HomeMy WebLinkAbout2014-00362 (plumbing-fixtures) .
CITY OF ORONO * 2 0 1 4 - P1 0 3 6 2 *
' 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3225 CASCO CIR
PIN : 20-117-23-43-0021
LF,GAL DESC : SPRING PARK
: LOT 029 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BSMT: 1 WC, 1 LAV, 1 S�IOW�R, 1 WATER HEA7�ER, 1 WATERSOFTNER, 1 WET BAR
1 ST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER,2 KITCHEN SINNK, 1 DISPOSAL, 1 DISHWASHER,5 SILLCOCKS,4 FLOOR DRAINS, I
LAUNDRY TRAY, 1 WASHER
2ND FLOOR:3 WC,3 LAV, 1 TUB,2 SHOWER,
VALUATION OF PLUMBING 46560
APPLICANT PLUMBING FIXTURE FEE 582.00
STATE SURCHARGE PLBG (VALUATION) 23.28
SPRING PLUMBING LLC MAIL-IN FEE 2.00
l 14'73 KENYON COURT
BLAINE, MN 55449- TOTAL 607Z8
(763)614-7963 Payment(s)
Minnesota State License#: plbg-066807 PM CHECK 3333 607.28
OWNER
LEESTMA, MARTIN & KATHRYN
3225 CASCO CIR
WAYZATA, MN SS391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related worl:which requires separate
permits. All provisions of laws and ordinances go��erning this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
'I'he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�V`�� / /
Applicant Permitee Signature Date Issued By Sign ure Date
FOR CITY USE ONLY
;=�Ow lO City of Orono
+y �� P.O.Bok 66 Date Received: Pennit#
� 2750 Kelley Pazkway
,� Cr}�stal Bay,MN 5532� Approved By: Amount$:
(952}249-4600—Main
` -+ :. 1 (952}249-4616—F a�
: /
� L�% CITY OF ORON�—PLUMBING PERMIT
����E s F+�'�`�=" (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 UNTIL THE
PERMTT 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 consh-uction 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 I )
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need urior apuroval and may need CUP. (Per Orono City Code,Chapter 78, Article IV�
Job Site/Owner Infonnation:
Site Address: 3� � �� ���
Owner. Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 1' � V��� Contact Person: `-���x�/�S� �J L-�GYI
Address: ' � 1 7 3 IC��� � State Bond#: �(� � � 3 g � �
City: Zip:���Expiration Date: �o�� 3 � � / S
Phone: � b 3 � ��� '�c1 �°3 Alternate Phone:
0 Insurance—Current: (�!/J
1
�
PLUMBING FT�TURES SEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXT[JRE BSMT ls 2�`D OTHER
TYPE FL FL TYPE FL FL
Water Closet � /� 2 Floor Drains [�/
ct .� �
Lavatory � � Sewer Ejector
Bathtub I l La undry Tray ' �
!
Shower ' ' � Washer
�
Kitchen Sink � Water Heater I
Disposal � Water Sofrener I
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;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 CALCtJLATION S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� � X.oias$ S8c7. ��
( ontractprice) (minimum$50.00)
2. STATE SURCHARGE
��. �0� �� X.000s $ � 3� a �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT'F`EE(Add Lines 1-3 Above) $ U/ c2. c�'(�
■ * 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.
PLLTMBING PER.MIT APPLI�A'�'�����C.7r��i�NT
The undersigned hereby applies to the City for issuance of a PlumbinD 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.
i
i
Applicant's Signature: Date: � a�
3
`� '" � =� DATE TIME �
CITY OF ORONO CALLED IN � -�5/ 3
INSPECTION NOTI E�3 ^ SCHEDULED �
PERMIT NO� .�OMPLETED '
ADDRESS � �5 ��-f/��--���'e
OWNER . T�E�HONE NO. � ��71
CONTRACTOR � y� - �
�; DESCRIPTION ��
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� ❑ FOOTING �PLUM N FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MEC A CAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING 0 MECHANICAL FINAL p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:�6�a — �s hoc�?�KS —
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CWERING 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 t inspection 2a hours in advance. (952� 249-46�0
Owne ontra tor on ' .
Inspector. ��-
Whi Copyllnspector's File Canary CopyfSite Notice
5� DATE� TIME V
CITY OF ORONO CALLED IN � —�S
INSPECTION NOTIC SCHEDULED 7-I "I __�
PERMIT NO. — � �MPLETED
ADDRESS 3�-S ��� �2�
OWNER TE�/LEPHONE NO. 7�� Z�� O7�S
CONTRACTOR oy��2 �DSL'�-�lJ
�: DESCRIPTION �r�� � L�� —�Q
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v.,�LUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
� (�f.�✓a�.� �l�d i GY�4� -r s �
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K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali forthe next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on sit�:
Inspector. ( Y_ � �'
White Copyllnspector's File Canary CopylSite Notice
0
C�` CITY OF ORONO CALLED IN v� `�� `�`• ��
INSPECTION OTIf E SCHEDULED I', 3�—
PERMIT NO. 2��� �3�2- COMPLETED
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ADDRESS ZZ�-� �Gs Lb Cs���c_��,
OWNER TELEPHONE NO. ��'�-Z�-(� ' ��s
CONTRACTOR =(� `�c 'S��s-..�.«—�,
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v p DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEA REMOVAL
❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/FIEMOVAL
� CTOR TO MEET YOU:_YES_NO
v�i COMMENTS: • �M, c.�
a S� ��I' �S� !S /w��lYc '
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� �1NORKSATISFACTORY:PROCEED O PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (g52 j 249-4600
OwnerfContractor on site:__ y v�.
/
inspector.
White Copyflnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN �- I
INSPECTION NOTI E 2 SCHEDULED —Z-/ , ;3D
PERMIT NO. — �J��MPLETED
ADDRESS �ZZS �Z'S� C��
OWNER TELEPHONE N0.7�3 3�/�(p�l�
CONTRACTOR S
� DESCRIPTION ` ����� P r� r-�- �
�
� ❑ FOOTING ❑ PLUMBING FINAL p CAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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o�
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W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CAIL FOR REtNSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED_CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (J5 � 249-4600
OwnerlContractor on site:
Inspector.
White Copy/lnspector's Ffle Canary CopylSfte Notice