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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 (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURES- MULTIPLE NOTE: WATER CLOSET,LAVATORY,BATHTUB,SHOWER VALUATION OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.50 FAZENDIN,ANDY&ELIZABETH 315 HOLLANDER RD TOTAL 51.50 WAYZATA, MN 55391- Payment(s) CREDIT CARD 2747 51.50 OWNER FAZENDIN,ANDY&EL[ZABETH 315 HOLLANDER RD WAYZATA, MN 55391- AGREEMENT A1vD SWORIv STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Duilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspec[ions are requested i nformance ith the State Building Code.This permit may be 1 revoked a an . me for cause. � 1 �— I� � � � ` �, /� YJ`J�-t�5� � � / ����� Ap licant Permi e Signature ate Issued By Signature Date , FOR CITY USE ONLY '� City of Orono ✓ / �O� P.O.Box 66 Date Received: � Permit# �� ���� � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: � Amount$:_�,-���.��'��(. (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) htt ://w�i�«�.dli.mn. ov/CCLD/�'DF/ e �lurnb lanreva� , df 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� - � ��(� � ,,Q�� 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: 1 e r.� v � .a, & a^a� t' a � ��,y�;� �" ������,�`�'��a � `�: a� ' �":����. 'tr„ � ��,,; 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 \/ Shower / Washer V Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ",�„c'� t y��m����������'����.� �' '�� �� ��` R,��-�a�� n �t� �w �`�. � w�:., q. ..�3 - £�� �,�d�' �g ����'� �.R� '"� ��� ���I � � q� 'Y>. �' �`_� .�i,� �`` u .�'�, ❑ 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 + � .1 ♦ / 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: � 3 ��, ��� � 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 _ v ❑ DEMO-SITE ❑ TIC INSTALL Z OWNERICONTRACTOR TO MEET YO YES_NO �COMMENTS: � a � � O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑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 �-�-- � -1 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 � COMMENTS:�7 P�bv�n � �t.,.�.��.�r��e.�ste..✓ � r l�•e•c.d� `►�(� ,��i �10 tzl� ' o /� �/bv�ac, -��ra��i�a /,»,:G�.:� vsc�aa �� � ��6 t ✓�'��r�t.r � 4�� � �O � - . Q G O r rcc�i� c.G 6( �e•� r¢�w•�ltr.�ryr, � � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � O CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ' 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. V Ca11 br the next inspection 24#�ours in advance. (g52) 249-46�� O ctor on site: � � Ins tor. White CopyAnapector's File Canary CopylSite Notiee 1 C- '�. ;� � 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 � MENTS: �/� � �'^"z � � W a � J O �. � O � W 2 Q � 2 W � W � J O W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY W 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