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HomeMy WebLinkAbout2017-00211 + ,�, CITY OF ORONO * 2 0 1 7 - 0 PJ 2 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 55 FERNDALE GREEN PIN : 36-118-23-44-0014 LEGAL DESC : ALLO-RAE TERRACE : LOT 009 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURES-MULTIPLE NOTE: KITCHEN SINK,DISPOSAL,DISHWASHER VALUAT[ON OF PLUMBING 1900 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUAT[ON) 0.95 TIGER PLUMBING,HEAT[NG&A[R MAIL-IN FEE 2.00 7216 WASHINGTON AVE EDEN PRAIRIE, MN 55344- TOTAL 52.95 (952)942-5748 Payment(s) Minnesota State License#: plbg-PC 643398 CREDIT CARD 6803 52.95 OWNER MUELLER, W&P 55 FERNDALE GREEN 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 afrer 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 ,/ 7 Applicant Permitee Signature Date Issued B ignature Date Mar. 07.2017 10:56 AM Tiger Plumbing Heating an 9529745164 PAGE. 1/ 1 < � �p�••,� City of Orqno FOR CI Y USE �LY ,'�' � \ P.O.Box 66 Dete Received: �- / l � 2750 Kelley Parkway Permlt# , �L / � -L�t'i' ol-/` ,y\ ti,� Crystal Bay,MN 55323 `���I ;�;' (952)249-4600�Main A p proved 8 y; ',:'a�i�i�uo-t.:` (952)249-4B16-Fax Amount�: J` � �`� C1TY OF ORONO - PLUMBING P�RMIT (All Commercfal Permits Must be Approved by the$tate Prior to City Approval) http://www.dli,mn,ctov/CCLDIPDF'lpe� .�lumbplanrevapp.adf GEN�f�AI..� _._.,,.,....._ _.._.,.._.._„ �' __..,. _...,,___. �� INFORMATION _� 1. You may apply for plumbing permits by m�fl or in person at the City o�ces. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be senk by return mail after a review is completed. PERMI7S AR� NOT VALID UNTIL YOU R�CEIV�A PERMl7. WORK MUST NOT BEGIIV UN"�IL THE PERMIT CARb IS POSTED ON 7'H�JOB SITE, .���. 3. Plumbing permits may be issuecf ONLY{o licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new constructlan or remodeling is involved, a separate building permit must be pbtained. 5. All work must be done in accordancca with State Code requirements. B. All work must be insp�cted and alr tested before it is covered. Call (952) 249T4600. (24-48 hour notice requfred) TTYPE 4� P�RMIT(Check A(I That Apply) M�� '"� ^.�sidential ❑ Commercial (Approvaf Required) [Backflow Device: ❑AVB [�PV�3] � New �J Additional ❑ Repairs �Replace ❑ In Accessory Structure? "'You will need prlor apqroval �nd may need CUP. (Per Orono Gity Code, Chapter 78, Article IV) I Job Site / Owner Information: �� �f Site Address: � � 'C�����,� ��P P�(l Owner: Mailing Address: Gity: Zip: �� ' Home Phone: Alternate Phona: Contr�;c#or Irtformation: _ . ..,......� � Cantracta�: � �ontact Person: .��,1.� Address: ' State Bpnd #: ��. �i�� ���� City� ��' Zip:�,,,� ' � Expiration Data: �� Phone: `�(_�,�� - �`�� � �'����j __ _ Alternate Phone: ^�, � lnsurance -- Current: �=I`�l C� ,�,-,,,sse�.�c.c Cv vw�Ja�n��S 1701<c,��a��I ?�3 „_,_.. , � Page> Mar.07.2017 10:57 AM Tiger Plumbing Heating an 9529745164 PA6E. 1/ 1 . � __. PLUMBING �IXTUftES BEING INSTAL[.ED � �., � �IXTURE BSMT 1sT 2"0 07W�R � �FIXTURE BSMT 18T 2"° OTHER NPE Floor Floor TYPE Floor �loor . Water Closek Floor Drains Lavatory Sewer Ejector Bathtub l.aundry Tray Shower Washer Kitchen Sink ✓ Water Heater Disposat ✓ Water Softener � Dishwash�r Wet Bar Sillcocks . AAiscella�eous . . , , :PE�tMiT FE����ULAt1�N .. :. . ..:: , „ : . 1. CONTRACT PRICE ' is 1.25%of contract price with a (Minimumi Fee of S50.Op) � x .0125 $ o��, �S ��G,.�� �'l�n (contract price) (minimum$50.00) 2. STATE SURCHARGE X � � �° x ,OOo5 $ ,� � (contract price) 3. POSTAGE�HANQ�,iNG (Only on Mail-Irt Applications) $ 2,pp 4. TQTAL PERMIT FEE (Add Lines 1-3 Abovg) � �Q '�� * CONTRACT PR1C� or JOB COST means the actual or estim�ted dollar arnount charged for the permitted work including materials, labor, prpfrt, and other fixed cpsts. It is the amount to be charged to the customer for the work donP. If any matpria�, Pr�i iirmwnf lahnr or instalfations pro fumished by the owner, tenant or any other party, the re�sonable market vafue of such items must be added to the esEimated 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 PERMITAPPLICATIQN ACRE�M�NT.::.��'; =: .:°:;�:,: ,>:, :; : ,_:.': The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a!I work in strict �ccordance with the ordinances of the City and the regulations of the 5tate of Minnesot8, and certifies that all statements rCiade on this application are complete, true and correct. Applicant's Signature: �-�'� - �''��� Date: '� )�� C.-''� Suilding Official/Inspector: Date: Page 2 �---------- �': �— DATE TIME CITY OF ORONO CALLED IN — INSPECTION NOTICE SCHEDULED � /�� -/ 7 /� : � PERMIT N�"�-- J �—�`'lll COMPLETED ADDRESS � �T�'���,����-E'�� OWNER L PHONE NO. �'I a�S7 CONTRACTO� � DESCRIPTION �l rJ � ' ��� � ty ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YiOU:_YES_NO c�i, COMMENTS: a� � � 5 :,�� l�.'�s��.✓�. �� �ti� � s .� � � � o �. � — r� � ° — � �- -� � � '�. � � � L �.�� Q 2 ` �G r W � W � O � � ;� J W ❑WORK SATISFACTORY:PROCEED RW ECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O I E CERTIFICATE OF OCCUPANCY W O ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContra�on sjte: Inspector. � White Copyllnspector's File Cenary CopyfSite Notke