HomeMy WebLinkAbout2015-00892 - plumbing �, CITY OF ORONO * Z 0 1 5 - 0 0 8 9 2 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 315 HOLLANDER RD
PIN : 25-118-23-43-0014
LEGAL DESC : HOLLY ACRES
: LOT 001 BLOCK 002
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : F[XTURES- MULTIPLE
NOTE: WATER CLOSET,LAVATORY,BATHTUB,SHOWER
VALUATION OF PLUMBING 3000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.50
FAZENDIN,ANDY&ELIZABETH
315 HOLLANDER RD TOTAL 51.50
WAYZATA, MN 55391- Payment(s)
CREDIT CARD 2747 51.50
OWNER
FAZENDIN,ANDY&EL[ZABETH
315 HOLLANDER RD
WAYZATA, MN 55391-
AGREEMENT A1vD SWORIv STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Duilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separa[e
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspec[ions are
requested i nformance ith the State Building Code.This permit may be 1
revoked a an . me for cause. � 1
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Ap licant Permi e Signature ate Issued By Signature Date
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FOR CITY USE ONLY
'� City of Orono
✓ / �O� P.O.Box 66 Date Received: � Permit# �� ����
� 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: � Amount$:_�,-���.��'��(.
(952)249-4600-Main ���
� � (952)249-4616-F�
F �` CITY OF ORONO—PLUMBING PERMIT
�9kESH��� (All Commercial Permits Must be Approved by the State Priar to City Approval)
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GENERAL 1NFORMATION
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 RECENE A PERMIT. WORK MUST NOT BEGIN 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)
TYPE OF PERMIT
(Check All That Apply)
.�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �� L���CQcn CC,�v r� -
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Owner:�("1�Y3�"��-�Z_{2,Q�'�"�^-�' Mailing Address:
City: ���'�lVlU Zip: �5.�� �
Home Phone:�f�� — ���Q—�� Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub /' Laundry Tray
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Shower / Washer
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Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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❑ Yes,this secrion 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;excludin¢the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 1.00
� Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Nezt Page)
2
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PERMIT F�E CALCULATION(� —JOBS OVER $500.0� �� ' ��
lf above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a„(Minimum Fee of$50.00)
�!-} p� �lJ
v�'�' x .0125 $
(conVact price) (minimum$50.00)
2. STATESURCHARGE
x.0005 $
(contract price)
3. POSTAGE&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 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 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: Date: �
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� DATE TIME
CITY OF ORONO CALLED IN ��T`� �
INSPECTION NOTICE SCHEDULED
PERMR NO.���5 9Z COMPLETED
�'" "OWNER—'��b���Q r�TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �l�rn�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ TIC INSTALL
Z OWNERICONTRACTOR TO MEET YO YES_NO
�COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WIIL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 952 ��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN �Q^/�/S TI
INSPECTION NU�I�'jE /p�QC7 $CHEDULED ��/ �7�5 �•vU
PERMIT NO. �< « ���� ���JCOMPLETED
ADDRESS
OWNER / �ELEPHONE NO.�P�a�3��59F�D
CONTRACTO
a DESCRIPTION / ��-"'�-
t~y ❑ FOOTING ❑ DEM -FI AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUM G RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF �LUMBING 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 01NNERICONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�tSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Ca11 br the next inspection 24#�ours in advance. (g52) 249-46��
O ctor on site: � �
Ins tor.
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;� � DATE TIME .
r CITY OF ORONO CALLED IN _
INSPECTION NOTICE , scHEou�E� - •�_-
PERMIT NO.��(• �`�� coMP�Freo
ADDRESS ���: �� L� �I '��-' �b���--
OWNER �-��k�����TELEPHONE NO. �"�� �I��"�� ��
CONTRACTOR
� DESCRIPTION T� �-�'", '�� l�l ��1�� �/�c� .1
tL ❑ FOOTINC� ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ 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
DEMO- ITE ❑^SE�IC INSTALL
OYVNERIC�ITRACTOR TO MEET YOU::�(YES_N
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 ho in advance. 9 2 9-4600
OwnerlContractor on site:
Inspector:
White Copyllnspector's File Cenary CopylSite Notke