HomeMy WebLinkAbout2015-00475 - plumbing CITY OF ORONO * 2 0 1 5 - 0 PJ 4 7 5 *
2750 KELLEY PARKWAY DATE ISSUED: 04/23/2015
ORONO, MN 55356-
952 249-4600 FAX: 952) 249-4616
ADDRESS : 3926 CHERRY AVE
PIN : 08-117-23-33-0019
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 004
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 5 WATER CLOSETS,7 LAVATORY, 1 BATHTUB,4 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL,2 DISHWASHERS,3 SILCOCKS,4
FLOOR DRAINS,
l LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR, 1 MISCELLANEOUS
VALUATION OF PLUMBING 39815
APPLICANT PLUMBING FIXTURE FEE 497.69
STATE SURCHARGE PLBG(VALUATION) 19.91
SPRING PLUMBING LLC MAIL-IN FEE 2.00
11473 KENYON COURT
BLAINE, MN 55449- TOTAL 519.60
(763)614-7963 Payment(s)
Minnesota State License#: plbg-066807 PM CHECK 09879 519.60
OWIYER
WASHUTA,KENNETH
3926 CHERRY AVE
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work Yor which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of l80 days a[any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due ca e.
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Applicant Permitee Sig ature ate Issued By Signature Date
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` 2750 Kelley Parkway ���
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Crystal Bay,MN 55323 Approved By: Amount$: � '
� � (952)249-4b00—Main
\�' � ��' (9�2)249-4616—Fax
F� �� CITY OF ORONO—PLUMBING PERMIT
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GENERAL INFORMATI4N
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 UNTR,THE
PERMTT 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 CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Infonnation:
Site Address: � � �"l0 �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractar: �►�y�.� �t� ✓►'�-��p Contact Person: ��I'�'�S� ���- !`N�
��1�— J
Address: I � �� 3 ���'� �� State Bond#: 1'��� � 3 � � �
City: �(b,b�_ Zip: S�y`�Expiration Date: �o� .f 3 �' ��
Phone: �b 3 ��� u"1 G L � Alternate Phone:
❑ Insurance—Current:
1
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PLUMBING FIXTURES BElNG INSTALLED
FIXTLJRE BSMT 1 S 2 OTHER FIXTURE BSMT l S 2i''D OT'I�R
TYPE FL FL TYPE FL FL
Water Closet I � Floor Drains �
Lavatory � � Sewer Ejector
Bathtub '�( I Laundry Tray 1
�
Shower ^ Washer
� r
Kitchen Sink 1 Water Heater
Disposal ` Water Softener
Dishwasher � � Wet Bar I
Sillcocks r�,� Miscellaneous �
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PERMIT FEE�'CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residentiai fixture or appliance that meets all three of the foliowing
requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�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
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION f�tl, T C� J�CHEDULED
PERMIT NO.:' '� / COMPLETED _��� ���
ADDRESS 3l��i�1.�N�'Y ,�v��c
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL LUMBING RI ❑ EXCAV/GRADING/FILLING
Q
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ���uGv �[/� l �'!�
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� ❑CO ECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952) 249-46��
OwnerlCon on site:
Inspector.
White Copyllnspector's Flle Canary CopylSite Notice
DATE TIME r !
C /�CITY OF ORONO CALLED IN ��--
INSPECTION NOTIC SCHEDULED i ��S ��
PERMIT N _ - �5 COMPLEfED
ADDRESS � � � �
OWNER TEL ONE NO��� �Z G �Q�
CONTRACTOR ! � �
� DESCRIPTION � ''� �
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l� ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF LUMBING 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUE
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours'n a nce. 9 249-46��
OwnerlContractor on site: �
Inspector.
White Copyllnspector's File � Canary CopylSite Notice
� � � ATE TIME
CITY OF ORONO CALLED IN 5�'g�
INSPECTION OTICE SCHEDULED 4��3v-�,5 /�
PERMIT NO - � COMPLETED
ADDRESS
OWNER • TE NE N0.,7(�-�Z--v�O�
CONTRACTOR �
�; DESCRIPTION ` u��
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� ❑ FOOTING ❑ E O-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ MBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING 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
2 OWNEFUCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection hours in a . 952) 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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� � DATE TIME
CITY OF ORONO c �e�
INSPECTION NOTICE �J CHEDULED __��"`��S
PERMIT NO. � ��OMPLETED
ADDRESS
OWNER TELEPHONE NO. — �_7SS
CONTRACTOR � �
� DESCRIPTION - �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ UMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WAT R HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY SE ER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ S TIC INSTALL
2 OWNERICONTRACTOR TO ME�T YOU: YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952 24 - 6�0
OwnerlContractor on site:
Inspector.
White Copylinspector's File Canary CopyfSite Notice