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Home My WebLink About2017 - 01058 - plumbing CITY OF ORONO *1111111111111111 2 10 I II I I II 10 I III I I I 15 I I II* 2750 KELLEY PARKWAY DATE ISSUED: 09/05/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4575 WOLVERTON PL PIN : 31-118-23-31-0007 LEGAL DESC : FOXFYRE ESTATES : LOT 001 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)KITCHEN SINK,(1)DISHWASHER AND(1)WET BAR VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.00 CITY VIEW PLUMBING&HEATING TOTAL 51.00 1880-B WAYZATA BLVD W Payment(s) P.O.BOX 150 CHECK 37244 51.00 LONG LAKE,MN 55356 (952)473-8793 Minnesota State License#:plbg-MB005208 OWNER JOHNSON,REBECCA L 4575 WOLVERTON PL MAPLE PLAIN,MN 55359- 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 caus . /5 ' i /0- //) A� licant Permitee Signature Dat Issued By�e DateP � Ili all.M. lo i ALQA, City of Orono FOR CITY USE ONLY 0 P.O. Box 66 Date Received: 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# F (952)249-4600-Main Approved By: 11kEsuO��c` (952)249-4616-Fax Amount$: CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.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) Residential LJ 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 / OwnerrI5 ?b Information: `/ Site Address: � (461 V {-6fIcCQ1 Owner: 11-€1 ‘4 (/CJiv Mailing Address: v[ J ? wbl1.4,! n NC& City: Ao / - go,A Zip: 6335 7 Home Phone: 60- 199-7- 51'1 't Alternate Phone: Contractor Information: 't �JSiJ - V31Contractor: tiOW '�(V � �� `I'n(/4.Wt� � Contact Person: t Address: 'NO- F (,Ue-t W o Y- 4 F 0J State Bond #: P C l9� t City: 1-0/1 tcqte., Zip: 663 Expiration Date: 0131//1" //ll Phone: a- ~ `t 73, 6 3 Alternate Phone: /nsurance — Current: Ye--S Page 1 i i PLUMBING FIXTURES BEING INSTALLED g1,, FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer 1 Kitchen Sink Water Heater Disposal Water Softener Dishwasher 1 Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) --: 0 OD x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE I _ __o_<.„0, x .0005 $ (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 TOTAL1-3 ,( 4. PERMIT FEE (Add Lines 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 statements made on this applicatiin are complete, true and correct. r. Applicant's Signatur /i Date: 9/5/(' Building Official/ Inspector: Date: Page 2 kIkTE TIME CITY OF ORONO ED IN -- /J/-- --//� INSPECTION NOTICE SCHEDULED 3,DL) PERMIT NI l)/� COMPLETED ADDRESS 7571- /vv-f rJ iq OWNER , ,� TELE E ISO. 9503-973 -r 9-3 CONTRACTOR Ci // / ` g) DESCRIPTION 5,(, r i b DEMOSEPI FINAL W ❑ FOOTING 0 AL 0 5( ❑ POURED WALL /lZPLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF ( ❑PLUMBING FINAL 0 TREE REMOVAL O Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL .t ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: - NJ a Si4k5 — no v - pv -A. eta 7 1 e Q. CC 0 7/4; �x(5---&SKS pvG 3 Ci`i< <fp .. N. iv :e /2f4t .s - DX- 0 4. LiJ 6K -4- Ben6/4tt 2 W Z W cc J �� W` 40.2:1K SATISFACTORY:PROCEED El PROJECT COMPLETE itW �❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI 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. /*- White Copyllnspector's File Canary Copy/Site Notice