HomeMy WebLinkAbout2017-00595 - plumbing CITY OF ORONO 1111111111111111 IN 1111111111111111111 im
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2750 KELLEY PARKWAY DATE ISSUED: 06/02/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 540 WILLOW DR S
PIN 03-117-23-32-0018
LEGAL DESC N/A
LOT 002 BLOCK 001
PERMIT TYPE PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL,(2)DISHWASHERS,
(3)SILLCOCKS,(1)FLOOR DRAIN,(1)WASHER,(1)WATER HEATER
VALUATION OF PLUMBING 24400
APPLICANT PLUMBING FIXTURE FEE 305.00
SERVIN PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 12.20
24752 705TH AVE MAIL-IN FEE 2.00
DASSEL,MN 55325 TOTAL 319.20
(320)275-0190 Payment(s)
CREDIT CARD 4098 319.20
OWNER
BOHLANDER,LAURA
2260 FOX ST
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 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.
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Applicant Permitee Signature Date Issued B Signature Date
'�O^ City of Orono FOR CITY USE ONLY
O \ P.O.Box 66 RECEIVED Date Received: (E-1-17
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit# oZ D/"7 " �Q `ri 9 5
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(952)249-4600—Main JUN 0 2 2011 Approved By:
(952)249-4616—Fax
Amount$: 121 Z-11
CITY OF ORONO
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.gov/CCLD/PDF/pe plum bolanrevamod
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I 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)
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TYPE OF PERMIT(Check All That Apply)
..Residential ❑ Commercial (Approval Required) [Backflow Device:❑ Ay113 ❑ PVt�3j
9New ❑ 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: -5yo o L,,,j D C-L e,,) 1
Owner: L G Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 5iEgsInI Pj,'Gf talo_ 'r,, ontact Person: W,
Address' o<�7s.2 7p� �I Vfv . �uState Bond #:
City: i JP1�S L- Zip: 32 s Expiration Date: '
Phone: _ �2� eo . Alternate Phone:
❑ Insurance- Current: '4++) I-L
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I PLUMBING FIXTURES BEING INSTALLED
FIXTURE ! BSMT 1sT 2N0 OTHER FIXTURE BSMT —1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet r Floor Drains
Lavatory j 1 Sewer Ejector 1
Bathtub j j Laundry Tray
Shower Washer f –�
Kitchen Sink -- ; Water Heater
--......... m
Disposal t Water Softener
Dishwasher Z ( Wet Bar i
Sillcocks j Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE ' is 1.25% of contract price with a (Minimum Fee of$50.00)
x .0125 $
(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) $
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 m J
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 re complete, true and correct.
Applicant's Signature: Date: -
Building Official/ Inspector: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.o7017-M5 95 COMPL ED
ADDRESS�'7 D 6)-"//6 �
OWNER TELEPHONE N0.390-3 -CONTRACTOR e/'f���A
DESCRIPTION
l~l1 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
O CITATION ISSUED
[ISTOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
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INSPECTIM!DN i�� SCHEDULEDPERMIT NO. b j COMPLET
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DESCRIPTION
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❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -7- .'z U • o h
PERMIT NO.a,M 00515 COMPLETED
ADDRESS 5qo (/1�1 H o W D f 1 Ve— S
OWNER TELEPHONE NO. 3ZD• 3� 3
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ DEMO--ANAL ❑ SEPTIC FINAL
Q ❑ POURED WALLPLUMBING RI [3EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDIIT
TION WHIN HOURS. ❑PHOTO TAKEN
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❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection?A hours In advance. (952) 249-4600
Owrm#Contractor on site:
Inspector•
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