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Home My WebLink About2016-01278 - plumbing CITY OF ORONO * 2 0 1 6 — 0 1 z 7 s * 2750 KELLEY PARKWAY DATE [SSUED: 10/10/2016 ' ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1050 EDGEWOOD HILLS RD PIN : 02-117-23-13-0003 LEGAL DESC : REG. LAND SURVEY NO. 1098 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW FIXTURES:4 WATER CLOSETS,5 LAVATORY, 1 BATHTUB,3 SHOWERS,2 KI"I�CHEN SINKS, I DISPOSAL, I DISI[WASHER,4 SILLCOCKS,2 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, I WATER HEATER VALUATION OF PLUMBING 47170 APPLICANT PLUMBING FIXTURE FEE 589.63 STATE SURCHARGE PLBG(VALUATION) 23.59 SELECT MECHANICAL SERVICES INC. TOTAL 613.22 6219 CAMBRIDGE ST Payment(s) ST. LOUIS PARK,MN 55416- CREDIT CARD 4447 61322 (952)926-4488 Minnesota State License#: mech-MB003390 OWIVER STEINER, BARBARA 1050 EDGEWOOD HILLS 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 specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or related��ork which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied widi whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 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 are requested in conformance with he State Building Code.This permit may be 9 J revoked at a� time for d e c e. � �� /� �� ;, ' st_t� �'�—�-�.��; i' //C' � � �- � � � Applicant Permitee Signature ate Issued By Signature Date /�,�, City of Orono FOR CITY USE ONLY / �`�'"O P.O. Box 66 Date Received: /b --/c / l�- , � 'i 2750 Kelley Parkway � � � `7 � Crystal Bay, MN 55323 Permit# - �� ` �-�'l� � ' y� � (952)249-4600—Main A roved B : k'--I'-� ��'kfSHQ�� (952)249-4616—Fax pP Y .. L.,,�. Amount$: CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.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] �New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? "You will need qrior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: SOS4 ��w60� �111.5 ,20�,� Owner: �STL�1��2' R'�� UR Mailing Address: <S��`'1� c�ty: wpX�.��"�o z�p: -��3�/ Home Phone: Alternate Phone: Contractor Information: SEl-gG� �`'1�'Cy,a N 1 G A"L Contractor: S�'/�r/�G�-3' Contact Person: C��i�l� ��4✓��°�C Address: l ZI� �'A/`�f�IOL� .57��'�'T State Bond #: City: ST C�t/l� P��k Zip: �-Sy�� Expiration Date: Phone: 9�Z . �Z�. yy�8 Alternate Phone: �Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � � � Floor Drains Z Lavatory � � 3 Sewer Ejector Bathtub f Laundry Tray ' Shower � 2. Washer � Kitchen Sink "Z Water Heater 1 Disposal � Water Softener Dishwasher � Wet Bar Sillcocks t� Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) 7 �, �d�� x .0125 $ s��, �3 (contract price) (minimum $50.00) 2. STATE SURCHARGE y�� /��. � X .0005 $ ,z�, s� (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ �' zZ 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��• — * 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 made on his ap icatyon are complete, true and correct. G' �' ; `�" ApplicanYs Signature: ,� ` Date: �� Building Official/ Inspector: Date: Page 2 V �/ �� "�"'A DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED ��-�lo l:3 O PERMIT NO. a��-C��7� C PLEfED �-� ADDRESS ��S O � ; ��D -�� OWNER T LEP ONE NO.1�� L��'�' CONTRACTOR `''�f � DESCRIPTION / ` �� " � 4� ❑ FOOTING MO-FINAL ❑ SEPTIC FINAL Q ❑ 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOPITRACTOR TO MEET YES_NO c� COMMENTS: •-��,"c ,�i�-�,� /' ��:�.v �,.ti � � y > � -� � � �� o . � — � .> .�t '� �� :, � 0 � � �� Q :1, ,i^ •'�ZJ c-v � 2 � W � � �V VOR�K SATISFACTORY:PROCEED O PROJECT COMPLEfE � ❑CO ECT WORK�PFiOCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECa1/ERINf3 PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN H��• ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (952) 249-48�� OwnerlContractor on site: Inspector: (� � �� White CopyAnspactoPs FIN Cm�ry CopYlSfb Hotks � � � /`. DAT TIME � CITY OF ORONO cnLLED IN .3-�- -�7 j�j� INSPECTION NOTICE SCHEDULED -2�`�7 �'�`� PERM�T NO-�D��7�- COMPLEfED � ADDRESS 1�5d C�' �-a 01AINER T LEPHONE NO.��'�-�� "��y�— CONTRACTOR � � ��`e' � DESCRIPTiON r` � - ly ❑ FOOTINCa ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMINERlCONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: W „ a_ 3 �, . y o � �o � ev � o — �-l3 � �-'�-� � � � - �� - c�� ° — � ,. (�-1 �e..�.�,.,. � � -C�,^ oc� - � � � G.�' 1 �'t"� n C� � �' � �'rt�r� S �� (�� 7 � l� W � W � � , — --- 4�j WORKSATISFACTORY`.PROCEED O PROJECT COMPLEiE ❑ RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 00 ❑CORRECT WORK,CALL FOR REINSPECTlON TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pf{pTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in advance. (952) 249-4600 Owr�rlContractor on site: �11S�.tOr: � �� YYMte C.oPYAnspecto�'s File C�mry CoDYlSits Nodes ..r.,5*--- V DATE TIME CITY OF ORONO CALLED IN �� 0,6INSPECTION NOTICE SCHEDULED PERMIT NO.s OAP—O/a7C COMPLETED . a ADDRESS 0 0..�/- _ Oij.! i1 /�//_ OWNER / TEL PHONE 0.1Sa !�3`qq��Y/1 CONTRACTOR e / � `' - DESCRIPTION P` I '--/4 LU 1... ❑ FOOTING 0 DEI-FINAL 0 SEPTIC FINAL ❑ Q POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE ❑ ECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL , ❑ DEMO-SITE 0 SEPTIC INSTALL 2• OWNER/CONTRACTOR TO MEET YOU:_YES_NO COM NTS: /�n6'0 ' /�� fel.Q 0.5 cc Lu � �l 6��,cis G 'ow rl<e9 52U CC o £Se 6:65 T., Mme. teo" - hose 6.6t IX de<.•td2 -rar nee", 2 .6 6,...) A-r. C:it, Bcar--o( 4. -4, bee.f•..s a cc ,lxa'tloK PC kid to, L..;es.4- 44 k16 t 4-6/. 9s. y/'4 v.ty dri•A - CCQ z ---�i a res - 5---f 56141.1) — W Z CC COree-t--4 cd 4a✓ re-t.g-srect.•o-r a W ❑WORK SATISFACTORY:PROCEED El PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ttC(LL/S1.2,1Q.I1ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice / .../// 5 DATE TIME CITY OF ORONO CALLED IN INSPECTION WTI ESCHEDULED 1-/5-1 a- I:30 PERMIT NO. 0 - L2 COMPLETE ADDRESS / 6 -6?100 i77-47-dt OWNER TELEPHONE NO. 95-2-yls'.3.- /1 CONTRACTOR 59)e),--1-- k(-eC.h. U DESCRIPTION P/h / IQ ❑ FOOTING 0 DEMO-FINA 0 SEPTIC FINAL .0- ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Li ❑ FOUNDATION DRAIN TILE S.PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP Z ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL r ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO c COMMENTS: '/vi ,4/'n, /'SGL-'t ' It! /?l4:I7a c .P ✓`ieiti #2., /.,f ii 1.." G j c f4Sc 44,5 ( �' �i'..L t.c.•>v>r. 0 W 6c i 4--J.r5. 4,kts/^i`a r- tArG i,L.1...-% L.r.c kt r-S a W z W CC � fORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY IQ 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. f® h _"( White Copyllnspector's File Canary Copy/Site Notice