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HomeMy WebLinkAbout2015-00170 (plumbing-fixtures) CITY OF ORONO * z 0 1 5 - 0 0 1 7 0 * . 2750 KELLEY PARKWAY DATE ISSUED: 02/10/2015 ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 3225 CASCO CIR PIN : 20-117-23-43-0021 LEGAL DESC : SPRING PARK : LOT 029 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 6 WATER CLOSET,7 LAVATORY,2 BATHTUB,4 SHOWER,2 KITCHEN SINK,2 D[SPOSi1L, 1 D[SHWASHER,5 SILCOCKS, 4 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, ] WATER SOF"I'NER, 1 WET BAR VALUATION OF PLUMB[NG 46560 APPL[CANT PLUMBING FIXTURE FEE 582.00 STATE SURCHARGE PLBG(VALUATION) 23.28 SPRING PLUMBING LLC MA[L-IN FEE 2.00 11473 KENYON COURT BLAINE, MN 55449- TOTAL 607.28 (763)614-7963 Payment(s) Minnesota State License#: plbg-066807 PM CHECK 09804 607.28 OWNER LEESTMA,MARTIN &KATHRYN 3225 CASCO CIR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. � � L _.�� �,�,�,,���,t ��� � /Ci � S ��1��,� C u� -� , � Applicant Permitee Signature Date [ssued By Signature Date _�_...., FOR CPTY USE ONLY � ;--�O A'\ City of Orono 7 � .7� �y Y.O.E3ox 66 Date Received: ��Perniit#L-G�/S—'� �\` 27�0 Kelley Parkway �' Cn'stal Bay,MN 55323 Approved By: � Amount$:� �� �� (9'2)249-46G0–Main �� ��' (9�2)249-4616–Fax � CITY OF ORONO-PLUMBING PERMIT \���`�s F{o�i� (All Commercial Permits Must be Approved by the State Prior to City Approval) �---- � h[k�Jl����vr��.dli.mn.roti�lC(�1_DiYUI��/ ie �li���ib 31anr°c�°a >>.�tlf 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 PERNIIT. 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 properiy owners residing in the dwellin�. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accardance 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 wili need arior approval and may need CliP. (Per Orono City Code,Chapter 78,Articie IV) Job Site/Owner Infonnation: Site Address: � � a S � �S� � r��� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractar Information: Contractor: S r� �V Vul.hv� Contact Person: V��'��Sk g I�•--�� Address: I I �I 13 I�-l'�-�O n Cf State Bond#: YC �' y 3 B� I City: � ��� Zip:���Expiration Date: � a I 3� 1 �.5� Phone: l � �� �� � - 7�b .3 Alternate Phone: ❑ Insurance-Current: 1 a � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2'" OTI�R TYPE FL FL TYPE FL FL Water Closet ' � � Floor Drains � Lavatory ' � � Sewer Ejector Bathtub ' Laundry Tray 1 Shower 1 � Washer I Kitchen Sink � Water Heater ' Disposal � Water Softener ' Dishwasher ' Wet Bar I Sillcocks �i 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 no require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��o� s�o�. �17 x.0125$ �D a . �� (contract price) (m inimum$50.00) 2. STATE SURC�iARGE � �, ��O � � X.000s $ a 3 • a (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� 7 • a V ■ * 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 application are complete, true and correct. Applicant's Signature: � Date: �/ 3 I S� 3 ��\ �f �(��� DATE TIME CITY OF ORONO �,� �--��CALLED IN INSPECTION NOTICE ���,�SCHEDULED - - —�.'�6 — PERMIT NO. COMPLETED ADDRESS '���� ��1/d 'LD l�v't[�,C�- OWNER TE �,�iON NO. "�` g�D7 g5 CONTRACTOR �� � DESCRIPTION ly ❑ FOOTING ❑ DEMO-F L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN RI ❑ EXCAV/GRADING/FiLLING y ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: I�kbKa " �S h��''�,j' ' _ a /� 91�'�. G au�lt �G k�v y 1�k�j �ra.w i..,��.i�G o w�t c( �.. • � .w .« �s G` a /s O 'e TP2 Vi�v� . GI�4r C F'iV 'f�C a✓ �.. QL •G. �`6 ,5to.�.P�n� � � �i4G( �OJ N?GL�er �/ �$�7t �Q4_� W res� O[! � j a W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call ' ion 24 hours in advance. (952� 249-4600 OwnerlC ntractor on site: �r�d� Inspector. �~'- # White Copyllnspector's File Canary CopyfSite Notice �� 'I � ��� �J DATE � CITY OF ORONO CALLED IN (p —� — � 5 INSPECTION O C SCHEDULED � l�.3� PERMIT N . �l D MPLETED ADDRESS OWNER '' T I�ONE N� 3-a' g^0 � CONTRACTOR `� � DESCRIPTION ` � ty ❑ FOOTING ❑ O-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL LUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � W '� �'- � W � � J ' d W O KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spectio 4 hou 'n advance. (g52) 249-4600 OwnerlContractor on si Inspector. White Copyllnspector's File Canary CopylSite Notiee C ( � � DATE TIME� CITY OF ORONO � � CAI.LED IN � � INSPECTION NOTICE SCHEDULED PERMIT NO. �O IS-l�f�D COMPLETED ADDRESS � � �� � �-�.S C-�� �i�.- OWNER TELEPHONE NO.�P'7�� �C-YD ; CONTRACTOR � DESCRIPTION �� ���- ���►� � ' � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ IC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMEN . � W a � � O �. � � O � W � Q � 2 � f. w � J d W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ ECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. . � i—.., Call for the next inspection 24 an . ��2) 249-4600 OwnerlContractor on site: � Inspector. f- � White Copyllnspector's File � Canary Copy te Notice �\l� ' r D�4 E r,TIkIF� � CIN OF ORONO CALLED IN `�l���L� ��� �'1 Y INSPECTIO N TICE [� SCHEDULED �- � ��3� PERMIT N �v COMPLEfED ADDRESS 3�"� C�-�O�-� � OWNER EPHONE NO��"Z�O'�S CONTRACTOR r� �- � DESCRIPTION \�`�" ��-� ��`�"� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � / �n r � � O ). � O � W � � Q � 2 W � W � � d W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. �9 2 9-460Q OwnerlConVactor on site: Inspector. White Copyllnspecto�'s File Canary CopylSf e Notice � c � ��— `��� DATE TIME CITY OF ORONO CALLED IN -'�� _, 3C� INSPECTION NOTICE 1C� SCHEDULED PERMIT NO. � COMPLETE�/J ADDRESS ���-� ( ' OWNER TELEPHONE NO. '� � " �'� CONTRACTOR � � DESCRIPTION � �-� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL��/ ���� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILL1PJCr,' Q ❑ FOUNDATION WATERPROOF LOMBING 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 I STALL � OWNERICONTFiACTOR TO MEET YOU:_YES�NO .`---- . � � c�.� COMMENTS: � � W � o �� 185��' ��� 3 � � J 3 3 S �1"��� ° (�ea��=-,, vDo 7�� 3 �j W � Q � ��� ������ � W � W � J W O WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice