HomeMy WebLinkAbout2015 - 00211 - plumbing CITY OF ORONO 11311111 111 NI li III 11 I I I I II1E1
r' 2750 KELLEY PARKWAY * DAT 1 5 - 0 0 2 1 1
DTE ISSUED: 02/19/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1085 WILDHURST TR
PIN : 07-117-23-24-0029
LEGAL DESC : TONKAVIEW GARDENS
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 2 WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, I DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRA'
VALUATION OF PLUMBING 3000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.50
GOOD NEWS KINGSWAY HEATING&PLUMB TOTAL 51.50
451 BABCOCK CIR Payment(s)
DELANO,MN 55328- CHECK 3258 51.50
(763)479-6715
OWNER
JURLAND, STEVEN
1085 WILDHURST TR
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all re aired in pections are
requested in co nformance with th- .. . e :uilding Cc .This permit may be
revs ed at.�t �' se.
iiow
I, 4 (-Xiiiif
e / / 9/ 114
Applic. � - ' .ture Date Issued By Signature Date
1
f FOR CITY USE ONLY
�T City of Orono i5..(�p Z/# 2/f9/`s
�OW
PO.Box 66 Date Received: Permit il
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: 51 50
(952)249-4600—Main
y > (970552.0)1204:1:6:6676
52)249 4616—Fax
CITY OF ORONO-PLUMBING PERMIT
FSHo� (All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.gov/CCLD/PDF/pe p1umbplanrevapp.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)
Et esidential ❑ 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:
fik—s
Site Address: 1 3 � 9 '( 1 I4--L,--)9 -"' C
Owner: *-Ni 1 4-"3 c Mailing Address:
City: cZ i.L2 U Zip:
Home Phone: tv ( % 2:7'2- fir /Alternate Phone:
Contractor Information: A--
Bc,,,ply
Contractor: 7 0aO5 Contaçeson: ,�..,vt S i',i(zu
Address: 115 1 se)/b60-2x�.. ,z Slate Bond #: /4.-..4- '
City: 0`2- / _11_b Zip expiration Date: 1tI /5
Phone: (4e, ( Z- 1'/O -0 iternate Phone: ZL t 2-- dPt 0 -67-67(4---
7
j `---n Insurance-Current: 4 U o Ocovo f.._.�
1 0,-- t J
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 s r 2ND OTHER FIXTURE BSMT 1 s r 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet / Floor Drains
Lavatory / Sewer Ejector
Bathtub / Laundry Tray
Shower1gr Washer
Kitchen Sink Water Heater
Disposal ! Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
,13ASED OFFS-20STE� Afi1 .. f,
❑ 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 $
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATION(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$50.00)
Q' r 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 statem-nts made on this application are complete, true and
correct.
a.
Applicant's Signatu , Date: `6�s
3
SO1-- 0 LA-3 DATE TIMI?
hI
ITY ORONO CALLED IN
INSPECTION
OF NOTICE SCHEDULED --11 n Cl\
PERMIT��NQ ' a \ COMPLETED
ADDpfE$S t t`'W s WI Id cLGorS4 /L
OWNER TELEPHONE NO. (-01)- 2----1.)-- `-L'
CONTRACTOR Gc w-`-7..., f LL`i
3.: DESCRIPTION
P \
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
U.. ❑ POURED WALL ■ • _ 0 EXCAV/GRADING/FILLING
y
Q 0 FOUNDATION WATERPROO ■ - ft 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
g:( 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
IQ
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ S�P IC INSTALL 0 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
c2i� COMMENTS: �FFlllll
ku
ftc( ad- (5F
cc
---y...... v �,S ti.,-etio— " 7/I - / .,.._c-
lc_
o (cat° / , sir_ p3scid Let
:30
' 1
Q OA r
ia
W ', 1
s
W ❑WO SATISFACTORY:PROCEED \PROJECT COMPLETE
❑ RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O RRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.I B ORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
IDSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 952) 249-4600
OwnerlContractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
3 1 t8-''" DATE TIME
CITY OF ORONO CALLED IN /
INSPECTION NOTIC r, SCHEDULED _
PERMIT NO. 2./)/ -ttU� COMPLETED ADDRESS /r p5 G� 71fl/ arc1 1—
OWNER66049 ite TELEPHON NO. 42f2- Z 7.02WO
CONTRACTOR ll('� s •.*i,_ T7 i 0 6.1)1 is
DESCRIPTION p/,„-76,,7
,_W ❑ FOOTING - L SEPTIC FINAL
11.
❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
H ❑ FOUNDATION WATERPROOF -] PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
:IX 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
J ❑ DEMO-SITE 0 S TIC INSTALL 0 FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
• COMMENTS:it
n 2e v''
a _ i e � - 460u e q it..hoe. -1"
O 14134 04./ — p w v' ro VC Sc.<. 7o
N.
—' Veif6t4'5 Pieoe 7(irGt rot o Y-4-5 -fiyfe'
CC
° D L 1, COve v —
W
cc
Q
p
z I htwlk e-✓ 4 WIDKOI. .tete v reg k,/ ' j G-.
W 7!14 K
4( tSQ .
etJ
FII
1RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
WCC
❑CORRECT WORKS PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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
Owner/Contractor on site:
Inspector. F /,.....,
White Copyllnspector's File Canary Copy/Site Notice