HomeMy WebLinkAbout2016-00656 (plumbing-fixtures) , CITYOFORONO * 2016 - 0DJ656 *
2750 KELLEY PARKWAY DATE ISSUED: 06/07/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3131 CASCO CIR
PIN : 20-117-23-34-0007
LEGAL DESC : SPRING PARK
: LOT 044 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: REPLACE:3 WATER CLOSETS,5 LAVATORY,2 BATHTUBS,2 SHOWERS, 1 WET BAR
VALUATION OF PLUMBING 1000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.50
KRAHL'S PLUMB LLC TOTAL 50.50
3508 LYRIC AVE Payment(s)
WAYZATA, MN 55391- CHECK 4379 50.50
(612)730-9988 5
Minnesota State License#: plbg-PC653470
OWNER
WAHLIN, KENNETH&TAMI
3131 CASCO CIR
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 onstruction authorized is not
commenced within 180 days of the te 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 suri g all required inspections are
requested in conformance with t�Stat Building Code.This permit may be �
revoked at any time for due ca� e. � � � �L�� ��
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Applicant Permitee Signature� � �,A �,�Date Issued By Signature Date
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,�p� City of Orono FOR CITY US ONLY
O P.O. Box 66 Date Received: �� � � •-%(�
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit# 1 �=' / (�, -. �''C>����(�
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CITY OF ORONO — PLUMBING PERMIT
(�II Commercial Permits Must be Approved by the State Prior to City P,pproval)
http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.�df
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. f';pplications 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. PERMIT�� A!�E NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PCRMiT 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]
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❑ New ❑ Additional ❑ Repairs '�i ' Replace
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❑ 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: �� � � �--�`-�-�-% G-1'�'�—L—�-
��4-�--�s�,l
Owner:��� �' �N�1�-�r Mailing Address: ��1�
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City: � � Zip: _�> � � I
Home Phone: �'� �- � `� � y' =� x'� Alternate Phone: �>>-=_ ����11 ' � � 3«
Contractor Information:
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Contractor: C�act�erson:
Address: � ��< <� � State Bond #:
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City: r�� c. �'�% Zip: �� Expiration Date:
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Phone: C L ��alternate Phone:
❑ Insurance — Current:
Page 1
PLUMBING FIXTURES BEING INSTALLED , �
.
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet x k��) Floor Drains
Lavatory X -X Cy Sewer Ejector
Bathtub X�� Laundry Tray
Shower X •x Washer
Kitchen Sink Water Heater
„
Disposai Water Softener
Dishwasher Wet Bar X
Sillcocks Misceilaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fe of$50. 0)
x .0125 $
�����
� (contract price) (minimum $50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE � HANDLING (Only on Mail-In Applications) $ 2.00
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 he City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordin n�s of t City and the regulations of the State of Minnesota, and
certifies that all statements mac��pn this app.ication are complete, true and correct.
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Applicant's Signature: Date:
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Building Official/ Inspector: ` Date:
Page 2
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E � � SCHEDULED
PERMIT NO. ZGi �G'"-C�L��'��' COMPLETED
ADDRESS � � �� C-�>�� �' c. � �.
OWNER TELEPHONE NO. �� � ��U' ���
CONTRACTOR � ���t �j � S ��,,�n�
� DESCRIPTION ���'�-� .�/l�IG��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �`1�UMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF��INAL ❑ 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 ❑�TIC INSTALL
� OWNERICONTAACTOR TO MEET YOU:_YES_NO
� COMMENTS: �' V1S�ri4L��
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W� �MOR�SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
��O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call fort " specti�4 hoyrsJn advance. (952� 249-46�0
O ontractor on sit • �'�'Y
Inspector. w
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