HomeMy WebLinkAbout2016-00097 - plumbing . ' CITY OF ORONO * Z pJ 1 6 - 0 0 PJ 9 7 *
2750 KELLEY PARKWAY DATE ISSUED: 01129/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2941 CASCO POWT RD
PIIv : 20-117-23-31-0047
LEGAL DESC : SPRING PARK
: LOT 092 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(5)LAVATORIES,(1)BATHTUB,(1)SHOWER,(2)LALINDRY TRAYS
VALUATION OF PLUMBING 8287
APPLICAI�TT PLUMBING FIXTURE FEE 103.58
STATE SURCHARGE PLBG(VALUATION) 4.14
PALAD[N PLUMBING LLC TOTAL 107.72
13963 45TH PLACE NE
ST MICHAEL,MN 55376- Payment(s)
(763)432-5260 CHECK 3306 107.72
Minnesota State License#:plbg-PC644101,mech-MB005632
OWNER
ABBOTT&MICHELE WILLIAMS-ABBOTT,JOHN
2941 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORIv 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 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 be
revoked at ny time for due cause. .
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"Applicant Permitee Signature Date Issued By Si ure Date
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� O �, P.O. Box 66 Date Received:
+ ' 2750 Kelley Parkway
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CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http;i/www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
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 PERMIT 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 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 Apply)
Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
"You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
Site Address:_� ��t j (�1���,(�� t-"� �'�
Owner: I.TpI)G'� Mailing Address: �`l�`t I ��{,�l�t� 1`� ��'�
c�ty: C�r�r� z�p: __ ���;391
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��{�I n ��ULVI�% Contact Person: �11�r2.�
Address: �,��,'�, ���1'f�� State Bond #: ��'���'/��
City: ,��-: �i F I Zip: Expiration Date:�-3�
Phone: �I�,��—������� Alternate Phone:
[�Insurance — Current: "� — �' �
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Page 1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sr 2No O7HER
TYPE Floor Floor TYPE Floor Floor
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Siilcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
_���'.�� ,x .0125 $ 1��. 5�
(contract price) (minimum $50.00)
2. STATE SURCHARGE
�� �-�.�� x .0005 $ 7��5�
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ �-@�-
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ /C�.�S� �D�,�oV
"' CONTRACT PRICE or JOB COST means the actuai or estimated dollar amount charged for the
permitted work inciuding materials, labor, profit, and other fixed casts. 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.
ApplicanYs Signature: -c�� Date: ��f9��
Building Official/ Inspector: Date:
Page 2
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DA E�� TIME�
CITY OF ORONO CALLED IN �_
INSPECTION NOUTIC��_/�sy' - SCHEDULED � — .3 l���—
PERMIT NO. � ��'�J, OMPLETED
ADDRESS � ����!� �
OWNER T HONE NO lZ��0�7 �
CONTRACTOR � �
� DESCRIPTION �� —
lN ❑ FOOTING ❑ DEMO- AL ❑ SEPTIC FINAL
Q ❑ POURED WALL PLUMBI 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO • .
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� BEFORECWERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerfContractor on site:
Inspecto� r --
White Copyllnspector's File Canary CopylSfte Notice
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DATE TIME
CITY OF ORONO CALLED IN S'��
INSPECTION NOT CE SCHEDULED �fi� ���
PERMIT NO. � 1 COMPLEfED
ADDRESS 9 l r�
OWNER TELEP NO. - �Z-✓�?
CONTRACTOR a .5�,
� DESCRIPTION �-{ll �
ll� ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOF
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca xt inspection 24 ho�in advance. (g52) 249-46��
Ow fContractor on site: ✓�
Inspec .
White Copyllnspector's File Canary CopylSite Notice