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Home My WebLink About2016-01281 (Plumbing) f CITY OF ORONO * 2 0 1 6 — 0 1 2 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1240 ARBOR ST PIN : 10-117-23-31-0099 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(I)DISHWASHER,(2) SILLCOCKS,(1)FLOOR DRAINS,(1)WASHER,(i)WATER HEATER VALUATION OF PLUMB[NG 1 I500 APPLICANT PLUMBING FIXTURE FEE 143.75 STATE SURCHARGE PLBG(VALUATION) 5.75 SERVIN PLUMBING&HEATING TOTAL 149.50 24752 705TH AVE Payment(s) DASSEL, MN 55325 CREDIT CARD 4098 149.50 (320)275-0190 OWNER DRUK,TIMOTHY&JULIE 4308 11 STH STREET SE DELANO, MN 55328- 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 I3uilding Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances govcrning this type of work shail 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 da[e of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsibie 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. � /� �/D �/-h Applicant Permitee Signature Date Issued By gnature Date _ Cit of Orono _ __ __ _ _ _ __—__ __ ' ��CO�i�� Y FOR CITY SE QNLY / ' � O � P.O. Box 66 � Date Received: /�-�U -�Jo i 2750 Kelley Parkway — '� � ! - ` � � ; Grystai Bay, I�QN 55323 j Permit# /� � � '� (952) 2�;9-4600 - Main � Approved By: � ��,^��"`-`�� (952)249-a616-�Fax _ i �/'� Amount �: .�.J� ClTY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Ap�roved by the State Prior to City Approval} http://www.dli.mn qav/CCLD/PDFIpe plumbplanrevapp pdf __ -_ _- _. __ _ __�...__�__- -_ _ -—' _ _ __________ GENERAL INFORMATION __ __ �---.m .__ ____ _ _-- ---_ _.--_._.._- --.___ _ - _ ______. �. Yau may apply for plumbing permits by mail or in person at the City affices. �pplications will be reviewed and a permit will be issued within two working days. l. Permit cards wiEl t�e sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST N(3T BEGIN UNTIL TME PERMIT CARD IS PQSTED ON TNE JOB SITE. 3. Plumbing permits may be issued ORJLY to licensed plumbing cantractc�rs and to property owr,ers residing in the dwelling. 4. When any new construction or remodelin� is inuolved, a separat� building permit must be obt�ined. 5. All work must be cfone 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) _________ _ _ ------ -_ ____- -- _ ______ __._,�.., j TYPE OF PERMlT(Check All That Apply) _ __ � �Residential ❑ Commercial (Approva! Required} [ri.�ckllt�� Z��i�� ❑ :�t'[3 [� ►�vtt� �New ❑ Additianal ❑ Repairs ❑ Replace ❑ in Accessory Structure? `You will need priar approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) � _ _._ _ .— ---- -- _ ---- __ _ __. Job Site / Owner Information � �___ ___ __ _ __ _ __ Site Address: ��7 � �� t��,. �i�� Owner: /��'� ��-%G� Mailing Address: __ ____ City: Zip; Home Phone: _ � � � -�l � � � ��S r�Alternate Phone: W �_ _-- - ___.__ _------ ____-- --, i Contractor Information: � ' 3 f�� Contact Person: �/K��. Contractor: _ �f�.�°r��d ��-✓t�r �7 "' �-r Z� Address: _.��_t S� 7� S -- �� State Bond #: �'�- �,��.�� __. _�... .__ C i t f`1 S S�L:__ �: ....- y� Zip: .� � 3-�-^�Expiratian Date: _�'� �� ,� Phone: ..��' � 1��' � ��>� Alternate Phone: ❑ Insurance - Currc�nt: ��-�'+=�-� -5:��-i%� t ��) � Page 1 — -- -__ _____ _�. -- __-- - - __�.._�, " ' ' PLUMBfNG FIXTURES BEING INSTA�LED ' —.__ - _ _ ------ ------_ -- _-- __ __ _--___--____ __ __ _...______ ______---- - __ .___ ---- ------__ ,-----,- __ - -- . . FIXTURE BSMT � ��1sr� 2"� i- OTHER � FI?CTURE ! BS�viT 1�� 2'`� ' OTI-f�R 1_ � TYPE � � Floor ' Floor t ' TYPE , Floor ; Floor I , ; � � � � � . _.__. _____ ._� ..._ ,.. _ _ _ _ __ __ i 4 _�___ ____.---� Floor Drams_.__�___!___ , _- � � � _ � �_..._�._ __� I Water Closet r ' ' i � � - � --_.__+__ , _ I ._.,_ ; � � _�- __ Lavatory � � i L� ' i Sewer E�ector I ' ��.. _ � � ' - '-- — , � , , ; -• ' ��.._ � ; Bathtub ( � � ; � Laundry Tray � � , � t------ --� -- ,-_____ —_�;—.. --.__- - 1 iv Shower ' _.__ _._�. ; � I ( ; Washer ; 1 j �_ __ 1___ _ _----_�_ !�� _,._� —_._ KitchEn Sink ( � j Water Neater � � � _ � � ; - - ____T , _ _.___ f _ _� � Disposal I � � ' Water Softener ' �—--- � --- , � _ .- _--- , � , _.___a._—_-____ _ __ – – — , I pishwasher � � � Wet Bar ' �; ' __� i �_ I � ; ; Silicocks � Z j � i Miscell�neous � �� ' � i ��_ � , ---_.__��_._ _.._��.--- -�------- _------- � -- —�- - -1-- ---_.� __ _ ..�__._ __--- ---- ____ .. _ -- _ ___ __—____ --- __.___ ,�._ __._ _--- _��_ __ _ PEF�MIT FEE CALCULATION �� __ - -----1 1. CONTRACT PRICE * is 1.25% of contr�ct price with a (Minimum Fee of $5Q.00) �� • � x .0125 � (contract price) (minimum $5U.00} 2. STATE SURCHARGE x .0005 � (contract price) � 3. POSTAGE & HANDLING (Only on Mail-in Applications) � 2.00 l . c:� 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) g " CONTRACT PRICE or JOB COS7 means the actual or estimated doilar amount ch�rged for the permitted work including materials, labor, profit, and other fixed costs. It is the ar��ount to be charyed 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 �dded to the estimated cost or contract price for permit feE purposes. In the event that there is a dispute on the arr�aunt of the job cost, khe City may request the submission of a signed copy of the actual contract. - _ .�_. _ _ __ ___�. PLUMBING�PERMIT APPLICATIQN AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to da all work in strict accordance with the ordinanees of the City and the regulations of the State of Minnesota, ar7d certifies that ail staterr�ents made on this applicatian are comptete, true and carrect. � Applicant's Signature: _ ----L.--.-, �w�.---� Date: _��' ��`� � �� __ E3uilding Official/ Inspector: Date: F�aye 2 �� `e� ME� / DATE TI V CITY OF ORONO CALLED IN /D ��/ -I� INSPECTION NOTICE SCHEDULED /� -/ -!� !.`�d PERMfT NO. ad��'�� co PL ED ADDRESS OWNER ` 'T LEPHONE NO.�� 3 � g�� CONTRACTOR v� � � 4�-- � DESCRIPTION — �� l~y ❑ FOOTING ❑ DEM -F ❑ SE IC INAL � ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCOI�fTRACTOR TO MEET YiOU:_YES_NO , � COMMENTS: �Q''� �S't ' `S /lD�f�l� " W I�1 G• -� �-G . � � o �n �� v - �s s�r. � y - '' - ��r�a�,-,� l/�Q�e ��'d v iKJ a,� o � ` v � ' 1— �i'1� s� /�'�SU� h�4��✓ �!�PS — W � Q � �' /S/L "b� �n,�c�C�-t, � W � j 0 W O WORK SATISFACTORY:PFtOCEED ❑PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUP/1NCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. 0 p�{OTOTAKEN INSPECTOR VYILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (952) 249-4600 OvunerlContractor on site: Inspector: � White CopyAnspector's Flls Cmary CopylSlb Notk:e DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMfT NO. �i6-O 1a�! COMPLETED /.�-� !ro ADDRESS ia yG �r�-�� , OWNER TELEPHONE NO. CONTRACTOR �r'��'`� �"� ' � DESCRIPTION '�� F'�L ��-'�`�5/�'c� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF �LUMBING 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 ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICOIdTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � � a ��r ��,� �� S�l �L�'-' , '�' ---P O �'`�r f��ti ^ �. � � C�Sr �a� jJ/S . C,�� W � Q � 2 W � ` � �?/'rVl,.� �. r�l¢��,�i' � � ❑WORK SATISFACTORY:PROCEED �PFiOJECT COMPLEfE ` W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WFLI RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali ror the next inspection 2a hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: �.�� White CopyAnapector's File Canary CopylSk�Notke C /^ � / �r DATE TIM� CITY OF ORONO CALLED IN %�� INSPECTION NOTICE SCHEDULED PERMIT NO.� �- G` f / coM e � � � ADDRESS ��S OWNER TELEPHONE NO. � 333�`�-� CONTRACTOR S -l�Ul � � DESCRIPTION � ty ❑ FOOTING ❑ OEMO- IN ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBI I ❑ EXCAV/GRADING/FILLING Q ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNOATION/REMOVAL _ J ❑ DEMO-SITE S TIC INSTALL Z OMfNENCO1fTRA(."TOR TO MEET Y�OU: YES_NO � COMMENTS: � �/ �'i- � ��-' C. �� 4 J �', o � ? � - � o- �� / O 0 � W � Q � W � W � � � W �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � O OORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OOCUPANCY O�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORE CaVERINO PERMANENT �CORRECT UNSAFE CONDITION WRHIN H��• ❑pHpTO TAKEN INSPECTOR 1MLL RETURN ❑GTATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALLTO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advanoe. (952) 249-4600 OwnedContractor�s�ite: Inspector: � �- Whib CopYllnspecMr's File C�nary CopylSlb Notles