The URL can be used to link to this page

Home My WebLink About2016-00844 - plumbing -� � • CITY OF ORONO * 2 0 1 6 - 0 0 8 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2016 ORONO,MN 55356- � (952)249-4600 FAX: (952)249-4616 ADDRESS : 333 HOLLANDER RD PIN : 25-118-23-43-0005 LEGAL DESC : REG.LAND SURVEY NO. 1281 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(2)KITCHEN SINKS,(2)DISPOSALS,(1)DISHWASHER VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 STATE SURCHARGE PLBG(VALUATION) 3.00 TANNER,JOHN&DONNETTE TOTAL 78.00 333 HOLLANDER RD Payment(s) WAYZATA,MN 55391- CHECK 1144 78.00 OWNER TANNER,JOHN&DONNETTE 333 HOLLANDER RD WAYZATA,MN 55391- AGREEMENT AND SWORN 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 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 goveming this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction suthorized is not �ommenced 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 inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for d cause. � ,�• 1� / �7��--- � � �6 � � , 1 , Applicarit Pe�e Signature Dater- Issued Signature Date e � - ^ �' �pti City of Orono FOR CITY USE ONLY O\ P.O. Box 66 Date Received: o - ` 2750 Kelley Parkway � l.�� . � Crystal Bay, MN 55323 Permit# o �� ' � � \''f• �f (952)249-4600-Main �'��'"�t�F+��`� (952)249-4616-Fax Approved By: Amount$: �� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.stov/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 �eturn 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: 0 AVB ❑PVB] ❑ New [�Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? "You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Site / Owner Information: Site Address: �3 3 ��1`�� Owner: -�J i°�''� ��^�� Mailing Address: � 33 �° i�`^"�'`� R`�. City: W�^Y 2��. Zip: �s�� Home Phone: 7 6 3 y� 3 gs`�Z Alternate Phone: �� y� v��Y Contractor Information: � �� Contractor: Contact Person: ��-� Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: Page 1 . :,r�' ''�. s�,'. ` � FIXTURE BSMT 1 T 2ND OTHER FIXTURE BSMT 1ST 2 OTHER TYPE Floor Floor IYPE Floor Floor Water Cbset � Floor Orains Lavatory ' Sewer Ejector Bathtub Laundry Tray Shower 1 , Washer Kitchen Sink 2, Water Heater Disposal Z Wafier Softener Dishwasher �. Wet Bar Silicocks Miscellaneous .�u�� 1. CONTRACT PRICE * is 1.2596 of contract price with a tMinimum Fee of$5►0.00) � �O " X .o�2s $ �S — � (contract price) (minimum $50.00) 2. STATE SURCHAR�3E v ��o a x .000s � � (contract price) 3. POSTAt3E � HANDLINt3 (Only on Mail-In Applications) $ 'T 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ Y� ��CJ " 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 corrtra�t 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 ordinances of the City and the regulations of the S�te of Minnesota, and certfies that all statements ma is application are complete, true and correct. Applicant's Signature: ` � / / Date: � 2o C Building Official/Inspecto . Date: ` r�a a � �� DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTIC ��G�' scHEouLED �p ___��L� PERMIT NO. COMPLETED ADDRESS � � � � �-�' �- OWNER �-�Q�-� ��TELEPHONE NO.��' ��" �7 �"��(� T CONTRACTOR � DESCRIPTION `��_ � �.b �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPHOOF ❑ 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 _ _ LT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL DEMO-�ITE S TIC INSTALL OWNE I�fT CTOR TO MEET Y�U�YES_NO y COMMEN'T'� �� (� .� �� j �, _ �, � O � � -�� G t � -> fi� � i � .� � '� �� /��•I�, G�, � W = � W � � � W K SATISFACTORY:PROCEED O PROJECT COMPLEfE W ❑ RRECT WORK 6 PHOCEED O tSSUE CERTIFlCATE OF OCCUPANCY O O CORRECTVMORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �pTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 Owr�erlCon ctor on ite: Inc�ns„rinr r��L WMte CopyAnspecMr'a Flk Canary Copyl8lt�Noda � �` �� / ` � p/►TE TIME CITY OF ORONO CALLED IN INSPECTIO�)TIC &CHEOULED � ` � PERMR NV: �� COMPLETED nooREss �3 3 `��-�a._ , O�WNER TELEPHONE NO.C��- �C�� T CONTRACTOR � DESCRIPTION ty ❑ FOOTING - AL ❑ SEPTIC FINAL Q ❑ POURED WALL LUMBING RI ❑ EXCAVlGRADIN(iIFILLINO O ❑ FOUNDATION WATERPROOF ❑TREE REMOVAL Z ❑ RADON SLAB ECHANICAL RI O SITE INSPECTION Q � FRAMINC, ❑ 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 2 OMIN61lCONTRACTOR TO MEET YW:_Y68_NO � COMMENT& 4 � � � ;: � 0 � � W � Q � W � � � , W O WORK SATiSFACTOfilf:PROCEED ❑PROJECT COMPLETE � ❑OORRECT WORK a PROCEED �ISSUE CERTIFlCATE OF OCCl1P11NC� W 0 CORRECT YMOfiK,CALL FOR REtNSPECTION T�IPORARY V BEFORE(�OVERINO PERMANBVT ❑OORRECT UNSAFE OONDITION WITHIN ��. ❑pHpTO TAKEN INSPEC'TOR YVILL RETURN ❑STOP ORDER P08TED.CALL INSPE�TOR ❑pTAT10N ISSUED O INSPECTION REOUIRED.CALL TO ARRANOE ACCESS. CaN tor the next tnspection 24 hours in�ranos. (952) 249-4600 ite: �nspector: �� WMb CoPYAnspsetah FlN Gruiry CopyfSll�Nolic�