HomeMy WebLinkAbout2016-01186 (plumbing- fixtures) CITY OF ORONO * Z 0 1 6 — 0 1 1 8 6 *
2750 KELLEY PARKWAY DATE ISSUED: 09/23/2016
- ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3800 CASCO AVE
PIN : 20-117-23-24-0019
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 003
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
COI�ISTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES: 5 WATER CLOSETS,6 LAVATORY,3 f3ATHTUB,2 SHOWER,2 K[TCHEN SINK, 1 DISHWASHER,2 SILCOCKS,
2 FLOOR DRAINS,
1 LAUNDRY TRAY, 1 WASFIER, 1 WATER HEATER, 1 WET BAR
VALUATION OF PLUMBING 18700
APPLICANT PLUMBING FIXTURE FEE 233.75
STATE SURCHARGE PLBG(VALUATION) 9.35
NORTH ANOKA PLUMBING MAIL-IN FEE 2.00
22590 RUM RIVER BLVD.N.W.
MN 55070- TOTAL 245.10
(763)753-3373 Payment(s)
Minnesota State License#: plbg-PC642884 CHECK 6341 245.10
OWNER
Atlas Homes
14450 117TH AVE N
MAPLE GROVE,MN 55369-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This pennit is for oniy 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 atter 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. ���'/�
,� ' -,.
1i
�' . 7 ,
� , .
� �
C` I i �� �<' <.� c`�,-_i' '? /'_.� e � J 1j � � � /��
Applicant Permitee Signature � ��� Date [ssued By Signature Date
�p� City of Orono FOR CITY US ONLY
� P.O. Box 66 Date Received: � �
2750 Kelley Parkway Permit# 1 U % �✓
:� a Crystal Bay, MN 55323 �c: -- r���,`
y� � (952)249-4600—Main
��'rfSH��� (952)249-4616—Fax Approved By: �-�
Amount$: �� �5' � �
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.qov/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)
Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
�w ❑ 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 / Owner Information:
Site Address: ��' � ��� �--� I �'�n �
Owner: t�� , C� ��'1�.S�Y(.�L�'L(�►�IVlailing Address: � I�'�-r��� ����� �
City: ���� �(,�F I�t)l� Zip:
Home Phone: Alternate Phone: ��'3 ��U l � �— �� � 7
Contractor Information:
Contractor: �%�►� 'h'1 �'1�11���-Gi_ Contact Person: � (-e� J
Address: ZZ�� b ��i'� �wz-✓ �vf� Sta e Bond #:
City: ��- ���_�°1��( S � � Zip: � ����� Expiration Date: �Z 3 / ��5�
Phone: �lk��� �� 3�`�� 3 Alternate Phone:
�nsurance — Current: � 1"�-1�
Page 1
PLUMBING FIXTURES BEING INSTALLED
FIXTIJRE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � ; Floor Drains
Lavatory t..� Sewer Ejector
Bathtub I L- Laundry Tray �
Shower Z. Washer !
Kitchen Sink J� Water Heater {
Disposal Water Softener
Dishwasher � Wet Bar (
Sillcocks 2..- Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)�3�3 , 7S
��'/ �OC� .0125 $
_ (contract price) (minimum $50.00)
2. $�ATE SURCHARGE l � �v�
� 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 doliar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to
the customer far 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 dina es of the City and the regulations of the State of Minnesota, and
certifies that all statement m de rj this ap ic ion are complete, true and correct.
�
ApplicanYs Signature: Date: �r� l
Building Official/ Inspector: Date:
Page 2
C � I �=�� ✓
DATE TIME
CITY OF ORONO CALLED IN ��, "
INSPECTION N/JO�TICE �// SCHEDULED _t��v
PERMfT NO. �1.I�������GL!(� COMPLETE
ADDRESS � �b� �_ a-� �'L
OWNER TELEPHONE NO.� 7 ���3
COIJTRACTOR b.
� DESCRIPTION T�L l�Z i-h� /�`�
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ S PTIC INSTALL
2 OMINENCONTIiACTOR TO MEET YiOU:�YES_NO
� COMMENTS:
� _� k/ �/-- �/'� S GLi � p —
-
o — l.!. L.�- IYl-L� �,�lc� —
� - ,��- G�, i- �' c ��r s �Z o r ri�c —'
� � 1t/c�i cr l r^ZS ►Gd''� G7��G� �� 'T�l�S �7�-�.y►,p
W '�
�
Q
2 / rDU c/1� ��tl'n l�Su/• l.:� C��-G/�✓
� �,J 4 �`S �� �/• ,+n r�J r/
�
j
� �WOFiKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑ RRECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner►Contractor on site:
inspector: ; 1'''- .-� �
YVhlts CopYAnspecto�'s FU� C�nary CopylSite Notks
C� -� � �%
DATE TI E
CfTY OF ORONO CALLED IN �Z� �
INSPECTION NOTICE_ /��� SCHEDULED / 2 �/—l(O
PERMIT NO.��`� � COMPLETED �
ADDRESS �o� �-��1 P� ���
OWNER TELEPHONE NO. L�3 "753-3�J�
CONTRACTOR � �
'' DESCRIPTION ��� �/��
� ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FIN
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRA NG/FILLINO
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z 01MNERICONTRACTOR TO MEET Y�ll:_YES_NO
� COMMENT'� _
� �!� G• � - f �� ��- -
� �
� c��,� ✓ /���' �1 r �� �
0
Q � -� �.•- z'��.s� r s /�'1�l�<�� .�
? � _ G J. ��v� ,�r''c�v�.�•��
�
W
OC
J
� ,�RK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE
W YO CORRECT W'ORK 8 PROCEED ❑ ISSUE CEATIFICATE OF OCCUPYINCY
O ❑CORRECT VYORK�LL FOR REINSPECTION TEMPOqARY
V BEFORE COMERINO PERMANENT
❑OORRECTUNSAFECONDITIONWITHIN HOURS. p p�{pTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
CaR for the next inspectfon 24 hours in advance. (952) 249-4600
OwnedContractor on sRe:
�
Inspector: �
wn+e.cavrn��cor.Fia c.�ary covr�sn.Noaa
y � V
� � ��i�
DAT TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE ��,.., SCHEDULED "? )
PERM�T NO.� =��Q �����! COMPLETED
ADDRESS �t�i'�.� C C� ,�1 �C� ' �'
�NNER TELEPHONE NO. �� '�3 j�
CONTRACTOR ^ ,
��
� DESCRIPTION � �-'�-�-� �
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLINO
�O ❑ 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 ❑ PTIC INSTALL
2 O�WNERlCOIfTRACTOR TO MEET YiOU:�YES_NO
� COMMENTS: 'J�
�
o �/�� /�ne5 �� �.l. L _ ,�- n1, L • ' c�
� - ,1•�� � ' o�
0
Q �i�r. S�C G�e✓ li rl�s � i���G • i--
� L� c, _
� (,!� L. � �. L. - 6� ts �d���
� �?�c�� ..r� e�L • 0.1 ��'�� /.Tas . L_C,
� HK�k Tt� /,�✓. c �e.i�.a� 4,r•�� c�� s� �
W ❑ SA FACTORY:PfiOCEED ❑PRW ECT CAMPLETE
�RECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUP�INCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOMRY
V BEFORE COMERINO pERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS- p pHp70 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
`�SPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
v \
Call lor the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
WMt�Cop�rMspeetw's Fil� Can�ry CopylBM�Notk�
� c:� G� �� �:
� DATE TIME
CITY OF ORONO CALLED IN `t'�
INSPECTION NO� �/f�� SCHEDULED
PERMIT NO.,�Qj COMPLETED
ADDRESS � gD� C. �__�c_ � /¢'ue-
OWNER TELEPHONE NO��3 ��3 �
CONTRACTOR �y� �'?�� �
� DESCRIPTION � �` �-��p 6 °
� ❑ FOOTING ❑ DEMO-FINAL Olif G�'' SEPTI INAC��
� ❑ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC ALL•
2 OWNERICOKTRACTOR TO MEET Y�OtI:_Y NO
� COMMENTS:
� �✓cL er- /.i►�S GZnAGar- Gv.-►� . � „�
j
0
�
�
0
W
�
Q
�
W
W
OC
,
��WORK SATISFACTORIf• ED [��PR�W�� ECT COMPLETE
CORRECT VMORK 3 PROCEED O ISSUE CERTIFICATE OF OCCXIPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CaNERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑p�.{OTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-46�0
ONrtteMCorttractor on site:
Inspector: �'�� G''
yVhite CopYAnapector's FIN Canary Copr/Sib Notle�