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HomeMy WebLinkAbout2016-00337 (Plumbing) CITY OF ORONO * z 0 1 6 - PJ P1 3 3 7 * ' 2750 KELLEY PARKWAY DATE ISSUED: 04/OS/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1424 BALDUR PARK RD PIN : 08-117-23-34-0013 LEGAL DESC : BALDUR PARK : LOT 009 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACE: 1 WATER CLOSET,2 LAVATORY, 1 SHOWER VALUATION OF PLUMBING 800 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.40 JS PLUMBING INC. TOTAL 50.40 19701 261ST AVE Payment(s) BELLE PLAIN,MN 56011- (612)490-2160 50.40 Minnesota State License#: plbg-PC690348 OWNER ROHR, RICK 1424 BALDUR PARK 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 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 peri me after work has commenced. The applica ' respo � e uring all re 'ed inspections are re m co o �t t e ilding de.This permit may be ���� vo d at an ' e fo d cause "�1 ��uC�� d�--e--�—`f SC� �� S d � pplica itee ig Date Issued By Signature Date � City of Orono FOR CITY SE ONLY � ��O P.O. Box 66 Date Received: —s� � 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# 2—O��/>/���� y � v�` rv F �c� (952)249-4600—Main Approved By: �{� l `�kesHo�` (952)249-4616—Fax Amount$: • � CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://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) [Backflow Device: ❑ AVB ❑ PVB] ❑ 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: �y�'y t�� �� c�v�r�<-,�� lL �0�, � Owner: ���-� ���`' � Mailing Address: City: ��.��1``�i'v�0 Zip: Home Phone: �L � �"y� `� `��"J�� Alternate Phone: Contractor Information: Contractor: '�J� (r1��`�` y�G Contact Person: �e `�R� � Address: �G 7G�� O�' � s� �l� State Bond #: � ��1U34 U City: �Z��� ����'�� Zip: ���`� Expiration Date: Phone: � I�� ` �U �-�� �� Alternate Phone: ❑ Insurance - Current: Page 1 PLUMBING FIXTURES BEING INSTALLED . FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER 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 Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of co�tract price with a (Minimum Fee of$50.00) �� �->C"' x .0125 $ � (contract price) (minimum $50.00) 2. STATE SURCHARGE �� x .0005 $ (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ .00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ `� � �O * 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 ail work in strict accordance with the ordinance the City and the regulations of the State of Minnesota, and certifies that all statement a are complete, true and correct. �r--- Applicant's Signature: Date: ( �r� Building Official/ Inspector: Date: Page 2 C,� �-�+� DATE TIME CITY OF ORONO CALLED IN ��� INSPECTION NOTICE �3�� SCHEDULED f����� ___�� PERMIT NO.�l U COMPL ED ADDRESS / '7-� � � �}/�,_� �G C� OWNER TELEPHONE N ��� ����-a� O CONTRACTOR `�\ �� � DESCRIPTION /�'e"m� � lL ❑ FOOTING ❑ MO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADIN /FILLING Q Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOV Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPE ION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WA LS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAI T Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW P 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUND ION/REMOVAL _ v ❑ DEMO-SITE PTIC INSTALL 2 ONfNERfCONTRACTOFi TO MEET YOU: YES_NO ' v�, COMMENTS: �—�— � � � W a j r 0 � � � 0 � . W � Q � 2 W � W � � � d W ❑ K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V EFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in advance (95 2 9-4 OwnerfContractor on site: inspector. White Copyllnspector's File Canary CopylSfte Notice INSPECTION NOTICE 1 - DATE TIME CITY OF CALLED-IN '\ � -, s° SCHEDULED • � PERMIT NO. �`�"�� COMPLETED��� � ADDRESS 'v'✓ �� OWNER/CONTR. � � ❑SITE INSPECTION ❑MECHA CAL R ❑ REINSPECTION ❑CONC SIABS ❑MECHAN INAL ❑ FOLLOW-UP ❑ FOOTING ❑ INSULATION ❑COMPLAINT ❑ POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND.DRAINAGE ❑ BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL O � ❑SHEATHING ❑SEPTIC FINAL ❑ ❑ PLUMBING RI ❑S&W HOOKUP ❑ � ❑ PLUMBING FINAL �GAS LINE MANOMETER ❑ o COMMENTS: Z Q � 1 � Q � J W _ J Z ' O � � W � � � O � O � W Q Q � Z W � W � � O � F THER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED W ORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK& PROCEED ❑ 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 INSPECTIOfy,S PLEASE CALL: (763 Metro West Ins c ' c. Owner/Contr. on site: Inspector: 0 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �� '�0 33� COMPLETED '� ADDRESS ��1a� �61�s� '��'�'� � OWNER TELEPHONE NO. CONTRACTOR J• s- P�9 ' G !8 ' �I9Q- a�G� � DESCRIPTION �'��'� 'd"�!� r` "''`o'a�-G P/y- �ivt'f� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �2LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAI ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: . � � a �%� �,/'o v�t�-e gJl�� �i.'-,L • ••�-3,0«�- .,oa � J � �'SZ /n�t'a'� ��� ✓taz �ir.SS— � 0 � W � Q � 2 W � W � � W �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �R9PECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: Inspector. �^^' White Copyllnspector's Ffle Canary CopylSite Notice v DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�/b Or.23�7 COMPLETED ' �f'!,L ADDRESS ��fa�1 /�Q/�a.� Ps�� ��- OWNER TELEPHONE NO. CONTRACTOR S• 5• /��q. G ia -yy� -ai6� � DESCRIPTION /��S�e� �JA�if rc'i''aP�/ l2y�_ ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING Q 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOFi TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � w � j d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING 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. Call for the next inspection 24 hours in advance. (952 - 6�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice