HomeMy WebLinkAbout2016-01329 - plumbing .,. CITY OF ORONO * Z 0 1 6 — PJ 1 3 2 9 *
2750 KELLEY PARKWAY DATE ISSUED: 10/19/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 100 BAYSIDE TR
PIN : 06-117-23-22-0026
LEGAL DESC : BAYV[EW FARMS 2ND ADDN
: LOT 1 B LOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRA[N,(I)LAUNDRY TRAY,(l)WASHER,(1)WATER HEATER,(1)WET QAR
VALUATION OF PLUMBING 18000
APPLICANT PLUMBING FIXTURE FEE 225.00
STATE SURCHARGE PLBG(VALUATION) 9.00
AMERICAN MECHANICAL CO, INC. MAIL-IN FEE 2.00
7120 71ST AVE.N.
PO BOX 205 TOTAL 236.00
LORETTO,MN 55357- Payment(s)
(612)750-0278 CREDIT CARD 6203 236.00
OWNER
NORD, RANDAL
4420 HARBOR LA
PLYMOUTH,MN 55441-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
die 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 N�hether or not spccified 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 are
requested in conformance with Ihe State Building Code.This permit may be
revoked at any time for due cause. _
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Applicant Permite ignature Date [ssued E3 Signature Date
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FR❑M :American Mechanical FAX N0. :763 477 4085 Oct. 18 2016 02:13PM P1
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CITY OF ORONO—PLUMBFNG PERMIT
(AN Commercial Permits Must be qpprpved by the$ta�Pnor to City qpProval)
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1� �P�Y for plumbin , . ; ;, �,� f „ ,., � ,',�.�-.,,,,;
g permits by mail or�n person at the City offices, qpp�;cations will ba
rev�ewed and a permit will be issued within two working days.
2. permit ca�rds will be sent by return ma;l after a review is compfeted. PERMITS ARE NOT VALID
UNTiL YOU RECEIVE A PERMfT. YVQRK MU$'T NpT $EGiN UNTIL THE PERfwIT ARb 13
� s�E�oN rH£�oB sirE.
3. Plumbing permits may be issued ONLY to licensed plumbing oontractors and to property owners
resi�in�itt the dwelling.
4. �ft/hen �ny new construct'roR ar remvdetFng is mvoCved; a separate buifdfig pe�m�s���ab�merY
5_ Afl work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is oovered_ Cal1(952) 249-4600.
(24-48 hour notice required)
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�Resirlen�ial .[� C�rx�raaerc�iaJ (Approval Re�}uired� .��cktlow Device:>[�AVB ,[J PVB)
❑ N�W ❑Additional ❑ Repairs ❑ Repl�Ce
❑ In Accessory Structure?
"'You will need nrior approval and m�y need CUP. (Per Orono City Code, Chapter 78, Article IV)
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Site Address: L'� �
Own�r: Mailing Address:
City: Zip:
�it�m�'�Ph�ne: Aitema'te�Phone:
r,�an��#or�tr�f� matton: �
Contractor; Cont�Ct Person: �
Addres � � �d, State Bond #: Y�
City: Zip:�� Exp'sration Date:.��� r�
Phone:��/\ U vO���Altemate Phone:
�Insurance — CuRent:
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FROM :Rmerican Mechanical FRX N0. :763 477 4085 Oct. 18 2016 02: 13PM P2
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FIXTURE BSMT� � 1`T 2"0 -j OTHE� FIXTURE BSMT �sr 2ND OTHER
� T1:PE E Flaoc � Ftoor I, ! �YPE �Foar � Flaar I�
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Water Cfoset �— Floor Drains �
Lavatory � Sewer Ejector
Bathtub " � � � Laundry Tray
�hc�N+er ��ash�r �
Kitchen Sink � � Water Heater
DiSposal � Water Sflftener
pishwash�� Wet Bar r
Sillcocks � � t Miscell�neous �.
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1�'«�,wr��" �7� Y^^^1z�i�A,h�.1P!,�,ry 1 �.�-*.�,L:��}'��f..•:���- _ �' "'�?!`ry'��U��'4��{C n�u�w���..
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1. CONTRACT �RICE � is 1.25% of contract price with a (Minimum Fee of$50.00)
� x.0125 $ ,.,1��
���� • contr�ct �ic� � tr�irrirn�rm$5ti;(3fl
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2. STATE SURGWARGE
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x .0005 $
(c n#ract price}
3. POSTAGE 8� HANbLING (Only on Mail-In Applications) $ 2.OQ ..
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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 tn
the customer for the work done. If any matenal, 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
�s�i�rn�t�d +cr�st�r�r ccmtr��t �ri�ee fc�r �errni1 f�e ptarpc��es. #n tt��r�t that #f�r� �s .a dtis� xm t#�e
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
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The undersigned hereby applies to #he City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinances of the City and the regulations o# the State of Minnesota, and
certifies that all statement d pl+catian ar complete, true and correct.
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ApplicanYs Signature: Date:
Suilding Official/lnspector: Date:
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' DATE TIME
CI OF OR NO CALLED IN ��- -`
INSPECTION NOTICE SCHEDUIED �� -��
PERMIT NO.��� d�3� C LEfED
ADDRESS ��� �
OWNER TEL ONE N0.6�� -750 � ���
CONTRACTOR '
� DESCRIPTION u � � �
t~y ❑ FOOTING ❑ DEMO-F ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBIN I ❑ 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SUFVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTMCTOR TO MEET YOU:_YES_NO
� COMMENTS: �
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��O�SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
w�O CORRECT WORK R PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. �
te CopyAnspector's File C�nary CopylSits Notks
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�.�� ��� TIME
CITY F ORONO CALLED IN / G �
INSPECTION N TICE SCHEDULED �
PERMIT NO. � -�� COMPLET�D ^�
ADDRESS `�� � ��
OWNER ONE O. �54�^�� 37'3�
CONTRACTOR � CC �t� 1�vYC_
� DESCRIPTION
t~y ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBIN ❑ 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
_ ❑ AS BUILT-SURVEY ❑ �YVER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE SEP IC INSTALL
2 OMfNENCONTMCTOR TO MEET Y�OU:_ _NO
v�i COMMENTS:
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� ❑y Vy�U�R�K SATiSFACTORY:PROCEED O PROJECT COMPLETE
W ��iRFzECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 2a hours in advance. (952) 249-48�0
Owner/Contra�r qn�ite:
Inspector: � ���
White CopyAnapecto►'s Flle Canary CopylSFts Notke
DATE TIME
CITY OF ORONO cnLLED IN
iNSPECTION NOTICE SCHEDULED
PERMIT NO. ��b -��3 ay�M��Eo , - �a -i? i -
ADDRESS /b0 �a�►S��i ��'4• G
OWNER TELEPHONE NO. 9s�a • y/a • 3 7c3%
CONTRACTOR ��'+'� • 1�'I��a•� �c 4 G
'' DESCRIPTION Pk . ����G r�.i �S.O�.ct
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(3/FILLINO
�f ❑ FOUNDATION WATERPROOF �2LUMBING 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
W �AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z dWN�1�RACTOR TO MEET YWl:_YES_NO
� COMMENT� rno�a •�ss�� o-c � -a s�-��
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� O WORK SA7ISFACTORY:PROCEED ECT COMPLETE
�'T YMOfi1C 8 PRO(:EED ❑1 ERTIFICATE OF OOCUPANC�
� O OORRECT YMORK,CALL FOR F�INSPECTION TEMIPOFiARY
V BEFORE CdNEF�N� PERAAAN6VT
❑()pRFiECTUN$AFEpONpTqNWITHIN HOUR3. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑dTATION ISSUED
O IMSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
CsN torthe next inspecHon 24 hours In sdnanoe. (952) 249-4600
Owr�rlContractor on site:
�nspector: �.•,;.. ?�
�p���tpy� C�nary Cop�Il81N Notle�
/�� � �� DATE TIME
CITY OF ORONO CAL�D IN
INSPECTION I!1QTICE SCHEDULED __ /,�'�/i�7
PERM(T NO. �-�<<�'� �3 Z�� COMPLETED
ADDRESS � �I �\ ��:TS���? ��-•
OWNER TELEPHONE NO �����' ��� ���3�
CONTRACTOR E- - j���'�- . (�V���C�I�1
� DESCRIPTION � ��/�� �'� ' ����� �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ��LUMBING 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
_ ❑ DEMO-SITE ❑ S�TIC INSTALL
J l��i
2 OIMNERlCONTRACTOR TO�_.,�,.ES_NO �
a COMMENTS:��� "' � I��r�� K� -
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� ❑WORKSATISFACTORY:pROCEED�5�,�.fy� C] PROJECT COMPLEfE �vt.cZ
W ❑CORRECT W'ORK 8 PROCEED ��^` ��. �. �O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
rO�TOP ORDER POSTED.CALL INSPECTOR
�iYjtCT10N REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952 j 249-46��
OwnerlContractor on site:
Inspector. �
Whits CopyAnspector's File Canary CopylSite Notke