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(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 6 WATER CLOSET,7 LAVATORY,2 BATHTUB,4 SHOWER,2 KITCHEN SINK,2 D[SPOSi1L, 1 D[SHWASHER,5 SILCOCKS,
4 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, ] WATER SOF"I'NER, 1 WET BAR
VALUATION OF PLUMB[NG 46560
APPL[CANT PLUMBING FIXTURE FEE 582.00
STATE SURCHARGE PLBG(VALUATION) 23.28
SPRING PLUMBING LLC MA[L-IN FEE 2.00
11473 KENYON COURT
BLAINE, MN 55449- TOTAL 607.28
(763)614-7963 Payment(s)
Minnesota State License#: plbg-066807 PM CHECK 09804 607.28
OWNER
LEESTMA,MARTIN &KATHRYN
3225 CASCO CIR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may bc
revoked at any time for due cause.
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Applicant Permitee Signature Date [ssued By Signature Date
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FOR CPTY USE ONLY
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�y Y.O.E3ox 66 Date Received: ��Perniit#L-G�/S—'�
�\` 27�0 Kelley Parkway �'
Cn'stal Bay,MN 55323 Approved By: � Amount$:�
�� �� (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)
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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 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:
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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�
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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
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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
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❑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 �
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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
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❑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
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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
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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. . �
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Call for the next inspection 24 an . ��2) 249-4600
OwnerlContractor on site: �
Inspector.
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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
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❑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
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DATE TIME
CITY OF ORONO CALLED IN -'�� _, 3C�
INSPECTION NOTICE 1C� SCHEDULED
PERMIT NO. � COMPLETE�/J
ADDRESS ���-� ( '
OWNER TELEPHONE NO. '� � " �'�
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� DESCRIPTION � �-�
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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
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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