HomeMy WebLinkAbout2017-00232 - plumbing CITY OF ORONO 1111111111111111111111111111111 IN 11111 an
2750 KELLEY PARKWAY * 2017 - 00 3 2
DATE ISSUED: 03/11 3/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 500 WILLOW DR S
PIN 03-117-23-32-0017
LEGAL DESC N/A
LOT 001 BLOCK 001
PERMIT TYPE PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)WATER HEATER
VALUATION OF PLUMBING 17380
APPLICANT PLUMBING FIXTURE FEE 217.25
STATE SURCHARGE PLBG(VALUATION) 8.69
SERVIN PLUMBING&HEATING
24752 705TH AVE MAIL-IN FEE 2.00
DASSEL,MN 55325 TOTAL 227.94
(320)275-0190 Payment(s)
CREDIT CARD 4098 227.94
OWNER
MERRY,GRAHAM
3750 HUNTINGTON AVE S
ST LOUIS PARK,MN 55416-
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. 7
Date
Applicant Penitee Signature Date Issued y ignatur
rr
A ,'s pN' , City of Orono FOR CITY USE ON 'Yi
O v_ P.O.Box 66 Date Received: -/-3 /
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit# d0 7,1 cno
s
(952)249-4600-Main
kifr+� ` (952)249-4616-Fax Approved By;
Amount$: 017, 9
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
htto://www.dii.mn.gov/CCLD/PDF/pe plumbplanrev�,pp.pdf
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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. Ali work must be done in accordance with State Code requirements.
6. Ali 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) [Backflow Device: ❑AVB ❑ PVB)
V.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: -J or6`y L .)r c'c-� 1J�' S •
Owner: TX) .A I,,APJhi , Mailing Address: J lam' 7='Ll a /� . 5 ,
City: /'-)A-,,#4 CJ Zip: 53-3 03
Home Phone: Alternate Phone:
Contractor Information:
Contractor: V iJ 'PL-S,Le Contact Person: T'r Irk/4
Address: _ , '? �� State Bond #: 7 L- � -7
r
City: (-�-" �- Zip: > c-- xpiration Date: 12 ' �7
Phone: l0 G-(0 , C�� L7 Alternate Phone:
❑ Insurance-Current: (T� rniN,%cL 1` wf�--
Page f
i.
PLUMBING FIXTURES BEING INSTALLED :
FIXTURE BSMT 1sT 2ND OTHER I FIXTURE BSMT 1sT 2N0 OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Z Floor Drains
Lavatory 'L Sewer Ejector
Bathtub Laundry Tray _
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
_ PERMIT FEE CALCULATION T �
1. CONTRACT PRICE * is 1.2/5% of contract price with a (Minimum Fee of$50.00)
7, x .0125 $ 6 rI ? �
r
(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) $ 11,V 7 9e
* 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 I.
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: 3 ,
Building Official/ Inspector: Date:
Pago 2
T
DPS E TIME V
CITY F ORONO CALLED IN
INSPECTION NOTIC 7 � SCHEDULED U-7 '
PERMIT NO. COMPLETED - T
ADDRESS
OWNER TELEPHON O.
CONTRACTOR h'� �ufrlfJ
DESCRIPTION I
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ PTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS.
0 3 /,
cc �. �• ��
W
Q
2 L")— C
W
Uj ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE /
W ❑ RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑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
OwnerlContractor on site:
Inspector:
White CopyAnspectoes File Canary CopyMe Notice
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1 DATE TIME
CITY OF ORONO CALLED IN 1
l D _
INSPECTION NOTICE SCHEDULED — —
PERMIT NO. - XCOMPL
ADDRESS UnJ` S
OWNER T P O E NO.25Z _333 _gD3
CONTRACTOR
DESCRIPTION Liu A4w
❑ FOOTING ❑ DEMO-FINL E3 SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING R ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF XPLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OwNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: 2 / �d
4 F, C.✓ - 1
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Uj ❑WORK SATISFACTORY:PROCEED �JECT COMPLETE
RR YMORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
14 ❑ ECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
Owner/ContracW on site:
Inspector:
wMta CopyAnapaotoes Fila Canary CopylSib Notka