HomeMy WebLinkAbout2018-00146 - plumbing CITY OF ORONO
2750 KELLEY PARKWAY * 2 P1 1 8 — 0 0 1 4 6
DATE ISSUED: 02/12/2018
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 680 WILLOW DR S
PIN : 03-117-23-33-0007
LEGAL DESC : WEBBER HILLS
: LOT 012 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSET,(6)LAVATORY,(2)BATHTUB,(1)SHOWER,(1)LAUNDRY TRAY
VALUATION OF PLUMBING 7000
APPLICANT PLUMBING FIXTURE FEE 87.50
LEGACY SERVICES LLC STATE SURCHARGE PLBG(VALUATION) 3.50
2066 HWY 27 TOTAL 91.00
ISLE,MN 56342-
Payment(s)
(763)337-2350 CHECK 1187 91.00
Minnesota State License#:plbg-PC63169689
OWNER
LARSON&STEPHANIE MARCH,MICHAEL
680 WILLOW DRIVE
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 respLS
' assuring all required inspections are
requested' conformhe State Building Code.This permit maybe
revoked 11
y time se.
3 4kP
�z r
Applican Permitee ate Issue y Signature Date
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NPT� / SCHEDULED pq
PERMIT NO. (/V( COMPL
ADDRESS S
/Z)
OWNER PHONE N
CONTRACTOR �n
DESCRIPTION v"�
W ❑ FOOTING ❑ DEMO FI A ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBIN I ❑ EXCAV/GRADING/FILLING
y ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:cc
fftS"Ir bet h - 40 K) - 60116 • Sd '
o a•r- 16 Pit -
cc ' .Dw ✓ C010' 1"2 p& -6w� - p✓G .sr,/(t. Bio
Q off hm' A 1K'to saus� .e 65'
6 C�'G� e� cats•' .1 DWv
cc
LQPkQVORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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.
Cab for the next inspection 24 hours in advance. (952) 249-4600
Ownerr,ontractor on site:
Inspector: ti
�jteyllnspectoes File Canary Copy/She Notice
DATE TIME
CITY OF ORONO CALLED IN —
INSPECTIONJ _Ob' SCHEDULED
PERMIT NO. UU OMPLETE
ADDRESS ( LAJ r
OWNER —TELEPHONE NO.111Z' — 337'12-
CONTRACTOR QG V 51
i DESCRIPTION
W ❑ FOOTING ❑ DEM FINAL ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION DRAIN TILE PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:���• /1rrlD LS /lD���
aC
O /
bee
-F—
o
Wj ❑WORKSA FACTORY`PROCEED &etROJECT COMPLETE
W PACORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑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 CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlC xAmctor on site:
Inspector: !;:4/� 7�__
White Copynnspector's File Canary CopylWe Notice
0 City of Orono FOR CITY US ONLY
O P.O. Box 66 Date Received: o2/1 a
2750 Kelley Parkway
a > Crystal Bay, MN 55323 Permit#
c` (952)249-4600—Main kfSH04'� (952)249-4616—Fax Approved By:
Amount$:
CITY OF ORONO — PLUMBING PERMIT
(Alf Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.gov/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 ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑ New (Additional gRepairs 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:
Owner: Gf� /. rJ� Mailing Address: i,{rVI 1.4,�; _
City: CA Zip:
Home Phone: ,� _ - ,�C�,3 Alternate Phone:
Contractor Information:
Contractor: Z4(1 Contact Person:
Address: _22 State Bond #: ;3/o��,'7Z
City: Zip: ,ZY'�12 Expiration Date:
Phone: Alternate Phone:
® Insurance — Current:
Page 1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sr ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory / Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
". PERMITTEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
��v
7 b'Dn 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 „`7W
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 a Plication are complete, true and correct.
Applicant's Signature: Date:
Building Official/ Inspector: Date:
Page 2