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HomeMy WebLinkAbout2016-01521 - plumbing , CITY OF ORONO * Z 0 1 6 - 0 1 5 2 1 * 2750 KELLEY PARKWAY DATE ISSUED: 12/06/2016 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1729 FAGERNESS POINT RD PIN : 17-117-23-22-0035 LEGAL DESC : MAPLEGATE INLET : LOT 002 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVA"I�ORIES,(1)BATHTUB,(2)SHOWERS,(1)K["I'CF{EN SINK,(1)D[SPOSAL,(1)DISHWASHER,(1) LAUNDRY TRAY VALUATION OF PLUMBING 13500 APPLICANT PLUMBING FIXTURE FEE 168.75 STATE SURCHARGE PLBG(VALUATION) 6.75 SERVIN PLUMBING&HEATING MAIL-IN FEE 2.00 24752 705TH AVE DASSEL, MN 55325 TOTAL 177.50 (320)275-0190 Payment(s) CREDIT CARD 4098 177.50 OWNER B[EKER, DAVID 1729 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORIV 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 atter 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. i. � �: / ��� ��.t t �`ot-' �C / �f, / ��� � ' Applicant Fermitee Signature Date [ssue�gnatu Date . ��``(j;`, City of Orono FUR CITY USE ONLY � �O P.O. �3ox ti6 � Date Received: �,Z--(�-1�o I � 2750 Kellcy Park�hay � �� � _ Cry�stal Bay, tti1N 55323 Pen�it# �C� ! � -(�t 5 0� �'� ,�.^� � � (952)249-dG00-hlain '/� � � ,.��,,`� (952j 249-4616-Fax j �pproved By: /l. �.� � � Amount S:„�����(� �� CITY OF ORONO - PLUMBING PERMIT (All Co�r�rncrcial F'errnits Must be Approved by the State Prior lo City�lpproval) http://www.dli.mn.qov/CCLQ/PDF/pe plurnbplanrevapp pdf , _ _ _ - _—_ ____ GENERAL INFORMATI�N __ ___ __-----_ _ ___ i - -- _-- ___-- - _ __ _ ._. ---------.. __._._-- ---_ --- _----- ____.__. _.__� 1. You may eppl� fUr piurnt)ing E�ermil, by mail or in person at the City offices, A���lications will t,c: reviewed and a perr7�it will k�e issued withir2 two working days 2. Permit cards w�(i be senl by return maii after a review is compieted. PERMITS ARE NOT Vt1U(� UNTIL YOU RECEIVE A PERM�T. WORK MUST NOT E3EGIN UNTIL THE PERMIT C�IRD 15 POSTED ON TNE JC)B SITE. 3. Plurrtbing permits r1�ay t�� issued ONLY to licensed plumbing contr�ctors and to property c�ta�nc>>rs residmg ir the dwelling. 4. �Nhen any ne�v construction or remodeling is involved, a separate building perrnit r�iust be obtained. 5. All �vork must be done in accordance with State Code reyuirements. 6. All ��vork must be inspected and a�r festEd before it is covered. Call (9521 249-4600. (24-48 hour notice required) _ _.._---..---. _- __. .--- _ _ ------ TYPE OF PERMIT(Check All That Apply) ��' Residential ❑ Commercial (�pproval Required) (�i<<��.il����� Uc��i�r: ❑ :��'i� ❑ �'�'��tl � NeW �Additional ❑ Repairs ���place � In �lccessory Structure? � ��y�- �x� �p�-2�'� �' "You will need prior approval and may need CUP. (Per Orono Cily Code, Chapter 7£3, Article IV) � -- ___ _- — _._ ' Job Site / Owner Information: ; _ __--. -- -_ _— ,_._—. �:/,,�.�-~- . t'� ;--� . Site Address: � �� �t��`'"+�'�-f�'`��� � %'�- '�-�) _ - -- _!�� �� � � ._�,�hl r'�L-f �L�7'��L,^- Z/1��tii s�- S � Owner: f i"� l c r�"�`.�._ g �.cz���'_1� �' ..._ Mailin Address: �`' � r.,✓ti�'rv,��•r ,���.r� City: ���c-;� t"�r�v��-�` - Li�: ��-,,c � �j"/ __ ----__--- Horne Phone: �����7j��l���� Alt�rnate Phone: _ � __ ---- __._ _ , � Contractor Information: _. __ _ .__ ._�-1 -.� �/ 5it'K L�//� � Lti•n J iiJ�, 'tL Y-{�'rv%7.,, � � . , Contractor: __ f __Contact Person: __1�1l�._� JS��?� C..�-{�_-jZ�'� laddress: -��: � i f^ �° s 7N 1��` �^ State Bond '#: �-- �' 7' �`��7�� C i t �i1�S f tl L-- - Y� Zip: _�, Expirati�n Date: ���-'�'��/'J Phone: �C �� ���' - �(�.-��� Alternate Phone: �_� _____ _� _ ❑ Insurance - Current: ��«�`�'I"��� '�� ���,� . i__ � , � _�„ � C��;c,� ���`�._—���_. Po�e 1 c . .._ _ . .. ......_._ ._._ .__.._._.._-------._.. PLUMBING FIXTURES BEING INSTALLED ' �-- _ _----- - - ___.__ . _ r-- _....__ ,__ _..,._ �__ _—. _.— ----------•-^._.._ _ . � FIXTURE , BS�v1T 1S` ! 2 ' � OTHER FIXTURE BSMI 15T 1 2'�� � OTHER � TYPE � Floor � F(oor ' �� TYPE Fl�or I F loor ; �; --- ,- � ._ .__ ;___. , _--- ___ . _;—_._.__..._ , , _--- � Watc;r Cl�set � � FIoUr Drains 'I � _ __�a__.� . - -� +� ,___ � ' � � � _ --- �._ !—_ __ __�._... — _- +— � r __.. _ } . .._.___ L�ivatory ; i � � i Sewer E�ector � j � I � _ � ._' __—_ ____ ` r ____ _ _ ___ _ 1 -r-:1 _ B�thtub � Laundry Tray � f � i � _ .._-__ .—_ _ __ ----�.____ . _ � ____ ,_ ___ _ � � S�cGver ,/ � � I W�sher � � - - G -- � r --.1� � -1 _.. � I � �_— � — - -- i------...—._ ___ - ---— � ; Dis�osal ._-_' i / i � ; Water Heater i �__._._..�---_ _.____--.._ .� K+tchen Sink .! _r _ — -- _ — -� ► � �� / � � Water Softener f � r--__ _ _ a --- _� ' _ - __.. t� � � � -- -}--- —----- --t , Dishwasl�er � > > _� �_ � � � � � t V4et Bar �; 1 � � � : ----.._ --..—i___-----?--.., „. t_ . _ ' __ .. .__--•-------- - -_... .. ` _.__j_.. I r.� �1.� , �� � _ ._... ... i Silicocks � � � ! Misc�llaneous � � �� , � __ ___._.._ �:_... . _ ... .. . ..____. ...__... ... _.____L ..—.._... _ .__._.._ �._. ... .._. ._.._...._ __ ..____.__,_.� .— ....___.._--_' . .._... . _._.. .....__—�._.__.—__' .._. .___.__...___.__.__.___ __...___._.__._�__._. _._____..__i ERMIT FEE CALCULATIQN � _____. __ _--- _�_ � 1 CONTRACT PRICE ' is 1.25% of contract price with a (Minimum Fee of $50.00) ��� � �.�✓C� x .0125 5 (contract price) (�ninimum S50.0�) 2. STATE SURCHARGE x .0005 $ (contract price) � 3. POSTAGE & HANDLING (Qnly on Mail-In Applications) S __ 2,�p 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ' CON7Kl1CT PRICE or JOE3 CC?S T means the actual or estimated dollar amount charged f�r the pc�rmitted work including materials: labor, profit, and other fixed costs. It is the amount to be charyPd to ttie; custvn�er fvr the w�rk done. If any material, equipment, labor or instali<�tions are furnished by lf�e � o�vner, ten�nt or �ny other party, the r�asonable market value of such items m��st be added to the estii7�ated cost or contract price far permit fee purposes. In the event that there is a dispute on the amount of the job cost, the Cily may request tlie submission of a sigried copy of the actuai contract. ��__--- - — . ____._ . ____ ._ --- -. _—.._. PLUMBING PERMIT APPLICATION AGREEMENT -1-he unciersigned hereby applies to the City for issuance of a Piumbing Penr�it, agr�es to do all �vork in strict accordance with the ordinances of the City and the regulatians of the State of t�1innesota, and certifies tt�at all statements made on t is application are complete, true and correct. r��c,--�- . l�pplicant's Signature: �'�. Late: �` � �� . E3uilding O(ticiall Inspector: ___ Dr�te: F�ago 2 c � a�-�� C�� DATE TIME CITY OF ORONO CALLED IN ���y��i ==�7�� INSPECTION NOTICE SCHEDULED i i w� PERM�T'NO.�/���'��5z� COMPLETED ADDRESS / "�,� � ���.�'l1/'2-P�� � � OWNER TELEPHON NO. ��� ��� �y���' CONTRACTOR �'� ��� p�u m� � DESCRIPTION �� �=t� l� ' ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ UMBING 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 ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE � $Ef'TIC INSTALL �1 ? OMINER�COI�ITRACTOR TO MEET Y�OU:.f�rEs_No � COMMENTS: i �!'��o•�r"o��-�-aQ ' ��� �t�5 r-1c'Li• I� o �,r- �y/ .� , % !� -�- 1,3l�r.� � �ia��,:� �' /h�C/ c�t.���/HS" � � d� �o La�,r�r- W � Q � 2 � W � � , W ��K SATISFACTORY`.PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W O ❑CORRECTVYORK,CAIL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: inspector: ` : � o � �` v WhiM CopYAnapector's File C�nary CopYfSib Notics A E T� CITY OF ORONO CALLED IN �� � INSPECTION NO C _D/�� SCHEDULED a— — � PERMR NO. C PLETED ADDRESS � � �NNER T LEPHONE N0�3O���-Sg� CONTRACTOR � DESCRIPTION ` � 6� r� 41 ❑ FOOTING ❑ DEMO NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ flADON 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 ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � "� /" Pir.-J �,�� � c��� �.� �.L�, �b 7� ov � C ��.. i'�, �- �,. �v� �� � � � J OO � �' ' d QY 3 - o�. ` ` � /1 e%, 2 - � '` CJ�R i,�, �,�✓ G'` ��7,.. s e �'Y.J U !' ,r,��! � 1�-✓s2 . � !� P4,�i'G. W , j - G�,,,�r- � -�,.� � -i c � �� ��^ �o,�.o,� • � C�1lORK SATISFACTORY`.PROCEED ❑PRW ECT COMPLETE �'�\CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑(�RRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR NfILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� �����e: �nspect«: v • YVhite CopyAnapector's FIN Cen�ry CopylSM�NoUa CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTICE SCHEDULED 1 - / {/ 7 / PERMIT NO.oZO(/v -0/5"-g l COMPLETED ADDRESS 7 729 OWNER TELEPHONE N0f, .� 333—F733 CONTRACTOR 3rt) 1 I- � • DESCRIPTION I P l D W ❑ FOOTING (❑ DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT • 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ▪ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL • OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: Gly `X1uf'ti Sat Q- J Sac lecc c! O Oeef F>N& l J cc 0 W cc Q 2 W CC 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE • 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY .1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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. (7-arco A.i /' White Copyllnspector's File Canary CopylSite Notice