HomeMy WebLinkAbout2014-00652 - plumbing CITY OF ORONO * z 0 1 4 - 0 0 6 5 2 *
� 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2014
ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2345 GLENDALF,COVE LA
PIN : 34-118-23-33-0067
LEGAL DESC : GLENDALE COVE
: LO"T 008 BLOCK 001
PERMIT TYPE : PL,UMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPI,F,
NOTE: BSMT: I WC, LAV,TUE3, 1 FLOOR DRAIN, 1 WATI?R HEATER, 1 WE1�BAR
1S"C FI,: 1 WC, 1 LAV, 1 KITCHF,N SINK, 1 DISPOSAL, l D[SHWASEIER,2 SILLCOCKS, 1 LAUNDRY"1'RAY, 1 WASHER
2ND Fl,:2 WC,4 LAV, 1 "1'UB, 1 SI IOWER. 1 LAIJNDRY TRAY. 1 WASHER
VALIJATION OF PLUMBING 12000
APPLICANT PLUMBING FIXTURE FEE 150.00
STATE SURCHARGE PLBG (VALUATION) 6.00
EASCO Pi.UMBING& HEATING INC.
7965 PIONEER TR TOTAL 156.00
LORETTO, MN 55357 Payment(s)
(612)369-5486 CREDIT CARD 3448 156.00
OWNER
ADVANCED HOME EXTERIORS INC
1 161 WAYZATA BLVD E#167
WAYZATA, MN 55391-
AGRF,EMENT AND SWORN STATEMENT
l�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
Statc Building Code. This permit is for only the��°ork described and does
not grant permission for additional or relatcd ti�ork which requires separate
permits. All provisions of la���s and ordinances governing this type of work
shall be compied with wheUier or not specified hercin."I�his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all requircd inspections are
requcsted in confbrmance with the Sta[e[3uilding Code.This permit may bc
revoked at anv time for duc ��
� _ � �� � / /
Applica mitec Signature Dat Issued By Si ture � Date
f
f FOR CITY USE ONLY
. City of Orono
�O� P.O.Box 66 Date Received: Permit#
0 27�0 Kelley Parkway
• Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
� �. (952)249-4616—Fax
�' c,` CITY OF ORONO—PLUMBING PERMIT
��k�sHo�� (All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL 1NFORMATION
l. 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 UNT[L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed piumbing 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)
�Residentia] ❑ Commercial (Approval Required)
�ew ❑ 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: � 3 `� S �T l�''t�``�� C `� �'�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
� �
Contractor: ��t s��' P� � Contact Person: ��
Address: � �� � �(��e�r '� � State Bond #: (�C � �'I�I ( 3 �
City: ��r��`� Zip:SS3S`► Expiration Date: 2 3 � �
Phone: ��2����- ��� Alternate Phone: ����-�' �(�—7 c/ S�]
❑ Insurance —Current:
1
1
�
.
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT I 2' OTHER
TYPE FL FL TYPE FL FL
Water Closet � l � Floor Drains � I _ b��uye
Lavatory � 1 � Sewer Ejector
1
Bathtub { 4 Laundry Tray �
t
Shower I Washer I
Kitchen Sink � Water Heater �
Disposal { Water Softener
l
Dishwasher � Wet Bar +
l
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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 ar 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 CALCULATION S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
1/ � x .0125 $
(con act price) (minimum�50.00)
2. STATESURCHARGE
x.0005 $
(contract price)
3. POSTAGE 8r,HANDLING(Only on Mail-In Applications) $ 2.00
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 actua] 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: ` �J Date: � 2� �
3
� ✓DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO IC SCHEDULED �T Z �� �•�
PERMIT N � �COMPLETED
ADDRESS 2��-s �L�nc��-� CO�-P �C�,�-e
OWNER TELEPHONE NO.��Z 3�� ���
CONTRACTOR � S�S�-C�
>; DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� ON TORTOMEETYOU:_YES_NO
� COMMENTS:
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for ihe next inspection 24 hours in vance. �9 �4 - Q
OwnerlContractor on site:
Inspector.
White Copyllnspector's File C nary CopylSite Notice
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DA E TIME
CITY OF ORONO CALLED IN
INSPECTION NQ.��Cr� �` �SCHEDULED I1z�� ��
PERMIT NO. ��� �� C MPLETED
ADDRESS
OWNER TELEPHONE NO. � 5
CONTRACTOR
�; DESCRIPTION / ��
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� ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ��❑�ECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES._NO
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� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED l 7 ISSUE CERTIFICATE OF OCCUPANCY
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOYERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. ���-- �—
White Copyllnspector's File Canary CopylSite Notice
� DAT/� TIME ` /
CITY OF ORONO CALLED IN -� V
INSPECTION NOTI E SCHEDULED 7/S � .��O
PERMIT NO �����Z- COMPLETED
ADDRESS �3?`S ����-� �� �
OWNER TELEPHONE NO. ��z 3�9 5���
CONTRACTOR �QSGU
>; DESCRIPTION P��rn��� � �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑,�DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J `}Q PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C- ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector. �..
White Copyllnspector's File Canary CopylSite Notice