HomeMy WebLinkAbout2017-00071 - plumbing . � CITY OF ORONO * z 0 1 � - 0 0 0 7 1 *
2750 KELLEY PARKWAY DATE ISSUED: OU25/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3265 CRYSTAL BAY RD
PIN : 17-117-23-41-0014
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 002 BLOCK 002
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: WATER HEATER
VALUATION OF PLUMBING 1000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.50
BENJAM[N FRANKL[N PLUMBING MAIL-IN FEE 2.00
5718 INTERNATIONAL PKWY
NEW HOPE, MN 55428- TOTAL 52.50
(612)238-9709 Payment(s)
Minnesota State License#: plbg-PC643703,mech-MB004722 CREDIT CARD 0169 52.50
OWNER
ERGER, MR&MRS LEROY
3265 CRYSTAL BAY RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMEIYT
The work for which this permit is issued shall be performed according ro
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 I80 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 Issued By Si ature Date
01/2G/2�1� TUE 21: 36 FAX AYk Management �QQ2/QQG
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Crystu�1�0y,MN 55�2J Apprnvcd gy: Amvunt S:
(932)244�4600—Maln
(95z)zag-ab i t—raz
y�" c� CYTY OF�RONd-PLUMB�NG�ERiVii'�
r�k sHoa�" (All Commercial Permits Must bc A,ppiroved by tl�e Stat�Prior to Ciry Approval)
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GB�T,ERAL INk'ORMA.T�ON
1. You may apply for plumbing permits by mail or in per9on at the City offices Applicatiqns wil(be
reviewed t�nd s permit will be isyucd within two working days.
� 2. Permit cards will be sent by return mail aRer e review is completed. PERMITS ARE NOT
� VALID UNTIL Y�U RECEIVE A PERMIT. WORK MUST NOT BEG1iV_1J1V'CYL THT�
, PGRM[T CARD IS POSTED OlV THE JOB SITE.
' 3. Ylumbing p�'mits msy be is5ued ONLY to lieenstd plumbing contractars and to property owners
residing in the dwelling.
4, When any new construction or remodeling is ii�volved,a separate buildin$permit muet be
ohtaincd.
5. All work must be done in aeeotdance with 5tatt Codc rcquiromonts.
6. All work must be inspected and air tested before it is covered. Call(452)249-4600.
(24-48 haur notice required)
TYPE OF PERMIT
Check Al1 That A I
esidantial ❑Commercial(Approval Required)
❑New ❑Addi�ional ❑Repairs ❑Replacc
❑ In Acccssory Structurcl
'"'You wlll need orlor aaproval end may need CUP.(Per Omno City C�dc,Chaptcr 7B,Article 1V)
Job Site/Owner Ynformarion:
SiCe Address: � o`� �� ��` ��
Ownez: �P � D C � Mailing Address: ���'
cit�: �� z�p: ����� 1
I-Iome Phone: ~��1� I� A tl�te Phone: -�"
Contractor Info�-�nnatxoz�;
�'� , Ben Franklin Plumb�in� ���n� �
Contra l I Park ct Persox�:
� New Nope, MN 55428 � ������
�lddre�s: State Bond#:
City: Zi�: �xpiration Date;
Phone: l_(!` ���J� ���Alternate Phone.
❑ Ineurance-Cu�rent: .�
1
O1/24/2017 TUE z1: 36 FAX Ark Mdndg�mpnt �003/00�
�, riiv�zs����a�x��'t:r�:�s� rrr '�sfi�,L��'�� �
FIXTURL �SMT 1 2 OT��It FIXTURE BSMT 1 2 OTHER
TYPfi FL FL TYPL FL I�C,
Water CIoset Floor nraine
Lavatory Sewer Ejeotor
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
DisposAl Water o ener
Dishwasher Wel Bar
� 5il lcocks Miseel laneoua
, �`��I ��AL��1L'ATI(�I�t(S)
�. BASED�FF'-. � 2�STA,�'E"�T,A.TT� ' ,
❑ Yes,this section applies
The roplacament of anly one Residential fixture or aqqlianoe that rneets all three of the followittg
requirements:
1. Dc n require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina the cost of the fixture or applianee:ond
3. Is improvcd,instalfcd or rcplaced by the homeowner or liCensed plutllbing contCBCtor.
Skip next section,if this applies; Cost oFPermit $ 15,00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00 �
Tatel Parmit Fee S
(Perm�t Fcce Continucd On Nc�t Psac)
2 ,
01/2Q/2017 TUE 21: 36 FAX Ark Mdndg�m�nt �40a/00�
� . PERNYIT.FLE,CAI� TJL �'�ON S. �,-��II�a ,��:$540,00
If above does not apply;follow�uidelines below:
1. CONTRACT PRICE *is 1.25°/a of contract price with a(Mfnfmum�'ee of$50.00)
�d �' � x.O125$ /" ����(1
(wntruct pricc) (minfmu�ll SS0.00)
� 2. �T�F1�'E$�1�tCHARCE
� \ �� v x.0005 ;6 - � �
. (coniract pricc)
' 3. POSTA.GE&HANDLINO(Only on Mail-In Applioation5) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S • ��
■ " CONTRACf PR�C� or JOB COST means the actu�l or estimated dolIar amoun� charged for the
permitted work inciuding materials,labor,}�rpfit,and olher fixed oosts. It is thc amount to be charged
to the eustomer for tho work donc. If any material, equipment, labo�or installstions are fumishcd by
the owner, tenant or any other party, the reasonablc market value of such icems must be added lo the
ies[imated cost or contract price For Uermit fee purposes. In tho ovont that there is a dispute on the
' amount of the joh cost, the City may request the submission of a signul eopy of iho actuai contract.
P�LUMB�-G��R1Y�X�'.E#PpT�ICATI(1N AQRE$MEh1T
'E'he undersigned hereby applies to tha City for issuance of s Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and tt�e regulations of the State of
Minnesota, and certifies tl�at all scatements made on this application are complete, true and
con•ect.
Applicant's Signature: Date: � � �
3
V
DATE TIME
CITY OF ORONO CALLED IN
INBPECTION NOTICE SCHEDULED
PERM�T NO.�2''�. 'C�.iD'7 I coM�erED � �
�Ess 3a6s c�•4St.�� r�., �� .
OMINER TELEPHONE NO.
CONTRACTOR J�es.�.ia�.��w `�a.��E,l.� ��4 �
� DESCRIPTION W�t�•- `i�r• ✓�p�•
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF �-P6UMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SU1B ❑ 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OMINBUCONTRACTOR TO MEET YOU:_YES_NO
� COMMENT�
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� O OORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
0 O OORRECT WOFi1C,CALL FOR REtNSPECTION TEMPOqARY
V BEFORE COiVERINO PERMANENT
❑CORRECT UNSAFE(�IDITION WITHIN �1RS• ❑pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP OfiOER P08TED.CALL INSPECTOR ❑dTATION ISSUED
O INSPECTION REOUIRED.G1LL TO ARRAN(iE ACCESS.
can t�u���t��e�tto�u no�h�►�. (952) 249-4600
on sit�
�nspector: �
1Mhite CoppAnsp�cta's FIN Gn�ry f�prf811�No1ic�