HomeMy WebLinkAbout2014-00261 - plumbing .
CITY OF ORONO * 2 0 1 4 - 0 0 2 6 1 *
2750 KELLEY PARKWAY DATE ISSUED: 04/OU2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1480 BOHNS POINT RD
PIN : 09-117-23-33-0004
LEGAL DESC : UNPLATTED 09 1 17 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500) �
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMBING PIXTURGS: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)WF"1'BAR,(1)PLOOR DRAIN,(1)WATER
HEATER,(1)SILLCOCK
REWORK POOL f IOUSE E3A"13�FOR NEW LAYOUT AND INSTALL FIXTURES. ADD WGT BAR PI,UMBING IN POOL HOUSE AND
[NS"I'ALL FIXTURES. ADD FLOOR DRAIN, SILLCOCK,ELECTRIC 15 GALLON WA"]�ER HEATER,NEW CLASS B FLUE FOR POOL
BO[LER AND RUN GASLINE FROM METER TO POOL HEATrR.
VALUATION OF PLUMBING 6600
APPLICANT PLUMBING FIXTURE FEE 82.50
STATE SURCHARGE PLBG (VALUATION) 330
B& D PLUMBING &HEATING INC. MAIL-IN FEE 2.00
4145 MACKENZIE CT NE
ST MICHAEL, MN 55376- TOTAL 87.80
(763)497-2290 Payment(s)
CREDIT CARD 8094 87.80
OWNER
ALTON III, HOWARD
1480 BOHNS PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and [he
State Building Code. This permi[is Yor only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days a[any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any[ime for due cause.
w � / / � / �
Applieant Permitee Signature at Is ed By Signature Date
From:7G34974263 03/3l /2014 12:02 #024 P.002/004
4
F R ITY IiSE ONLY
�O�� City of Orono / bl,t�— 2/�
�\/ P.0 Bor 6G Datc Rccc e . Yermit
�F-�
O 2750 Kelley Park�vay Q�
Crys�al Bay,MN 55323 Approved By: Amount$: � �
i �, (952)249-4600-Main
-+\) �- (952)249-4(il6-Fa�:
y�'�t c.� CITY OF ORONO-PLUMBING PERMTT
���`tSE{��� (All Commercial Permits Must l�e Approved by the State Prior to Ciry Approval)
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices. Applications will be
reviewed and a permit wilt 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'I'HE
PERMIT CARD[S POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to iicensed plumbit�g contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is invofved,a separate buildin�permit miist be
obtained.
5. All work must be done in accordance with State Code requiremenYs.
6. All work mnst be inspected and air tested before it is covered. Call(952}249-4600.
(24-48 hour notice required)
� :I'YYE UF PERM IT
(Check All That Ap�l��_ _____ _
�Residential ❑ Commercial(Approval Required)
�iV�,��;�!'Y�Q�,'t•�1 ❑Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior approval and may need(�'1JP.(Per Orono City Code,Chapter 78,Artide IV)
Job Site/Owner Tnformation:
Site Address: �`��iL% �0�1`�1��DI ��" �Oti��.
Owner: ��ir'l ��lUV1 MailingAddress: ��-/���h���Gi;ry,-}- f��
City: UV�}1�1U Zip: ���� � �
Home Phone: ��� -�U`f���" ���� Alternate Phone:
Conn-actor Information: '
Contractor: � '- -` ^---,n:
B&D Plmnbing„Heating&A/C
Address: _ 4145 MacKenzie Court NE
St. Michael,MN 55376
City: i Phone:763-497-2290 �te:
Phone: Alternate Phone:
❑ Insurance-Current:
1
From:7634974263 03/3l /20�4 12:02 #024 P.003/004
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` PLUMBING kiXT'UR�S��1NG INSTALI.ED
F�XTURE 8SM'1' 1 T 2VD OTHC-.R FIXTURE BSMT 1 T 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains f
4
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower � �Uasher
}tiitctren Sink � Water Heater � � ; �
�,,s�i G
Disposal Water So�ftener
Dishwasher Wet Bar
Silicocks I Miscellaneous
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5�I(u��k�, �,�c���.. �� �a.l I o� �:�4ev H��-�e,�-�, r�e,w C.�as� �3 -�t�z, -�U�
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� - � � PERM1'I'�'EE CALCULATION(S} �
BASED OFP - 2002'STATE STATUE '
❑ 1'zs,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 elect�•icai 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,instailed or replaced by the homeowner or licensed plumbing contractor.
Skip next section, if this applies; Cost of Permit $ I5.00
State Surcharge $ 5.00
Mail-in Fee(lf Applicable) $_..,__...2,00 '"
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
From:7634974263 03/3l /2014 72:02 #024 P.004/004
`PERMIT FEE CALCULATION(�j-JOBS�OVER$500.00��
If above does not apply; follow guidelines below:
1. CONTRACT PR10E "` is 1.25%of contract price with a(Minimum Fee of�50.00)
� �, �U� x.0125$ 71�E �C�
(contract price) (minimum$50.00)
2. STATESURCHARCE
� X.0005 $ 3�3�
�? (� c nt act p ice>
3. POSTAGE&HANDLING(Onfy on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines i-3 Above} $ �j�, �j(:]
� * CONTRACT PR1C� or JOB COST means the actual or estimated doliar 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 vafue 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 subn�ission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATIpN AGRE�MENT
The undersigned hereby applies to the City for issuance of a Piumbing 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: ��� �1(,'�c�"`�' Date; � -�� - ' �
3
��7 DATE TIME V
CITY OF ORONO CALLED IN �-
INSPECTION N � �� SCHEDULED `'Z-�b- /[f�T
PERMIT NO PL ED
ADDRESS
OWNER TELEPHONE NO. l���ag ��J
CONTRACTOR
� DESCRIPTION L
�
� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS
Q �-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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: tar � -f' c,a r
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W �7FCdRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION 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.
or inspection 2a hours in advance. (952� 249-46�0
Own tor on site: C
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
NSPEC N NOTICE v
DATE TIME
CITY OF ✓' CALLED-IN
SCHEDULE���rL7/I� /�, '�/r�
PERMIT NO. COMPLE� J� I ✓r�
A��RESS � �l/ S�'�' �
—�
OWNER/CONTR.
�SITE INSPECTION ❑ MECHANICAL RI ❑ REINSPECTION
❑CONC SLABS ❑ MECHANICAL FINAL ❑ FOLLOW-UP
❑ FOOTING ❑IN ULATION ❑COMPLAINT
❑POURED WALL ❑ TED ASSEMBLY ❑ FIREPLACE
❑ FOUND. DRAINAGE UILDING FINAL ❑SPRINKLER SYSTEM
❑ FRAMING ❑ EPTIC INSTALL ❑
� 0 SHEATHING ❑SEPTIC FINAL ❑
❑ LUMBING RI ❑S&W HOOKUP ❑
� PLUMBING FINAL ❑GAS LINE MANOMETER ❑
o CO MENTS:
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� FURTHER CORRECTIONS MAY BE REQUIRED ERMIT FINALED
W ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
O ❑ CORRECT WORK& PROCEED
U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 79-1720
Metro West Inspection S ic c
Owner/Contr. on site:
Inspector: �
�—� �-�/ AT , / TIME �
CITY OF ORONO CALLED IN � �7"
INSPECTION N TICE SCHEDULED ___ •�—
PERMIT NO. � � I MP ED
ADDRESS ` � / / /��-
OWNER TE EPHONE NOI�a-` � 6 3 3
CONTRACTOR N
� DESCRIPTION �/l `
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
W ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v �PLUMBING RI p.Fj. ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W SFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in nce. (g52) 249-46�0
OwnerlContractor on site:
Inspector. �'"
White Copyllnspector's File Canary Copy/Site Notice