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HomeMy WebLinkAbout2014-00202 - plumbing CITY OF ORONO * 2 0 1 4 - 0 0 2 PI 2 * ' 2750 KELLEY PARKWAY pATE ISSUED: 03/13/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS . 1700 E�OX ST PIN : 03-117-23-41-0007 LF.GAL DESC : UNPLATTED 03 I 17 23 : LOT� MB BLOCK ME3 PERMIT TYPE : PLUME3ING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIX�I�URES: (1)WAT�RCLOSF;I',(2)LAVATOR[ES.(1)BAI�HTUB. AND(1)SHOWER VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 STATE SURCHARGE PLBG (VALUATION) 6.00 HOVDE PLUMBING& HEATING INC TOTAL 156.00 2222 EUGEWOOD AVE S MINNEAPOLIS, MN 55426- Payment(s) (612) 545-8881 CHECK 1 1323 156.00 OWNER Craigbank Associates 15407 MCGINTY RD W WAYZATA, MN 55391- AGREEMENT AIVD SWORN STATEMENT fhe work for which this permit is issued shall be perfonned according to thc approved plans and specifications,applicablc City approvals,and the Statc f3uilding Code l'his permit is for only the work described and docs nut grant permission for addidunal or related work which requires separate permits_ All provisions of laws and urdinanccs govcrning this typc of work shall be compied with�chether or not specitied hcrcin.'�his permit will expirc and become null and void if construction auUiorized is not commenced within 180 da��s of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. l�he applicant is responsible for assuring all required inspections are requested in contbrmance�vith the State�uilding Code.'This permit may be � v�o c�t�ac,�»y time for due cause. �I � d �� ,, ��, ;�, � � � //� /J � �� Applic nt Permitee Signature Date Iss d T3y Signature Date �` FOR CITY USE ONGY ��`ti. City of Orono / /`� P.O.Bos 66 Date Received: Permit# � / ����V� 2750 Kelley Parkway � f � Crystal Qay,MN 55323 Approved By: A�no�t$: � (952)249-4600—Maui t � �. � (952)249-4616 Fax , ���`'� c�� CITY OF ORONO-PLUMBING PERMIT �krs���� (All Commercial Permits Must be A roved b the State PrK�r to Cit A roval �_✓� PP Y Y PP ) htt �:ff�rltiti��.clli.mn.rov/CCLllIYDP/ luinb�Ianl�eva ��.�tJf GENERAL 1NFORMATION 1. You may apply tor plumbing permits by mail or in person at the City otlices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail af�er a review is completed. PERMITS ARE NOT VAL[D UNTIL YOU RF.CFIVE A PERMIT. WORK;�1UST NOT BEGIN UNTIL THE PERM IT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbmg contractors and to property owners residing m the dwelling. 4. When any new construction or rerradel'mg is involved.a separate build'mg permit must be obtained. 5. All work must be done in accordance with State Code requa-ements. 6. All work must be inspected and air tested befbre it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE QF PERMIT _ (Check�11 That Appl� �Residential ❑Commercial(Approval Required) ❑ New ❑Additional �Repairs `�Replace �� ❑ In Accessory Structw-e? *You will need prior approval and may need C'll}'.(Per Orono City Code,Chapter 78,Articic IV) Job Site/Owner Informat�n: �--, Site Address: C`C�' � �%� �� � � �� V Owner: � B�«� �0.�r1�� �'�����c- ���i Mailing Address: � � L'C �� I City: ��c;��c� Z�: � 5 �� � Home Phone: Alternate Phone: Contractar Inforn�ation: : Contractor: �`Jc��'��� � ���� Contact Person: �i�- ` � `'� Z r � � � .- Address: z- ZZ�c�c-�(,� ; ' �(j �State Bond#: ,� �O y V`} �}J , C ity: J� �c�;�z��k Zip:�Z(, E�cp iration Date: 'L�3� �?-c� i� Phone: (��- ��� ���SSS`�-� Alternate Phone: ❑ Insurance-Current: c:"�h `i�i�-�- 1 T PI.,UMBINC FIXTU�tES BFiNG INSTALLED FIXTURE [3SMT �s�r ZNo p'I'HER FIX"I�URE BSMT 1ST �ND OTHER TYPE F[, 1'l, "IYPE }�L FL Water Closet ( Floor Drains Lavatory ^ Sewer Ejector e• Bathtub � L,aundry Tray Shower i Washer � Kitchen S�ilc Water Heater Disposal Water Sof�ener Dishwasher Wet Bar S ilkocks M isce llaneous I PERMIT FEE CALCULAT[ON(S} �_ BASED OFF 2002 STAT'E STATUE ❑ Yes,this section applies The replacement ofonly one Residential fi�ime or a�pliance tl�at meets all three ofthe following requirements: 1. Does not requffe modification to electrical or gas service. 2. Has a total cost of$500.00 or less;exclud'm�the cost ofthe fxl�n•e or appliance:and 3. [s nnproved, mstalled or replaced by the homeowner or licensed plwnbing contractor. Skip neact section, ifthis applies; Cost ofPermit $ 15.00 State Surcharge $ 5.00 Mail-ln Fee(IfApplicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � � P��It�ITT FE��ALCULATi�}N(S ,--JOBS C1VER$�OO.UO �� Ifabove does not apply;fUlbw guidclincs bcbw: 1. CONTRACT PRICE * is 1.25%ofcontract price with a(Minimum Fee of$50.00) ��} � 1�Z,e��`�1c:% _ X.o�25 $ 1�� ��� (contract price) (minimum 550.00) 2. STATE SURCHARGE nr� x.0005 $ � (contract price) 3. POSTAGF,&HAN DLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CON"I�RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includmg materials, labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. [fany material, equipment, labor or installations are fw-nished by the owner, tenant or any other party, the reasonable market value ofsuch items must be added to the estimlted cost or contract price tbr permit fee purpose�s. In the event that there is a dispute on the amount ofthe job cost the City may request the submission of�a signed copy ofthe actual contract. PLUMBING PERMIT At'PLTCATI�"31�A�F��:�MENT` The w�dersigned hereby applies to the City for issuance ofa Plwnbir� Permit, a�-ees 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 on this application are complete, true and correct. �� . Applicant'sSig�ature: ��� ` � Date: � �Z- �� 3 5� DqT TIME ✓ CITY OF ORONO CALLED IN -� 1� INSPECTION NOTIC SCHEDULED s,�.�� � PERMIT NO.�d� —����a-cOMPLETED ADDRESS � 70 0 /CD�L S`�— � OWNER TELEPHONE NO. 95Z-s S' S'� CONTRACTOR �� P � DESC PTION � �� � � � � � ❑ F TING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING ❑ OURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER FiEMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a . � j �z. r— � ` 0 '' v `C, � � 0 � W � � . Q � W J � W � j d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE w ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN j ❑CITATION ISSUED ❑ P ORDER POSTED.CALL INSPECTOfi INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �zB��_ oo��� �� / �DI�� �OZ Z DAT TIME v CITY OF ORONO � CALLED IN S"3� INSPECTION NOTIC SCHEDULED '3�'� Q?; PERMIT NO. COMPLEfED ADDRESS ,�?�D �� � OWNER TELEPHONE NO.d l2-Z��S�/� CONTRACTOR ���� / T� a DESCRIPTION ���'� �` ��� � �`�� �l�J � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/ ING Q ❑ POUR WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FR ING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � j a W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ UE CERT�FICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 952 9-46�0 OwnerlContractor on site: Inspector. White Copylinspector's Ffle nary CopylSite Notiee