HomeMy WebLinkAbout2017-00148 (Plumbing) CITY OF ORONO �
w - * 2 0 1 7 - 0 0 1 4 8 *
2750 KELLEY PARKWAY DATE ISSUED: 02/16/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1212 ARBOR ST
PIN : 10-117-23-24-0022
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: WATER CLOSET,LAVATORY,SHOWER
VALUATION OF PLUMBING 3000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.50
KRAHL'S PLUMB LLC TOTAL 51.50
3508 LYRIC AVE Payment(s)
WAYZATA,MN 55391-
(612)730-9988 5
Minnesota State License#:plbg-PC653470
OWNER
529 Indian Mound St Spydernt
401 LAKE ST E
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved pians and speci6cations,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
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 t80 days at any time after work has commenced.
The applicant is responsi le for as ring all required inspections are
requested in conformance ith the te Building Code.This permit may be
revoked at any time fo u �ause.
�
s � �� � / �;�//
Applicant Permitee Sign Date Issued By gnature Date
�.�;.
, �p� City of Orono FOR CITY U�E ONLY
O P.O.Box 66 Date ReCeiveCl:
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit#
y�'� o� (952)249-4600—Main
''kFSHo�� (952)249-4616—Fax p►pproved By:
Amount$:
CITY OF ORONO- PLUMBING PERMIT
(All Commerciai Permits Must be Approved by the State Prior to City Approval)
http:Nwww.dli.mn.aov/CCLD/PDF/pe plumbqlanrevaaa adf
GENERAL INFORMATiO:N:
1. You may apply f�or plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a ermit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE 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) [Backflow Device: ❑AVB ❑PVB]
New �Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need urior aaoroval and may need CUP. (Per Orono City Code, Chapter 78, Article I�
Job Site/Owner lnformatior�:
Site Address:���c- �r- Y� �
Owner: Mailing Address:
City: Zip;
Home Phone: Alternate Phone:
Contrac#or lnforrna#ion:
Contractor: ��q, � ( ontact Person: ��
�
Address: d� �-��`� State Bond #:
City: ti 'Z-q� Zip: Expiration Date:
Phone: (���'- / � � � 7� � J Alternate Phone:
❑ Insurance- Current:
Page 1
� ;f . , r
FIXTURE BSMT 1sT 2ND OTHER FITMPEE BSMT Floor Floor OTHER
TypE Floor Floor
Water Closet � Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00)
� x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARG
x .0005 $
(contract price)
3. POSTAGE 8� 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.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinanc s f the City and the regulations of the State of Minnesota, and
certifies that all statements mad n hi application are complete, true and correct.
ApplicanYs Signature: Date:
Building Official/ Inspector: Date:
Page 2
�
� D T� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �/ � /:3D
PERMIT NO.� —�1 COMPLETED
AD�iESS � ��- , �
OWNER T O NO.��-�-�-�-���
CONTRACTOR r�
� DESCRIPTION �I
tV ❑ FOOTING ❑ DEMO-F ❑ 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS:
� " (� G'. �
o "� V ' S �
'� - � � �- ,,..-�
° — �l ?2� c�✓ T
� � � ,
Q
�
W
W
�
3
� KSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑ RRECT Y1fORK 3 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOMERIN(3 PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS.
CaU forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlCoMractor�site:
Inspector: �b L-�
WhiM Copyllnapsctors Flls Canary CopYlSita Notfce
�.
� DATE TIME
CITY OF ORONO CALLED IN '3 �� �
INSPECTION NOTICE ,/ SCHEDULED y" �1`�7 ''��
PERMfT NO.���7 ���7� COMPLETED S� 3O
ADDRESS I�I� �I� bG� S�/�.���
OWNER TELEPHONE NO.1P�a 7��'�T C
CONTRACTOR S �- ,
� DESCRIPTION �
� � FOOTING ❑ PLUMBING FINAL O EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
"j ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSUTATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J �LUMBING RI ❑ SEPTiC FINAL ❑ FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET 1POU:_YES_NO
c�i, COMMENTS:
W ��. ,,� - �� �. - L
�
� - � w� , v� �. � - �,.o �-
� eSc,� r,r q P vG s c.l� �� '
0
�
Q a �` Yew� ��rk r��-
�
W
� 0 � �d- �✓a'�
W _
aC
J
� �JQ�ORK SATISFACTORY:PROCEED O PROJECT COMPLETE
W ❑CORRECT VYORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN H��• ❑pHOTO TAKEN
INSPECTOR NfILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector.
Whits Copyllnspector's Ffle Canary CopylSite Notfee
DATE
TIME �
CITY OF ORONO CALLED IN � �3I'f
INSPECTION N TICE SCHEDULED �S'�3 ��� �1�
PERMIT NO. �v��"���� COMPLETED �� -� Zao
ADDRESS � Z�Z ��� .5��
OWNER TELEPHONE NO,���'Z� ��
CONTRACTOR
� DESCRIPTION
t~y ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF �1MBING 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 ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
y COMME TS:
�
� G /'�vrP�. ao �• S:rlLG
j
0
�
�
° �'���,�-ri,,� ��c
W
�
Q
�
2
W
�
W
�
J
O
W� ❑WORKSATISFACTORY:PROCEED �FROJECT COMPLEfE
W ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContract ite:
Inspector:
VYhite Copyltnspecto�'s Ffle Canary CopylSite Notice