HomeMy WebLinkAbout2016-01224 - plumbing CITY OF ORONO * 2 0 1 6 — 0 1 2 2 4 *
2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016
, � ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1932 FAGERNESS POINT RD
PiN : 17-117-23-23-0015
LEGAL DESC : FAGERNESS
: LOT 027 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: REPLAC�FIXTURES: 1 WAT�R CLOSET, 1 LAVATORY, 1 SHOWER, 1 KITCHEN SINK
VALUATION OF PLUMBING 3000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.50
PAUL'S PLUMB[NG& HEATING TOTAL 51.50
P.O. BOX 839 Payment(s)
NORTHFIELD, MN 55057- CREDIT CARD 4201 51.�0
(507)645-7105
Minnesota State License#: plbg-MB709036
OWIVER
MARON, BARRY&DONNA
1932 FAGERNESS PT 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 pennit 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signatur Date Issued By Signature Date
� Sep�29 16 08:07a Paul's Plumbing&Heating 507-645-7109 p.1
• !p�� G�ty of Orono FOR Cl u� �
O 1i P.o_Box 66 Date Received: ��7
� �, 2750 Kelley Paricway
t�\` �� Crystal Bay, MN 55323 PeR»It# ���/��� �/a�-
�.��� �r (952}249-�fi0o-Main /�JI� � ,
�rs�+o"� (952)249-4616-Fax ��/1 Approved By:--- L���
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A/ Amount$; �J
ClTY OF OR4N0—PLUMBING PERMIT
{AI{Commercial Permits Must be Approved by the State Prior to City Approval}
http://www.dli.mn.aov/CCLD/PDF/pe plumbalanrevapa pdf
GENERAL tNFORMATION
1. You may appfy for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit wii! be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMJT CAR�1S
POSTED ON THE JOB SlTE
3. Plumbing permits may be issued ONLY to Jicensed plurnbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remadeling is involved, a separate building permit rt�ust be obtained.
5. All work must be done in accordance with State Code requi�ements.
6. AN work must be inspected and air tested before it is covered. Call (952)249-46�0,
(24-48 hour notice required)
TYPE OF PERMIT(Check Af( Tha#Apply)
`�Residen#ial ❑ Commerciat (Approval Required) [Backflow Device: ❑AVB �PV$]
i �
❑ New ❑Additional �
❑ Repairs Replace
❑ In Accessory Sfructure?
�You wilt neett prior approval 2nd may need CUP. (Per Orono City Code, Chapter 78,Article IV)
�Jab Site /Owner Infarmation:
Si#e Address � ���� ��c�?C-y ��2S�j �L��, ��c�C�
�i �
Owner:__.���S Mailing Address: �� ����
�
Cit � .�`1C; Zip: �'»�5Z �
Y�--
Home Phone: Alternate Phone:
� Contractot�nformation: ' ^ `
'C�'� , � ti �', �� +��. •U�i1l�i�-�� �l
Contractor: � ���,1��� �: � �
� � � �Contact Person_ ��5� �,tj'
Address: � i �� ;X !, � Sfate Bond #: ��� ����� �
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Clhl: '�' �'�;�t-� � c
ZEp; n�J Expiration Date: �� �
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Phane: ��� �� �( ` J Alternate Phone:
! lnsurance— Current:
Page 1
� Se�29 16 08:07a Paul's Plumbing&Heating 507-645-7109 p.2
, � PLUMBING FIXTURES BE1NG 1NSTaLLED
FIXTURE BSMT . 1 sr 2"� OTHER FIXTURE BSMT 1sT 2"n OTHER
TYFE � Floo� Floor �YPE Floor � Floor �
Watar Cfoset � Ffoor Drains � I
Lavatory � Sewer Ejector '
Bathtub Laundry 7ray
S�ower j Washer
i(itchen Sfnk � �
Water Heater
Disposal � Water Softener
Dishwasher ! Wet Bar
Sillcocks � Miscellaneous
L P�RMfT FEE CALCUl.ATIUN
1. CONTRACT PRlCE *is 1.25% of contract price with a (Minimum Fee of$50.Ofl)
� L..:5�,�- � .� C�c�
x A 125 $
�ontract price) (minimum $50.00}
2. STATE SURCHARGE
x .0005 $
� � ���
(contract price)
3. POSTAGE 8 HANDLING (Only on Mail-In App(ications) $ _pQ
_.�-
4. TOTAL PERMIT FEE(Add Lines 1�3 Above} $ � �� • —�
" CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pe�rmitted work fncluding mater;als, labor, profit, and other fxed costs. It is the amou�t to be charged ta
t�e customer for the work done. If any materiaf, equipment, (abor or installatians are furnished by khe
owner, tenant or any other party, the reasonable rnarket value of such items must be added to the
estimated cost or contract price for permit fee purposes. in #he event that there is a dispute an the
amount of the job cost, the City may request the submissioe� of a signed copy Qf the actual contract.
PLfJMBING PERMIT APPL(CRT14N RGREEMENT
The undersigned hereby applies to the City for issuance of a PEumbing Perrr�it, agrees to do alf work in
strict accordance with the ordinances of the City and the regutations of the State of Minnesota, and
certifies t#�at all statements made on this applica � n are � lete, true and carrect.
ApplicanYs Signature: � I/ �� Dat • �� vC�J/ ;
, e. , �
Building Official! Inspector: Date:
Page 2
DATE TIME V
CfTY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED ��'�-•� �? ` j��
PERMR NO. � ✓����� � ��� COMPLETED
ADDRESS �`�� � F.-, 1��'1� s_S ��-. )� �
OWNER TELEPHONE NO.
CONTRACTOR ���(�� �I b .
�1 DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ,�]�PLUMBING RI ❑ EXCAV/GRADING/FILLING
Vj ❑ FOUNDATION WATERPROOF u 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z dWNERICONiRACTOR TO MEET YWI:_YES_MO
� COMMENTS: � �'• � � - �� _
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� �K SATISFACTOHY:PROCEED ❑PROJECT COMIPLETE
W O OORRECT WORK 8 PROCEED O ISSUE CEFiTIFICATE OF OCCUWINCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CONERINQ PERMANEN7
❑CORRECT UNSAFE CONDITION WITHIN HWRS. p pHOTO TAKEN
INSPECTOR WILL RETURN
O GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspectfon 24 hours in advanoe. (952� 249-4600
OwnerlContraator on site:
Inspector: l3 d �� �
yyhlte Cppyllnapsctw's Fils Canary CopylSit�Notia
C.-�
"�� DATE TIME �,
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED 1�(�'i___��
PERMIT NO. � � OMPLETED
ADDRESS �-�� � ��=� �
OWNER T EPHONE NO.
CONTRACTOR
� DESCRIPTION l �
�y ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FiLLIN(3
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 ❑ FOUNOATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINERICONTRACTOR TO MEET Y�OU:_YE$�NO
y COMMENTS:
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2 ` ���, � O � '
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� — C�� �- S o � -�Js
� ❑WORK SATISFACTORY:PFiOCEED '����OJECT COMPLETE
� ❑CORRECT VMORK 3 PROCEED ❑I E CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOHARY
V BEFORECONERIN� PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WFLL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on ite•
Inspector: ���� •
Whits CopyAnspector's FII� C�n�ry CopYfSlb Notles