HomeMy WebLinkAbout2016-00629 - plumbing . CITY OF ORONO �
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' 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 BRACKETTS POINT RD
PIN : 11-117-23-32-0018
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
ACTNITY .
NOTE: MULTIPLE WATER FIXTURES,WATER CLOSET,LAV,BATHTUB SHOWERS2,SINK DISPOSAL,DISHWASHER,FLOOR DRAIN
VALUATION OF PLUMBING 76140
APPLICANT PLUMBING FIXTURE FEE 951.75
STATE SURCHARGE PLBG(VALUATION) 38.07
SELECT MECHANICAL SERVICES INC. MpIL-iN FEE 2.00
6219 CAMBRIDGE ST TOTAL 991.82
ST. LOUIS PARK,MN 55416-
(952)926-4488 Payment(s)
Minnesota State License#:mech-MB003390 CREDIT CARD 0353 991.82
OWNER
HANNAFORD,JULE&ELIZABETH
1220 BRACKETTS 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 approva(s,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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
sha(1 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 any time for due cause.
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Applicant Permitee Signature Date Issued By gnature Date
Jun O1 z016 2: 47PM HP LRSERJET FAX p. 5
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Cit of Orono
��� P.O Box 66 FC}R CI•�''Y �_�N Y
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� 2750 Kelley Parkway
a Crystal Bay. MN 55323 P�rnti## � : `�4'✓ �������'` ' Z �j. :
y�" �,� (952) 249-4fi00—Main ` �����.�:` ,����
�°j�f�Mo"� (952) 249-4616—Fax
A�riouttt�: � � ��-'
CITY OF OROMO— PLUMBING PERMIT I
(All Commercial Permits Must be Approved by the State Prior t�City Approval) !
httn:/lwww.dli.mn.aov/CCLDIPDF/pe afumbplanrevapp pdf �'�
''���f� �`":���t�'�l : �f�' :
1. You may apply for plumbing permits by mail ar in person at the City offices. Applications � "II be
reviewed and a perrnit will be issued within two working days. �
2. Perrnit 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 CA D IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plurnbing contractors and to property �wners
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. I
B, All work must be inspected and air tested befare it is covered. Call (952)249-4600. I
(Z4�48 hour notice required) ',
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- � `� '1'`i��(�� PEF�I'IT(
�h�k Af� '��a�:��l?1�� �
�Residential ❑ Comrnercial (Approval Required) [BackflowDevice: ❑ AVB ❑ PVB]
�New ❑ Additional ❑ Repairs
�] F�eplace
❑ In Accessary Structure? �i
"You wilt need nrior aaurova! and may need CUP. (Per Orano C(ty Code, Ghapter 78,�Article 11�
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Site Address: �a��U�x�T� �o�.✓r �SV�p I
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Owner: �� C�,Fwftf�-s� Mailing Adclress: �
City: ��p;
Home Phane: Alternate Phone: '�
�a�rt�'a�#Qr'�r�fcxrna��on: '',
Cantractor: ��.(,���,�.c,�S Contact Person: `�at� �AsPA�-�',
Address: �C`� C�6�ve,� �c-. state aond #: I���D33�'-to �I
City: S i f.o,�•i5 I��ut Zip: ,��� Expiration Date: �(tclt�
Phone: R�}�- - ��'�{YB� Altemate Phone: q��- ���'�'��
�Insurance -Current: �S� ��w�0 w c oa c at�9 c '���3 f��, '�
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Jun O1 2016 2: 48PM HP LASERJET FRX p. 6
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FIXTURE BSMT 1sT 2"� ' OTHER ' FIXTURE B�b� �sr 2ND OTHER
TYPE Floor Flaar TYPE cRqw1. Floor Floo�r
S�Au�
Water Closet Z 3 I
z 3 Floor Drains 'I
Lavatory 3 � � Sewer Ejecior �
Baihtub j �( Laurxiry Tray ( '
Shower � Z Washer
Y I
Kiichen Sink 2„ Water Heater '
� I
Disposal � Waier Softener j I
Dishwasher � Wet Bar �
Sillcocks Miscellaneous '
!.
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1. CONTRACT PRICE "" is 9.25°�of contra�t price wi#h a (Minlmum Fee of$50.00yl
'7�rYv— ._x .o,2s $ g.sr. 7..sr'
(contract price� (minimum $50.Q0)
2. STATE SURCHARGE
�� �Y° � X .000s $ 38.07 ''�
(contract pnce) ,
3. POSTAGE 8 HANDUNG (Only on Mail-In Applicationsj � Z.pp II,
4. TOTAL PERM�T FEE (Add Lines 1-3 Above) $ lq t' S Z I
* C�NTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed 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 furnis�ed by the
owner, tenant or any other party, the reasonable market value af such items must be ad' ed to the
estimated cost or cantract 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 actU I contract.
,�, � � �.
IF
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 Minn�sota, and
certifies that all statements made s appli a 'on are mplete, true and correct. ',
Applicant's Signature: Date: �' '� I
Building Official! Inspector: Date: '
Page 2 I
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� ��� DATE TI�
CITY OF ORONO �' CALLED IN
INSPECTION NOTICE .. �; SCHEDULED _�� �
PERMIT NO. "�' � -�' COMPLETED
ADDRESS f v�v� [:� ���C� C/Cc" �1�'��� �f �r'/
OWNER TELEPHONE NO.��� �����
CONTRACTOR �� -� r � � �F��'.�1
� DESCRIPTION ��Lt/�`� L����i
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Q ❑ POURED WALL �LUMBING RI S�Cj� ❑ EXCAV/GRADING/FILLWG
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL Q�,��i ,�❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI � �Q`�N ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL �Y (�'�� ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPCACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W �RK SATISFACTORY:PROCEED ❑ PROJ ECT COM PLETE
��O CORHECT WORK�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 ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector.
Wh Copyflnspector's Ffle Canary CopylSite Notice
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^ DATE TIM�
CITY OF ORONO LLED IN �
INSPECTION NOTICE SCHEDULED , .�' �,��
PERMIT NO. ��(� �`>�"-�-�3 COMPLETED
ADDRESS 1��.�� ��� ( lCrr%fil� �i�'Y
OWNER TELEPHONE NO. ����� � �'
CONTRACTOR � �'�� � ` �
� DESCRIPTION �� �� — � ��G
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/C�RADING/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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ PTIC INSTALL ��,.�/
2 OWNER/CONTRACTOR TO MEET YOU: YES�j�IQT S,�C�C tij / ���
� COMMENTS: �� I.T�� �' /�` �"��� � `�
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V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail ror the next inspection 24 hours in advance. (g52) 249-4600
o,�,e�rc«,�o��Sne:
Inspector. y
White Copyllnapector's Flle Canary CopylSite Notice
�. � �j�
DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED � • '
PERMIT NO. - � q COMPLETED
ADDRESS /��L�' �`�!'�CL C lLC�I� 1-'� �
OWNER TELEPHONE NO.� S�` �>��j ����'
CONTRACTOR � �
� DESCRIPTION
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4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
�3 ❑ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERICOKTRACTOR TO MEEf YOU: YE3_NO
h COMMENTS:
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��WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cae for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector: /��A�� G.
Whits Copyllnspector's Ffls C�nary CopylSfto Notics
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1�� � DATE TIME
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CITY OF ORONO CALLED IN �_
INSPECTION NOTICE t� SCHEDULED �� �,-'
PERMIT NO. -`,�� � � �� `��COMPLETED
ADDRESS � ,`_� c�' � �� t`��;i C ILC � Y�- I��
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CONTRACTOR �-�����r�'���5
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� DESCRIPTION �`�I-L- �'1 ��C�C�'/'� �_(�- ���__.
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAI
_
J ❑ DEMO-SITE ❑* PTIC INSTALL
? OANNERICONTRACTOR TO MEEyY�91J:�YES_NO
� COMMENTS: ��
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Cd1/ERIN(i PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pF{OTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Call rorthe next inspectlon 2a hours in advanoe. (g52) 249-4600
Owne�IContractor on s e:
Inspector: � � �
VYhlte CopYAnapectors Flla C�nary CopYISIM Notice
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1 � � �
.._ + f�� � y. DA E TIME
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CITY OF ORONO "" CALLED IN <�' -� � -
INSPECTION NOTICE � � , SCHEDULED �- � � :%' .` � '�'-
PERMIT NO. � ''COMPLETED
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CONTRACTOR `.-.' � %� r r:�- j �� ; �- t- '.- �
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� DESCRIPTION I '`� � ��.,. �l f 1 �Y ,� .'
4~j ❑ FOOTING ❑ DEMO-FM1AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBINQAI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF �PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB r❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEEf YOU:_Y€S_NO ,
� COMMENTS: _,�OGLO� /$ �jd���ctS _
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
�ORRECT WORK 3 PROCEED � O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerfContractor on site:
Inspector. M^-
Whits Copyflnspector's Ffle C�nary CopylSfte Notke