Loading...
HomeMy WebLinkAbout2015-00284 - plumbing iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillim CITY OF ORONO * 2 0 1 5 - 0 0 2 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2015 ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS 3035 CASCO POINT RD PIN 20-117-23-34-0001 LEGAL DESC REG. LAND SURVEY NO. 0394 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET (I)LAVATORY (1)SHOWER (1)FLOOR DRAIN (1)SEWER EJECTOR VALUATION OF PLUMBING 7000 APPLICANT PLUMBING FIXTURE FEE 87.50 STATE SURCHARGE PLBG(VALUATION) 3.50 B&R PLUMBING&HEATING TOTAL 91.00 216 N. MAIN Payment(s) WNTRHOP,MN 55396- CREDIT CARD 3303 91.00 (507)647-5362 OWNER HULBERT,JAY 3035 CASCO POINT RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ican Permitee Signature Date Issu By Signature Date FOR CITY USE ONLYVAN Z c5 �O�T City of Orono 0.20 1 VO P.O.Box 66 Date Received: Permit# !� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax s� c` CITY OF ORONO-PLUMBING PERMIT j�k6sH0�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://ww«.dli.nui. ov/CCLD/PDF/ie plumbp1anrevapp.pff 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) ❑ New 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: 3a�S' C A 5 c c ��•.,+ Owner: J'(z 1"� Mailing Address: 636 Cwt C© « City: Zip: 15" � Home Phone: 57S-t/,K Alternate Phone: Contractor Information: Contractor: • '' Contact Person: Address: a/6 A." State Bond #: PC yZJ 76.E City: W;.� Zip: Z35( Expiration Date: !/cc 3� Phone: Z'l 7 5-36 Z Alternate Phone: 3Z6 - S-23-32d— Insurance-Current: 1 BING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains 1 Lavatory Sewer Ejector + Bathtub Laundry Tray f Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous E CALCULATIONS) MMEVW"BASED OFF - 2002 STATE STATUE14, ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATIONS)—JOBS OVER $ 00.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) I� 7a C3 C1 x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE 7Dt,0 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 6 /. & ■ * 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 this application are complete, true and correct. Applicant's Signature: Date: M,-A „1o! 5- 3 dA I +_ DATE �I0�1 �,,,, CITY OF ORONO CALLED IN �{'• INSPECTION NOTICE SCHEDULEDo�3n PERMIT NO. 2 r_i 1 —(`,b79 4 COMPLETED ADDRESSls- OWNER TELEPHONE NO.`tom CONTRACTOR tA m F� DESCRIPTION t am ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL Cs❑ LUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROO ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS:CC ��J���� W O i cc O W cc Q 2 W W cc j a W ORK SATISFACTORY:PROCEED D PROJECT COMPLETE cc D CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT D CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN D STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h rs in ce. 952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice DATE TIME v C CITY OF ORONO '/' CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. Z L 5��� COMPLETED ADDRESS Ci 5 C CD P,_:� OWNER TELEPHONE NO. ' � �,�"-=�tf CONTRACTOR `f (iyl'Ih DESCRIPTION ` K? -7- W ❑ FOOTING DFpQ¢-.F ❑ 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 ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v El DEMO SITE ❑ $� 'TIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: I & W a J , 0 cc oLU CC i Q 2 W W CC J G W WO RKSATISFACTORY:PROCEED Ll PROJECT COMPLETE 44 ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN INSPECTOR WILL RETURN El ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in dvan 2) 2 -4600 Owner/Contractor on site: , Inspector. White CopylInspector's File CanaryCopy/Site Notice ��" l �� � DATE TIME CITY OF ORONO CALLED IN -� - IS 4� INSPECTION NOTICE SCHEDULED � C� PERMIT N '�Z� COMPLETED ADDRESS -3�� �� OWNER TELEPHONE NO3� '�3 •-3�?�b CONTRACTOR �� ��� -�'�S � DESCRIPTION �`�� �'�`d-� tl� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF �PLUMBING FINA ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOFi TO MEEf YOU:_YES_NO c�.� COMMENTS: � W a � J O � r � Or'` _.,�" '� W � . Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED �'• p PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED �p-ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑ STOP ORDER POSTED.CALL INSPECTOii �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: `��� Inspector. , r� White Copyllnspector's File Canary CopylSite Notiee