HomeMy WebLinkAbout2016-00641 - plumbing CITY OF ORONO * Z 0 1 6 - 0 Pl 6 4 1 *
r � 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2195 FRENCH LAKE RD
PIN : 10-117-23-21-0006
LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
ACTIVITY ,
NOTE: 3 LAV,1 TUB,2 SHOWER, SINK DISPOSAL,DISHWASHER
VALUATION OF PLUMBING 9800
APPLICANT PLUMBING FIXTURE FEE 122.50
STATE SURCHARGE PLBG(VALUATION) 4.90
WELD& SONS PLUMBING CO INC.
3410 KILMER LANE N MAIL-IN FEE 2.00
PLYMOUTH,MN 55441- TOTAL 129.40
(763)475-0296 Payment(s)
Minnesota State License#: plbg-PC646375,mech-MB003315 CREDIT CARD 6763 129.40
OWNER
DALTON,MICHAEL&JENNIFER
2195 FRENCH LAKE 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 period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Bui]ding Code.This permit may be
revoked at ar�y time for due cause. �
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Applicant Permitee Signature Date Issued By Signature Date
^,� City of Orono �OR C1TY USE dNI�Y
, - �� � P.O.Box 66 Date Received:
2750 Kelley Parkway �V ,. t
Ciystaf Bay, MN 55323 Permit# ���O- `�-i,
y{4 �c,� (952)249-4600�Main
��Kssuo� (952)249-46�6-F'ax Appl'Oved By:
Amdunt$� � � ��--C1.�-,�
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CITY �F ORONO — PLUMBING PERMIT �,�
(AI! Commercial Permits Must be Appro�ed by th�State Prior to Gity Approval) i�
http:/lwww.dli.mn.qov/CCLDIPDFIpe plumbplanre�apq.pdf �
GEN�RAL 1NFORMATION
1. You may apply fvr plumbing permits by mail or in person at the City ofFices. Applications will be
reviewed and a permit will be issued within hnro working days.
2. Permit cards wifl be sent by return mail after a review is cpnlpleted. PERMITS AR� NOT VALfD
UNTIL YOU R�C�IVE A PERMIT, WORK MUST NQT BEGIN UNTIL THE PERIUII7 CARD IS
POSTED ON TW�JOB SITE.
3. Plumbing permits may be issu�d ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a sep�rate 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 befo�e it is covered. Cal! (952) 249-4600.
(24�8 haur notice required)
TYP� OF PERMIT(Check All That Apply}
� Residential ❑ Comrnercial (Approv�l Required) [�acIcflow Device:❑,A,V� ❑k'VBJ
❑ New �Additiona) ❑ Repairs �Repl��e
❑ fn Accessory Structure?
*You will need prior approval 2nt! may need CUP. (Per Orono City Code, Chapter 78, Articfe IV)
Job Site /Owner'Information: -�
,���/�� . f� d�--�� l�—� ,,.
Site Address: �/`" t���i
Owner: /f'�i��� �cz���p n Mailing Address: �� ,� ;�
City:�r"d s-�o „ Zip: _',���'T /
Home Phone: Alternate Phone: ���� � � 5���
Contractor Informa#ion�
Cantractar: !J�)aL _� 5�r►S �/�•��%�gContact Person: �'�t
Address: 3 y/o ,�,'�,�.c�� f�� �1 State Bond #: o a 3 3,[3`
City: Pf y wc� �� . Zip: �Sy / Expiration Date: �-z6 /�
Rhone: ��� 5� �S� OZ 9'� Alternate Phone:
�] Insurance – Current: _�P�-s.S
Page 1
a� '� 171P +„� .
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FIXTURE BSMT 137 2ND bTHER �IXTURE BSMT �sr 2No QTf..���
TYPE �lapr Floor TYP� Floor Floar
�
Watar Closet � Floor Drains
Lavatary � Sewer Ejector
Bathtub L�undry Tray
Shower ' , Washer
Kitchen Sink � Water Heater
Dlsposa) Water Softener
Dishwasher Wet Bar
Sillcocks Miscellanepus
, .
.da~ "�. ��� � � I.J ��
1. CONTf�ACT PRlCE '" is 1.25% of contract price with a (Minimum �ee of$50.00}
c�a, U C� x .0125 $_ _ �.Z;Z..,5��
(contract price) (minimum $50.00)
2. STATE SURCHARGE
�� o � . �o � .oao5 $ y ., ��
(contract price)
3. PQSTAGE 8 HANDLING (Only on Mail-In Applications) $
A�. TOTAL PERMiT F�E (Add Lines ��3 Above) $ /� �� ��
� CONTRACT PRIC� or JOB CQST means th� actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be ch�rged to
the Customer for the work done. ff any m�teri�l, equipment, (abor or installations �re furnished by the
owner, tenant or any other party, the reason�ble market value of such it�ms must be added to the
estimated cost or contract price for permit fee purposes. In khe event that there is a tlispute on the
amaunt of the job cpst, the City may request the submission of a signed eopy 4f the actual contract,
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The undersigned hereby applies to the City for issuance ofi a Plumbing Permit, agrees to do all work in
strict accord�nce with the ordinances of the City �nd the regulations of the State of Minnesota, and
certifies that all statements made on this application are comp(ete, true and correct.
App(icanYs Signature: � Date� ������
Building Official/ Inspector: Date:
Pagc 2
(��%
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N, T C SCHEDULED ��
PERMIT NO. ��I COMPLETED
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ADDRESS '.� I C/��_� �i�P�'�Cl� L �L- /�
OWNER TELEPHONE NO. � � SO ` �
CONTRACTOR � � � �
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� DESCRIPTION LL N`v� ,�''�
�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FIL /
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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL
2 OWNERICONTRACTOH TO MEET YOU:�YES_NO
c��, COMMENTS: f`—�
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARV
� 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.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice
� \�(� \/
TE TIME V
� � /
CITY OF ORONO CALLED IN � �—
INSPECTION NQ�IE�_��,/,scHEDULED — �_
PERMIT NO. �� Y� MPLETED
ADDRESS al�S �����Q
OWNER TE PHONE . 5 2/
CONTRACTOR
� DESCRIPTION ��-�'�-%�'v
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ TIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI CAV/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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNERICONfTiiACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED C�(PROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECaVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITA710N ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor o s e•
Inspector.�`'� •
.
White CopyAnapector'a File C�nary CopylSlt�Notfcs