HomeMy WebLinkAbout2017-00079 - plumbing , CITY OF ORONO * z 0 1 7 - 0 0 0 7 9 *
, 2750 KELLEY PARKWAY DATE ISSUED: OU26/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1535 BOHNS POINT RD
PIIY : 08-117-23-44-0025
LEGAL DESC : BOHNS POINT WEST
: LOT 1 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:9 WATER CLOSETS, 10 LAVATORIES,4 BATHTUBS,6 SHOWERS,2 KITCHEN SINKS,2 DISPOSALS,2
D[SHWASHER,6 SILLCOCKS, 1 LAUNDRY TRAY, I WASHER, 1 WATER HEATER, 1 WATER SOFTNER
VALUATION OF PLUMBING 75110
APPLICANT PLUMBING FIXTURE FEE 938.88
STATE SURCHARGE PLBG(VALUATION) 37.56
R[VERSIDE MECHANICAL TOTAL 976.44
12460 ZINRAN AVENUE Payment(s)
SAVAGE, MN 55378- CHECK 6304 976.44
(952)894-7600
Minnesota State License#:plbg-PC644809,mech-MB650157
OWNER
MOITZ,TODD A
100 3RD AVE S, SUTIE 3601
M[NNEAPOLIS, MN 55401-
AGREEMENT AND SWORN STATEMEIVT
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 1 SO days at any time afrer 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. �
��
� � �- • ���-1 / �--L_C_ �S L � ����
App icant Permitee S� ature Date Issued By Signature Date
�p� City Of Orono FOR CITY SE ONLY
O P.o. Box 66 Date Received: ?
2750 Kelley Parkway
,� � Crystal Bay, MN 55323 Permit# ��� � �
4,�\ �� (952)249-4600—Main Approved By: ��=�
(952)249-4616—Fax r�
Amount$: � �7
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
ttp://www.dii.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
GENERAL INFORMATION
1. 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 BEGtN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing 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)
j TYPE OF PERMIT(Check All That Apply)
❑ Residential ❑ Commercial (Approval Required) [t�a�kflow ne�ice: ❑ AVH ❑ Pv�3]
�'New ❑ 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: �J�,3� O�nrl S �O�►�'t` �(� �I�C�YI�,�,� .��9�
Owner: �C� 1 �Z Mailing Address:
City: (, 'fC�Y� U Zip: �,'���
Home Phone: Alternate Phone:
� Contractor Information:
Contractor: R�UGT�i � ✓�'� ,�ia�Contact Person: �ICK �cJS'�1�,�
Address: �2�1 � �ipr�r� ,,��� State Bond #:
City: �(f�r� Zip: ��3�� Expiration Date:
Phone: ���-gq�- ��� Alternate Phone:
�"Insurance - Current: ��Z��4�n��'S
Page 1
� PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Fioor
Water Closet Floor Drains
Lavatory � Sewer Ejector
Bathtub Laundry Tray j
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of $50.00)
� �x .0125 $ q.�� g�
(cont act price) (minimum $50.00)
2. STATE SURCHARGE
X .000S $ 3 � s=
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Appiications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ q�� �
' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work inciuding 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 actual 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 nanc of th��and the regulations of the State of Minnesota, and
certifies that all stateme s made o his a �licatio are complete, true and correct.
,
ApplicanYs Signature:' ve�`� Date: 1 �� � 2 �� �
Building Official/ Inspector: Date:
Page 2
/
1� `�� �f
li' ���� DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED -���`7 '
PERMIT NO.� ��������COMPLETED ,
ADDRESS � -'�'J � "rJ U�"l(l� _
OWNER TELEPHONE 0.����
CONTRACT�p � I,! .� � /��I���
� DESCRIPTION ��I ��--� � ��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL HC�
Q ❑ 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/FIREPLACF ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ S IC INSTALL
? OWNERICOlfTRACTOR TO MEET YOU: YES_NO
y COMMENT'S:
W '
� GI G.
o d�t11 ✓ � � �G - s�� S'� ,
,. _
� _ �� ���� v v� ti� ,Oro��t�e O
° �` �� �, :r ��s � �s �d����
W
�C
Q
Z OK �fi co �a �
W
�
� ,t��a,;., �,le �i y ���i�.�s + .� ..1:
��KSATISFA�ORY:PROCEED ❑PROJECTCOMPLEfE
w ❑CORRECT WORK S PFiOCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTIONREWIRED.CALLTOARRANGEACCESS.
Ca8 tor the next inspection 24 hours in edvance. (952) 249-4600
OwnerlContractor on site:
Inspector: � ! !w �f/
WMte CopyAnspector's FlN Can�ry CoprlBib NoUa
� �
�/ `
� DATE TIME
CITY OF ORONO CALLED IN 7 ��
INSPECTION NOTICE �- scHe�u�E� ,a�
PERMIT NO..6-;�i / 7 G��` �� COMPLETED
� �.
ADDRESS ` � �"�'•`-_7 �x '1`'�
1 1
OWNER TEL H N�NO. �1�7��������?
CONTRACTOR , � ��=-�'-'`�-����- ����
� DESCRIPTION �- ' �'% �
111 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBINQ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNENCONTIUCTOR TO MEEf YOU:�YES_NO
� COMMEN� i—�^
� "' .� . L� �� �...� v��l.�✓
,
J — �a, �.`'�- �,.. I ' G✓
O �
� d�
� ! � f ( a� ���f � �J
W
Q 4 �� ,
�
2
W
�
� '
, v n � s L� C-
J
W f�RKSATISFACTORY:PROCEED ❑PRWECT COMPLEfE
� ✓�
w ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CiTATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra�r o�s�e:
Inspector:� � L
White CopyAnspector's Flle Cenary CopylSite Notiee
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO OTICE SCHEDULED �( � �-
PERMR NO�v1� - �v��I COMPLETED
ADDRESS (53 5 �jp� �� ��
OWNER . TELEPHONE NO. �'�� 7�0�
CONTRACTOR �-��'S�� �PC F�r�tCc�,e
� DESCRIPTION
t~N ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBIN—G R� ❑ EXCAV/GRADING/FILLING
O ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNENCOKTRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
a�
� — S� �,� ��.r� �
�
0
� � �i a.�.-.e/S %,,.��
�O
� / 1
Q � ��n i Sf✓ In s tl� o n we✓7Gr �inP,s
�
2
w ' D1/L✓ /a�o�..r c�.a!
�
�
��WORKSATISFACTORY:PROCEED ❑PROJEC'f COMPLETE
�
W ❑OORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERINd PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS.
CaH for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ��"���G.
White CopyAnapector's FII� Camry Copyl3lN Notfee