HomeMy WebLinkAbout2015-00594 (plumbing-fixtures) CITY OF ORONO * 2 0 1 5 - 0 0 5 9 4 *
2750 KELLEY PARKWAY DATE ISSUED: 05/14/2015
. � ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2696 CAROLINE AVE
PIN : 20-117-23-24-0034
LEGAL DESC : WESSELS SUBD OF SPRING PARK LO
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,AND
(1)WET BAR
VALUATION OF PLUMBING 14000
APPLICANT PLUMBING FIXTURE FEE 175.00
STATE SURCHARGE PLBG(VALUATION) 7.00
STEWART PLUMBING,INC. TOTAL 182.00
13025 GEORGE WEBER DR Payment(s)
SUITE#1 CHECK 12917 182.00
ROGERS,MN 55374
(763)428-1833
Minnesota State License#: plbg-PC000474,mech-MB003262
OWNER
MILLER,CHARLES&JILL
2696 CAROLINE AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for onty the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is cesponsible for assuring all requiced inspections are
requested in conformance with the Sta�Building Code.This permit may be
revoked at any�me for due cause. :
, ' / „
� � � �� -_- � � �y-� ���� � l /�
A p�t Permitee ig4t'ature Date Issu By Signature Date
C��
FOR CITY USE ONLY
, w ��O^' City of Orono
�yO P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
� Crystal Bay,MN 55323 Approved By: Amount$: 1 ��
(952)249-4600—Main
� = r (952)249-4616—Fax
F c` CITY OF ORONO—PLUMBING PERMIT
��kEs Ho��' (All Commercial Permits Must be Approved by the State Prior to City Approval)
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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 LJNTIL THE
PERMIT CARD IS POS7'ED 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 A 1
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs �Replace
❑ In Accessory Structure?
*You will need prior approval and may need('_t_I_P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �l.0��p �C,la(\f�'�V1 e ���.
Owner:I,�Gl1�I�5 �"��1, Mi„-�� Mailing Address: ��D��O �U'�(�l�v�e ���e.
c��: �(��r�L� U z�p: ��3�(o
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��'�GLY� � r�l��l��Contact Person: I�1 U�-- �--l�-irK
Address: �3v� ('e 'l� L1�e e�' D►�. State Bond#: �PO�I O( o �3yy
City: � S Zip:�j�J3 T'� Expiration Date: (a �l
Phone: ��G:����-���>> Alternate Phone:
�f. Insurance—Current:
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSM1' I � 2ND O"I'HER FIXTURE BSMT 1 ' 2"D OTHER
TYPE FL FL TYPE FL FL
Water Closet I Floor Drains
Lavatory � Sewer Ejector
Bathtub I Laundry Tray
Shower � Washer
Kitchen Sink ( Water Heater
Disposal � Water Softener
Dishwasher I Wet Bar �
Sillcocks Miscellaneous
PERMIT FEE CALCULATiON(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(Ifi Applicable) $ 2.00
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE '/ SCHEDULED �_�i
PERMIT NO. ,��/-�`(�Q�Y COMPLETED
ADDRESS ��D �ld ! .�l7'iI-�,v��n ''�'�
OWNER TELEPHONE . ��/�3 �Z��c�3
.
CONTRACTOR �-�'� fj,
� DESCRIPTION � LL�� �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTORTO�U: YES_NO
� COMMENTS: V 1,54 �G �
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W�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WIIL REfURN
❑ STOP ORDEH POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C e next inspection 24 hours in advance. (952) 249-4600
Owne Contractor on sit
Inspecto . ► "�
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