT 011 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACE:4 WATER CLOSETS,5 LAVATORY,3 BATHTUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER, 1 WET BAR VALUATION OF PLUMBING 8500 APPLICANT PLUMBING FIXTURE FEE 106.25 STATE SURCHARGE PLBG(VALUATION) 4.25 SANTEMA PLUMBING,INC. TOTAL 110.50 4407 LOCKE AVE SW Payment(s) COKATO,MN 55321 CREDIT CARD 4719 110.50 Minnesota State License#:plbg-643774,mech-005060 OWNER ENQUIST,CYNTHIA 2610 WEST LAFAYETTE RD EXCELSIOR,MN 55331 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. • �J -/7-/ c.7.,;\ I ..mss u ) `7� 1 , Date Applicant Permitee Signature Date Issued By Signature cL/' c4 \ City of Orono FOR CITY USE ONLY 0 illc_\ P.O. Box 66 Date Received: ..2...-1-1- 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# lb— br i 1 —7 ,' ti� r,• (952)249-4600—Main Approved By: �C ix,sHO4E' (952)249-4616—Fax pp r L� Amount$: / 1 0 • 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) ❑ New ❑ Additional ❑ Repairs jgReplace ❑ In Accessory Structure? *you will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: r1 i. / Site Address: .A.6, /0 6.1 ite ` e- %`- kJ) I )J / Owner:(_�/�,2c-( �v� c I '/ Mailing Address: U City: Zip: Home Phone: Alternate Phone: Contractor Information: 1 ,- Contractor: � pd-ei-,u / 3_ Contact Person: j 71-C--,-) e Address: 5170 7 &ee. H.c. SCJ State Bond #: 1`'' - c•Y� T7y City: > ,7–b Zip:AA) Expiration Date:/i- -/7 Phone: 61;2-747—j 41 ci Alternate Phone: Insurance - Current: Aill--' ‘3 . Y.<3 Page 1 PLUMBING FIXTURES BEJNGyINSTALLEQ ' .:.. FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet c .2 Floor Drains Lavatory - 7'. Sewer Ejector Bathtub / r Laundry Tray f Shower I' Washer f Kitchen Sink l Water Heater Disposal �j Water Softener Dishwasher Wet Bar / Sillcocks Miscellaneous PERMiT.;`FEE=CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) o 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. 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 statements made o)n this application are complete, true and correct. Applicant's Signature: Date: Building Official/ Inspector: Date: Page 2 'H c DATE v' l TIM C \7 CITY OF ORONO CALLED IN INSPECTION NOTICE 1�cSCHEDULED / C PERMIT NO. 7._C-11.r-(v COMPLETED ADDRESS 2- (G I C‘ tkj • L Q / OWNER TEL NE NO. CONTRACTORr Y�� 1/Lc,2.7 DESCRIPTION P 1 L , mj,i s ty ❑ FOOTING 0 DEMO-FINAL SEPTIC FINAL 14.. ❑ POURED WALL BING RI 0 EXCAV/GRADING/FILLING CS ❑ FOUNDATION WATERPROOF PLUMBING FINAL 0 TREE REMOVAL Z ❑ 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 W_ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 $E, IC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES NO co• COMMENTS: V 1.54 0fC, cc 14.i g Q. c► d/ _ rvl. . . o *- o- 104t 95, '6$ 4;:a..._ / /4-w• Aide CC 00a - A45 sc.b . zit) 4tp to c��s ,ks W C J 4- I�✓C A yo cc O K G614.1-IhZ W z W cc 2SATISFACTORY:PROCEED CIPROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Ca ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED El 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. /0�c= opyltnspector's File Canary Copy/Site Notice