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HomeMy WebLinkAbout2017 - 01503 - plumbing k iii' I 11111111111 II III iii CITY OF ORONO * 20 1 7 - 0 1 503 * 2750 KELLEY PARKWAY DATE ISSUED: 11/15/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1284 WILDHURST TR PIN : 07-117-23-31-0026 LEGAL DESC : WILDHURST TRAIL : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS,(2)FLOOR DRAINS,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR,(2)MISCELLANEOUS VALUATION OF PLUMBING 36285 APPLICANT PLUMBING FIXTURE FEE 453.56 STATE SURCHARGE PLBG(VALUATION) 18.14 GENZ-RYAN PLUMBING&HEAT MAIL-IN FEE 2.00 2200 HIGHWAY 13 BURNSVILLE,MN 55337 TOTAL 473.70 (952)767-1000 Payment(s) Minnesota State License#:mech-MB003541 CREDIT CARD 5958 473.70 OWNER HANSON,KELLY 14410 GRENIER ROAD MINNETONKA,MN 55391- 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. / ` cc) � 1 � // / /�'S/ 17 PP A licant Permitee Signature Date Issued B ignature Date Nov. 15. 2017 8:42AM Genz — Ryan , 0 A- No. 1509 P. 4 SpA, City of Orono FOR CI �D Y U NLY 0 P.O.Box 66 Date Received: �t 5-17 2750 Kelley Parkway Permit# Crystal Bay,MN 55323 d ''',4- cc (952)249-4600—Main pp y, 4,kksyos" (952)249-4616-Fax A roved B Amount,$: CITY OF ORONO–PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www,dli,mn.nov/CCLD/PDFIpe plumbplanrevapp.pdf GENERAL INFORMATION t_ 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) I— 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: Site Address: 1'ZBLI A 1\Ck\'lU\'S'� 1 0 I Owner')\- y)1 H i'D(.1'‘5 00 Mailing Address: 11 6(11A Oh c'tii 1r~1"ir l City: O v Dl's U Zip: q-.250-/ Home Phone: Alternate Phone: Contractor Information: Contractor: L)-Ci\r)2-- R,\,C& P Contact Person: Y rrJJ161 I\4 O Address: \A( ,, ��i200 � V �1� \�� State Bond #: Z, IWi-i�43:- City: Cbvvlf\. \11UG Zip: �9 -3'1 Expiration Date: 12,[- /i1"7 Phone: '1/' I til ' 1 7 q`) Alternate Phone: ❑ Insurance –Current: Page 1 Nov. 15. 2017 8:42AM Genz — Ryan o. 1509 P. 5 PLUMBING FIXTURES BEING:INSTALLED FIXTURE BSMT 1s'' 2N0 _ OTHER FIXTURE l3SMT 1S7 – 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet I 3 Floor Drains 2- Lavatory Sewer Ejector Bathtub L ' Laundry Tray Shower '- Washer Kitchen Sink ' Water Heater X Disposal f Water Softener 1 Dishwasher I Wet Bar X Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE *is 1.25% of contract price with a (Minimum Fee of$50.00) 2kG x .0125 $ `—1 J � (contract price) (minimum $50.00) 2. STATE SURCHARGE ;)W �.o✓ x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2,00 4. TOTAL PERMIT PEE (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 statemen ade on this application are complete, true and correct. IP Applicant's Signature: (2-k— Date: 11 I £/ J Building Official/Inspector: Date: Page 2 Cit41 g ‘,, -- P--.. ITY OF ORONO CALLED IN DATE TIME INSPECTIONT SCHEDULED /-44-17- v2 '�.O PERMIT NO. 0w 0/5 03 MPLETED ADDRESS i aT'--1 ) I i.t �—r5 __ OWNER TELEPHONE •.lv i'755-95� CONTRACTOR G i Z--y� . Pee--i, . DESCRIPTION PIS- KJ- Lu ❑ FOOTING 0 DEW-FINAL 0 SEPTIC FINAL .0.- ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: 5-C-1--) PL a lF0 vi-✓ l!' d/c a 194der, ©k/L.cLe1e cJ wife:' 4. Wes ih61-1 oATS. d h a s' 1 pies c/(' cc .44 hi; S-731/Z— e x^ �, 0 u. W cc Q W z W cc 0 111. WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT 0 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. C v 11 White Copy/Inspector's File Canary Copy/Slte Notice .(\ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIcE SCHEDULED //'�C"/? 3;Or, PERMIT NO.o`LOI '/-AI 3 COMPLETED_ ADDRESS /4:Z�7 k)//d4 /j f /'a1 OWNER TELEPHONE NO. '.--42-77-18/5-- CONTRACTOR 42-7G'7-,8✓ CONTRACTOR 6—e47 * Kety/( DESCRIPTION 1% a 6 W ❑ FOOTING 0 DE -FINAL 0 SEPTIC FINAL Q ❑ POURED WALL OZPLUMBING RI 0 EXCAV/GRADING/FILLING • Q 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO col COMMENTS: 4.1 u.G- pkvv Pc . 96 CC .541- 4, ''e5'& /5 17142,45. cc ° - /f> 170'eV A iritC 4 -K-fiGlUe — W Q /PKC — Cove_ W Lu W / ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W 0 CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY C3 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. //n hite Copyllnspector's File Canary CopylSite Notice