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HomeMy WebLinkAbout2013 - 00664 - plumbing CITY OF ORONO IIIIIIIIIIIIIIIIIIIII I IIIIIIIIII IIIIIIIIIIIIIIII * 2013 - 00664 * 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2325 WILLOW HILL DR PIN : 03-117-23-23-0022 LEGAL DESC : WILLOW HILL : LOT 1 BLOCK 1 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT: 1 WC, I LAV, 1 SHOWER, I FLOOR DRAIN, 1 WATER HEATER 1ST FLOOR: 1 WC, 1 LAV, 1 SHOWER, I KITCHEN SINK, I DISPOSAL, 1 DISHWASHER,3 SILLCOCKS, I LAUNDRY TRAY, 1 WASHER, 1 WET BAR 2ND FLOOR:3 WC,4 LAV,2 TUB,2 SHOWER, OTHER: 3 FLOOR DRAINS IN GARAGE, 1 LAUNDRY TRAY IN GARAGE VALUATION OF PLUMBING 31200 APPLICANT PLUMBING FIXTURE FEE 390.00 RIVERSIDE MECHANICAL STATE SURCHARGE PLBG (VALUATION) 15.60 12460 ZINRAN AVENUE SAVAGE, MN 55378- MAIL-IN FEE 2.00 Minnesota State License#: PC644809 TOTAL 407.60 OWNER GUIDERA, WILLIAM&AIMEE 2325 WILLOW HILL DRIVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The appli - - son •• - o suring all required inspections are reque -din confo ,nce with e State Buildin: 'or'.This permit may be revo ed at an • e or du- ause. • I alicant Permitee Signature Date Issued By ignare Date SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRIBED ABOVE. } FOR CITY USE ONLY :'k City of Orono (7-E4.21-<4 P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: I (952)249-4600-Main s (952)249-4616-Fax CCITY OF ORONO—PLUMBING PERMIT �stt� (All Commercial Permits Must be Approved by the State Prior to City Approval) htti://www.dli.mn.•ov/CCLD/PDF/te Ilumbilanreva .s 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) KNew ❑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: �, `L325 L it lIO cy I I fl r Owner: c ,;<< GV: 0-c_ Mailing Address: City: Zip: Home Phone: Alternate Phone: - Contractor Information: Contractor: )-\,‘.);L,-,, e, {nea,c,,,,,cck Contact Person: Cc.4.JL. Address: \, 9 Z:nrc Pkv2. State Bond#: 06o'llacl- p!N. City: SziOry Zip:SSIT Expiration Date: ! ]PE.. 3i 3013 Phone: 9Sa-a0j-Novo Alternate Phone: 6(,)-g1c,-35`it n Insurance—Current: Y.e3 1 11. , PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet ` l 3 Floor Drains 1 3 Lavatory ; Sewer Ejector Bathtub Laundry Tray woixi Shower 1 Washer 1 J Kitchen Sink + Water Heater Disposal �y Water Softener Dishwasher Wet Bar Sillcocksra Miscellaneous 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) 43r Oo x.0125 $ 390 (contract price) (minimum$50.00) 2. STATE SURCHARGE ,a vo x .0005 $ )S ioo (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I t OD.(0 0 ■ * 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 A 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: ��0,14_ ,a pyL Date: 3 Gy �AT TIME CITY OF ORONO 11 CALLED IN v�� INSPECTION J,V_OTI E_otfo SCHEDULED — /O•'� PERMIT NO / Y� COMPLETED f' ADDRESS oJ� vN �L) / I 2Y OWNER I TEL/ ONW.0 ?/-‘L,63: 111 CONTRACTOR `L 44 DESCRIPTION "Pi b 61, 16K-i Lti ❑ FOOTING ❑ PLUM: INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECH• L RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ▪ 0 DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL U PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: cc W oAin- TZV.--1- _ )� cc W Q 14.1 W AO WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerIContrac Inspect° hite Copyllnspector's File Canary Copy/Site Notice 6- 6 Le + ATE TIME II CITY OF ORONO CALLED IN "—/ INSPECTION N TI E ‘441.SCHEDULED /- 3 1/ I. 30 PERMIT NO. ale LCOMP/LJTED ADDRESS W did � -0✓'G OWNER • TE •HON�E®®��NO� 4F.- 7 &, CONTRACTOR L.._4A �1._i l 1.... `�E/DESCRIPTION , L4L,�'�K•C IQ ❑ FOOTING 134 PLUM; FINAL ❑ EXCAV/GRADING/FILLING Cl) 0 POURED WALL 0 MEC AL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MEC NICAL FINAL ❑ TREE REMOVAL 01 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION cC ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 1.14 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL CIFOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO 9 COMMENTS:� /I'aid i hDt'�i'e rif cc C , J 'i tt,C til ✓tc — SGZ 11-- sME/Q CC O CC W �4r' a L,,,•av7 44.6 )k FFGcr 0 14. W✓si 4":4611 GG`4,K, id4 i t - LAt W Q ley. L p' wki.of k 'W -' oK cc l -e k-, • ,`lop O WCC ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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 • . - . spection 24 hours in advance. (952) 249-4600 Ow : (Contractor on site: , >, ✓ Inspector. IIIIIi& "— i' I White Copyllnspector's File Canary Copy/Site Notice