HomeMy WebLinkAbout2016-00373 - plumbing �
CITY OF ORONO * Z 0 1 6 - 0 0 3 7 3 *
2750 KELLEY PARKWAY DATE ISSUED: 04/14/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : ]55 GOLDEN VIEW DR
PIN : 33-118-23-43-0014
LEGAL DESC : PETERMAN 2ND ADDN
: LOT 005 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
COI�ISTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: KITCHEN SINK AND DISHWASHER
VALUATION OF PLUMBING 3350
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.68
JOE'S PLUMBING&HEATING MAIL-IN FEE 2.00
23375 DRAKE ST.N.W.
ST FRANCIS,MN 55070- TOTAL 53.68
(763)427-7132 Payment(s)
Minnesota State License#: BUIL-060783-PM CREDIT CARD 7726 53.68
OWNER
SMITH,DOUGLAS
155 GOLDEN VIEW DR
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this perrnit 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
pern�its. 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.
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Applicant Permitee Signature Date Is ed ignature Date
0�13/2016 19:59 FAX 7634271647 JOESPLUf�BINGINCAO � 005/O10
'��O City of arono ,,, ' „ FOR�F Y U��OM,LY�! ;," °
P.O.Box 66 �D�t�'�F����iw�d; '/`�=/ � ����
2750 Kelley Patkway "' ' ' ' I '
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CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approva�l)
� http:/lwww.dll.mn.qQ�IGCL�JP„�F/qe. plumbp�anrevapp.pdf
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1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
revlewed and a permi ' hin two working days.
2. Permlt cards will eturn mail after a review is completed. PERMITS AR� NOl"VALID
UNTIL YOU RECE1 . M1�57 NO7 BEGIN UNTIL THE PERMIT CARD IS
POSTED QN THE JOB SITE.
3. Plumbing permits may be issued ONL.Y to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new canstruction 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�6Q0.
�24�8 hour notice required)
�' � `' � `� ' 'i'Y,P� OF ��RMIT(�Check pll Th�t A��IY) ;�� �
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�,Residential ❑ Commercial (Approval Required) [Backflorv T�evice: 0 A'V� ❑PVB]
❑ New ❑ Additional ❑ Repairs � Replace
� In Accessory Structure?
*You �rlll need prior approval �nd m�y need CUP. (Per Qrono City Code, Chapter 78, Article (V)
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Site Address: ��� ��L��� 1V� �i��7 �� �C���'�.�� �
Owner;,�g��i � Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
��t�;a�to'�^�rifi��'rt�:tion: ��' , �
Contractor: � ' t � Contact Person: ��������
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Address; Z���� ���,�� �,�State Bpnd #; �',��(��
City: ��� ���y�" C Zip: J���?� (� Expiration Date: �"�
Phone: 7(e�- y 2,��� � �Z Alternate Ph�ne:
�Insurance - Current: �d��� f-� (��o _ �- � J"� ,_
Page 7
, , 0�13/2016 19:59 FAX 7634271647 JOESPLUMBINGINCAO f�006/010
FIXTURE BSM7 �sT ZND OTHER I FIXTURE BSMT 1sr 2"� OTHER
TYPE ! Flpor Floor i TYPE Floor Flaor
Water Closet �I I Floor Drains
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink , � Water Heafer
Disposal � Water Softener
Dishwasher Wet Bar
Silicocks Mis�ellaneous
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1. CQNTRACT PRICE "' 1s 1.25% of contract price with a �Mlnlmum Fee bf$50.00)
_ :�'�j� x A125 $�� ^—
(contract priCe) (minimum $50.00}
2. S7'ATE SURCHARGE
�:�.J x .0005 $
(contract price)
3. POSTAGE & HANDLING (Qnly on Mail-In Applic�tions) $ 2.00
4, TOTAL PERMIT FEE (Add Lines 1�3 Above) $
"" CQNTRACT PF�ICE 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, equipmer,t, labor or installatians are furnished by the
owner, tenant or any other party, the reascnable rnarket value of such items must be added to the
estimated cost or c�ntract price for permit fee purposes. In the event that there is a dispute an the
amount of the job cast, the City may request the submission of a signed copy of the actual contract.
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The undersigned hereby �pplies to the City for issuance of a Plumbing Permit, �grees to do all work ir1
strict accordance with the ordinances of the Gity and the regul�tions of the State of Minnesota, and
certifies that all st�tements made on this �pplication are complete, true and correct.
Applicant's Signatur : Date: ��12-�1�,
Building Official/ Inspector: Date:
Page 2
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DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOTICE ,�-,� SCHEDULED y���,--z-L�cu
PERMIT NO. ZI�I�r,"C��--' COMPLETED
ADDRESS � � c C=l U I o r"1 L'i P,y�c��
OWNER TELEPHONE NO. �<<'� ��"sy���
CONTRACTOR �� lX --� I�I��'��-j,
� DESCRIPTION �' `L�� /\�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ��JMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �CaRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. C� /�
White Copyflnspector's File Canary CopyfSfte Notice
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CITY OF ORO vv�� A IN �--�1 T�� TIME
INSPECTIO OT C C�j1�T C LED �� �/ ' �
PERMIT N �- �� ETED
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ADDR � � �, G
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OWN R EPHON NO. �Z�O� �1�
CO RACTOR ` - � D�-C_
� DE�CRIPTION � � � � � �C� �"�' ��
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lN ❑ F�OTING ❑ DEMO-FINAL - SEPTIC FINAL
Q ❑ PbURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ F�OUNDATION WATERPROOF �'`PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ f�ADON SLAB �❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ �RAMING �#ECHANICAL FINAL ❑ RATED WALLS
� ❑�NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑lAS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J DEMO-SITE ❑ SEPTIC INSTALL
� 0�11 fNERICONTRACTOR TO MEET YOU:_YES_NO
� G�OMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED J��ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED �❑ I�SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� 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.
Ca11 for the next inspecti ours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice