HomeMy WebLinkAbout2014 - 00182 - plumbing CITY OF ORONO II111111I111IIIIIIIIIIIIIIIII111I1111111111111111111111
• 2750 KELLEY PARKWAY �` 0 1 4 0 0 1 2
DATE ISSUED: 03/04/22 014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2300 WILLOW HILL DR
PIN : 03-117-23-32-0026
LEGAL DESC : WILLOW HILL
: LOT MB BLOCK MB
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BSMT: 1 WC, 1 TUB,2 FLOOR DRAINS, 1 WATER HEATER, 1 WET BAR,
1ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER, TRENCH DRAIN IN
GARAGE
2ND FLOOR:2 WC,4 LAV,2 TUB, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHER
VALUATION OF PLUMBING 35000
APPLICANT PLUMBING FIXTURE FEE • 437.50
STATE SURCHARGE PLBG(VALUATION) 17.50
RIVERSIDE MECHANICAL MAIL IN FEE 2.00
12460 ZINRAN AVENUE
SAVAGE, MN 55378- TOTAL 457.00
Minnesota State License#: mech-PC644809 Payment(s)
CHECK 3534 457.00
OWNER
Sowada Willow Property LLC
725 FERNDALE RD N
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By gnature Date
FOR CITY USE ONLY
/� City of Orono
�/W
Llj P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)2494600—Main
.t., (952)249-4616—Fax
CITY OF ORONO—PLUMBING PERMTT
4isHO- (All Commercial Permits Must be Approved by the State Prior to City Approval)
htt ://www.dli.mn.'ov/CCLD/PDF/ e lumbilanreva . df
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)
fj 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:
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Site Address: ys W t \k(1�,.) �', \kc. c)r
Owner: Mailing Address:
City: O t O>\ Zip:
Home Phone: Alternate Phone:
Contractor Information: n
Contractor: �,�cl'S,�� aY v�k,Akc....- Contact Person: (1_,_1/4yrL 2,,,,,5. e_ ‘k
Address: 124 too L Arc.,, P.Y-- State Bond #: (ne)l9 S O I S'1
City: Sc.%‘4 1` Zip:SS31i Expiration Date: 6/// '`i 0 I l0
Phone: 1 ) 614— l Io Ob Alternate Phone: (911-9.1/—/ 399 1
Insurance—Current: Ri,cOt., r\e_t.,
1
41.1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OI•Illilt
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory - Sewer Ejector
Bathtub I Laundry Tray I
Shower Washer
Kitchen Sink ` Water Heater
Disposal ' Water Softener
Dishwasher Wet Bar
Sillcocks 3 Nliscellaneous
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PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ 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)
3K,,otTo x.0125 $ y3'.)
(contract price) (minimum$50.00)
2. STATE SURCHARGE ,
Ot1-3 x.0005 $ ri • 0
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ U S'
■ * 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 on this application are complete, true and
correct.
Applicant's Signature: �,,� Date: _ Z ;
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED , / / y i co
PERMIT NO.ao/Y-vulf J- COMPLETED
ADDRESS R 3-0-0W I//o-w `v(,`L/) 0-t...,
OWNER TELEPHONE/ NO 95Z �9`I 7o
CONTRACTOR 4 /`�,e
DESCRIPTION " L8 Ad/
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• 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
"i• 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. ......,— /4"----
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(/ DATE TIME /
CITY OF ORONO y'! ,7\/ CALLED IN V
INSPECTION NOTICE SCHEDULED :
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OWNER (�� i TELEPHONE NO.
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1.14 ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
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Owner/Contractor on site:
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DATE TIME V
CITY OF ORONO CALLED IN
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• ❑ DEMO-SITE 0 SEPTIC MAINT ❑ FOLLOW-UP
0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 h urs in 1 2) 249-4600
Owner/Contractor on site:
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Q 0 RADON S ❑ WATER HOOK-UP 0 PROGRESS
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Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: {./a` &
Inspector. I iv,
Whi Copyllnspector's File Canary Copy/Site Notice