Loading...
HomeMy WebLinkAbout2016-00693 - plumbing � � CITY OF ORONO * Z 0 1 6 - 0 0 6 9 3 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4220 CHIPPEWA LA PIN : 31-118-23-42-0012 LEGAL DESC : CHIPPEWA 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW FIXTURES:5 WATER CLOSETS,7 LAVATORY,2 BATHTUB,3 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER 2 SILLCOCKS, 1 FLOOR DRIANS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMB[NG 17000 APPLICANT PLUMBING FIXTURE FEE 212.50 STATE SURCHARGE PLBG(VALUATION) 8.50 DIVERSIFIED PLUMBING TOTAL 221.00 P O BOX 91 Payment(s) CHASKA, MN 55318- CHECK 5174 221.00 (763)221-5441 Minnesota State License#: PLUM-71354924 OWNER DBG,LLC SCHRODER, SUSAN 4725 WEST LANE MINNETRISTA, MN 55364- 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 perniits. 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 period of I80 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 ime for�ue cause. � ��� � � " � ' � /� /� ;� �� �� � /�� � ��1� s �� rF� � /(� / � Ap �cant Permitee Si n u Date Issued By Si nature Date � " �pN ., City of Orono FOR CITY USE ONLY O � P.O. Box 66 Date Received: �I l� �/b ` � 2750 Kelley Parkway '.,;� Crystal Bay, MN 55323 Permit# 7��(��C(� 3 �F �� (952)249-4600—Main A roved B �_ ��"�<<+•j0.`� (952)249-4616—Fax PP Y� � -_ _.,. DU Amount$: v1 CITY OF ORONO — PLUMBING PERMIT ;,� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qav/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) x0 Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] Q 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 I Owner Information: Site Address: 4zzo cx►PPEwA Ln� OWtI@f: M&M HOME CONTRACTORS MaIIICIg AC�C�1"@SS: 413 PAUL AVE S Clt�/: COLOGNE Zjp; 55322 Home Phone: 9sz-�9�-s�zo Alternate Phone: Contractor Information: COt1tr8CtOr: DIVERSIFIED PLUMBING COIItaCt PGfSOtI: COLLIN KING Address: Po Box 9i Stat@ BOf1Cj #: 71354924 City: cHAs� Zlp: 55318 Expiration Date: o��oi�zoi� PI1011@: 952-448-0756 AIt@C'Clat@ PI1011@: 952-334-2794 Q If1SU�aI1C2 — CU('t'@Clt: AMERICAN FAM[LY GENERAL LIABILITY 22-XG1686-05 WORK COMP 22-XG168690 Page 1 w PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet 1 1 3 Floor Drains 1 Lavatory i 1 5 Sewer Ejector Bathtub Z Laundry Tray 1 Shower 1 2 Washer 1 Kitchen Sink i Water Heater 1 Disposal 1 Water Softener Dishwasher 1 Wet Bar 1 Silicocks 2 Miscellaneous PERMIT FEE CALCULATION �� � ' ` 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) $i�,000 x .0125 $ 212.50 (contract price) (minimum $50.00) 2. STATE SURCHARGE $i�,000 x .0005 $ sso (contract price) 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ '.-�-- 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 2zi.00 * 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 ma e on this appli ation are complete, true and correct. Applicant's Signature: Date: 6/16/zoi6 Building Official/ Inspector: Date: Page 2 � � �� DATE TIM� CITY OF ORONO CALLED IN �� INSPECTION NOTICE ���,3 SCHEDULED � � PERMIT NO. ��D/(,�- COMPLETED ADDRESS 7�� �� ��1�/��c�c..� '4 �� OWNER TELEPHONE NO. ';7���ar�-�/�f� CONTRACTOR ���� �f�j-��� � DESCRIPTION - � �-�-- l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �UMBING 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/REMOVAL _ v ❑ DEMO-SITE ❑ S P IC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �S �i�'�- S�1 S���l � a L'I-� . - .,() ti/r/ - �vC ,�� �o - - o � �' /�,.= f c St �'s 1,oCaQ.�c — � � �/!/l•Sh �V✓1 /2�ci�il.t� %� y �� �j�GtJ�v � '� lS� �a GO�c�/'' W � Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W ❑ RECT 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. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: ���/� Inspector. � White Copyllnspector's File Canary CopylSite Notice __ _ _ _ _ _ � � Y -� ��:�--- DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT�E ���SCHEDULED _=�,Z��G � PERMIT NO. � I �D' COMPLE�f ADDRESS �Z 2 C� C '� r �v�� �..:.>� �' :� OWNER TELEPHONE NO.`-7�.�? -,�oZ�-CJ�I�I � CONTRACTOR � � V � ( ���� • � DESCRIPTION �! L � ��"� ��'� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF �❑ P�MBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ EP C INSTALL 2 OWNERfCONTiUCTOR TO MEET YOU: YES_NO ` � COMMENTS: � 4�r ��.� � �S 1'!lj���rt� � a — �4/�T� -�lr - �...E,. ���. ...- � ����i� o - r�<<�• �o�t. ���.:.� r�fa.� ��..�' '' �X �J co v�� a� 0 � Q �//PJ'(n/i�` ,,ocrr�....� C.��� C�'� �� � 2 W � W � , � �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE w �ECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-4600 OwnedContractor on site: Inspect . � � White Copyllnspector's File Canary CopylSite Notice ��� C�� V DATE TIME CITY OF ORONO CALLED IN �� — INSPECTION N TICE r�' SCHEDULED � PERMtT NO. � '�<�COMPLETED -�, ADDRESS �� � ��� �'�- �--'� OWNER TELEPHONE NO �y� �75�� COI�TRACTOR ����' �'� , � DESCRIPTION l ���'`� �� � l��-� L~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATEO WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNENCONTMCTOR TO MEET V�OU: ES_NO y COMMENTS: � �' G� f� .�✓ a. � b� � - •� d ' ,..,-� �- 0 � - w d �... ° " .�.`� � .E ,c � �. ° ; ✓G� �-t., d—c7 � c..i►GF/�' l�J/ � ' G✓� � ,,� v��. ��„�, a ��., v�,�--�-� b,� W � J �,�i nn ,4 �1 � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE W ❑OORRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPIINCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECaVERIN(3 PERMANENT ❑OORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 2a hours in advance. (952) 249-4600 OwnerlContra r on ite: Inspector: ���� � White CopyAnspector's Fib C�nary CopYlSib Notics