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HomeMy WebLinkAbout2014-00438 - plumbing � CITY OF ORONO * 2 0 1 4 - 0 PJ 4 3 8 * • 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1645 BOHNS POINT RD PIN : 17-117-23-11-0007 LEGAL DESC : REG. LAND SURVEY NO. 0565 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NO'1'E: E3SM"C: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAIN,2 WASHER, 1 WA'1'I;R HEA'I'ER, 1 WATGR SOFTNER,3 SILLCOCKS 1S"I'FLOOR: 5 WC, 5 LAV, I TUB, 1 SI��OWGR,2 KITCH�N SINNK, 1 D[SPOSAL, 1 DISHWAS(IF.R. 2ND FLOOR:4 WC,4 LAV, 1 "I�iJB,3 SI[OWF.R, VALUATION OF PLUMBING 81860 APPLICANT PLUMBING FIXTURE FEE 1,023.25 STATE SURCHARGE PLBG(VALUATION) 40.93 STEWART PLUMBING, INC. MA[L-IN FEE 2.00 13025 GEORGE WEBER DR SUITE#1 TOTAL 1,066.18 ROGERS, MN 55374 Payment(s) (763)428-1833 CHECK 12276 1,066.18 Minnesota State License#: plbg-PC000474,mech-MB003262 OWNER CHURCH,JOHN& KLERISSA 1645 BOHNS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordine to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e pennits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pennit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or iY construction is suspended for a period of 180 days at any time after wark has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. \_'�' �/� / / Applicant Ycrmitec Signature Date Issued By Si ature Date � FOR CITY USE ONLY ' � City of Orono /��ONO P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway I' ' ' ` Crystal Bay,MN 55323 Approved By: Amount$: I (952)249-4600—Main > % (952)249-4616—Fa�c � f :`� CITY OF ORONO—PLUMBING PERMIT \�q'����r����`� (All Commercial Permits Must be Approved by the State Prior to City Approval) 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT[L 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 A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ��Replace ❑ In Accessory Structure? *You will need arior approval and may need+, ' '! .(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: � � � �� � � ��� Site Address: i��`" \.��t ;���� ��. �C'�� Owner:_f; '� Mailing Address: �—`��� � S��l:�-�Q.����`�,� �� � � � � Zi > C-� � City: 'o.,�; ��y�1�� p: � Home Phone: Alternate Phone: Contractor Information: Contractor: �3�; _, �,4,�� � ;`._�`, N-a',CContact Person: '=�-`h���f:^ Address: �� ���'��:�i �`u��`�tate Bond#: �,:' '�X����� , City: -�� � Zip:..;��_�•�Expiration Date: ,__., . Phone: �� , Alternate Phone: ❑ Insurance—Current: �4 � � �,; � '`� .�.(-�1.., . � 1 '� �.�1����� PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1'T 2 ° OTHER FIXTURE BSMT 1 T 2N OTHER TYPE FL FL TYPE FL FL Water Closet `�' • Floor Drains �- Lavatory � (; i [,,.I Sewer Ejector Bathtub � � Laundry Tray Shower `' Washer � � L-- Kitchen Sink Water Heater Disposal i Water Softener I � Dishwasher Wet Bar Sillcocks •� Miscellaneous y 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;excluding 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: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) :�. �., ,-� ,,l ..'l ' L_ x.0125$ ��; /�r__��'_-' _._ (contract price) (mmimum$50.00) 2. STATE SURCHARGE ` ' �� ' ;- ;. • � 1. ' `���� ;'��x .0005 $ 4�U �` � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 3 `,.`' ,..1 ^�� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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. ,� � �� n �.� Applicant's Signature: Date: �� , � _. �r 3 DATE TIME ,/ CITY OF ORONO CALLED IN V INSPECTION NOTICE SCHEDULED PERMIT NO. 2ot'SI� G��$� COMPLETED �� ADDRESS fbs� ����'�` � OWNER TEI EPHONE NO. CONTRACTOR `��w�� �J�• � DESCRIPTION P� ��G r� •��� � � ❑ FOOT�NG LUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHOREM/EfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � p FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � � /1'�!c sti�c-�/ S r�. �e. S��Lv c/ /j�e� /so� � l�st4�t'Q� - o� b��co�� - � f7� �c'e r►�Ov� p[A. ,r� �' �/�.�.� �.� � ��f O-� �v rcc�o K3 m/�6!/C,Q�� �' W � Q p� _ zr�-P5� �rf���� L�3"Y�.O�rs-L<< — � � T � e✓�� Ci2�<� J - � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORFiECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIHED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) Z49-46�0 OwnerlContractor on site: � Inspector. � � White Copyllnspector's File Canary CopylSlte Notice �J� DATE TIME � CITY OF ORONO CALLED IN —� INSPECTION CE � SCHEDULED � Q�_s� PERMIT NO. MP ErE� ADDRESS / ��-5 ���� � OWNER EPHONE N07�3-�2g��� CONTRACTOR - � � DESCRIPTION ` � � ' �'�u �� � ly ❑ FOOTING EMO-FINAL ❑ SEP tC FINAL � ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING y Q ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL F�NAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � _ � ���. rutC�li1D ` I S �l c��.�� ' � � � • . . p • _ - p� �' L��'SiDltLO/�, ACdaG G ��6�/�6U �r �2Q �4•�i�G ° �4h h�� ,1���2 s.%� � �" rt rJ•S�L t•�7�-4�l.yc Srto4k�' /�e4aY Q � GtO�� S�K�-071 �✓ '� CJ�4D'I�GG��e I14�li t � �c� G�[.t��G O/t �C S'{G��.t`�/ � '' �t�aP V/3 �'o �(v» 6;S � D��SS ki�c ���K� 0 a R� -� W ❑WORKSATISFACTORY:PR EED � ���' ❑ PROJECT COMPLEfE ��ORRECT WORK 8 PROCEED ,�-I K4� ' ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING 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. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspecto � ~"� White Copyllnspector's File Canary CopylSite Notiee `^ �� `� DATE TIME�t� CITY OF ORONO CALLED IN d�—7� INSPECTION NOTICE HEDULED ��'� .�:B"D _ PERMIT NO. � �E ADDRESS OWNER TEL E NO? �^ g `g�'� CONTRACTOR � DESCRIPTION ly ❑ FOOTING ❑ DEMO- AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM I G RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �UMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTHACTOR TO MEET YOU:_YES_NO_ � COMMENTS: �'1'lO�o ' �S �ly��,K� W a oQ �Q�6v�Je, 'T�� ��t/ve �.s�c�.r�sc �•- ��e..— �" /�C�?�id/ a $�c�/.-ce� k>rF�.w f g � 4;�! ��Uo .r � � �/D v��Ie �/� . �or `IOSe 6.�� � .�/eSJ��t `�A� W �r H� �1- /�.�� �Ie l� ��h -���.�" � Q � - F�.� .��C. �„��/��r.� ���e ,s�.�.�� ��.6 — W w�G• c� e �a� oc�,� cvv�r �o✓ 3 " sz`a�� � � � �?�S� OK " Goa re�� C�!l �j a �'� � s�a�t - W ❑WORKSATISFACTORY:PROCEED G PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED �y�1SPECTION REQUIRED.CALL TO ARRANGE ACCESS. forthe next ins ion 24 hours in advance. (952) 249-4600 Owne Contractor on site: � Z.� Inspector. r`�' White Copyllnspector's Ffle Canary CopylSite Notice � � 7DAT� � TIME CITY OF ORONO CALLED IN � r� INSPECTION NOTI EOD�38. SCHEDULED PERMIT NO. � COMPLEfED ADDRESS ��07� �a� � �`�� OWNER T HONE N0.��3 T� ��3� CONTRACTOR ��'�"�� �� >; DESCRIPTION � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FI L ❑ SEWER HOOK-UP O COMPLAINT � ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL = PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL J � O ERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � __ � O __ � J � O � W � Q � 2 W � W � � � GW WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORE CO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ^SUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h rs in ad 2) 249-46�� OwnerfContractor on site: Inspector. White Copyflnspector's Ffle Canary CopylSfte Notice � � � qATE TIME " CITY OF ORONO CALLED IN c�o� � INSPECTION OTICE SCHEDULED - PERMIT NO. -� -3�COMPLETED ADDRESS �� 7-� �I�S � OWNER TEL E NO. - �- g-33 CONTRACTOR S C �C.. � DESCRIPTION � � � ❑ FOOTING ❑ PLUMB G INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECH NI AL RI O LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �,PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: ��• ��� � Y vC �G�_ Z� � S� � :r � �5� � ./E6�� � � � � � Z,� � �`� v�/� 0 � W � Q � 2 W � W � J W �rRKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W /O C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. _ � Wh Copyllnspector's File Canary CopylSite Notice