HomeMy WebLinkAbout2015-01070 - plumbing ' ' "� ,, CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 5 — 0 1 0 7 Pl *
' DATE ISSUED: 08/2l/2015
ORONO,MN 55356-
' (952)249-4600 FAX: (952)249-4616
ADDRESS .- A�ress L'�-�v��l• I l S� }-� �yy,��{-�� --�
PiN . - - - Nov�l: 2�-I l 8-z�- �z -�>��t�
LEGAL DESC : UNPLATTED 28 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (2)LAVATORIES,(1)SHOWER,AND(1)WASHER
VALUATION OF PLUMBING 1000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.50
MARIANI,DAVE&DIANNE TOTAL 50.50
1150 HOMESTEAD TRAIL Payment(s)
LONG LAKE,MN 55356- CHECK 102 50.50
OWNER
MARIANI,DAVE&DIANNE
1150 HOMESTEAD TRAIL
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at 'me for due cause. .� �
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Appl►cant Permitee Signature Date Issued ignature Date
t + ♦ FOR CITl'USE ONLY
. � �O A TO City of Orono
� i V P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 •�pP�o�`�BY: Amvunt$:
(952)249-4600—Main
�� G,� (952)249-4616—Fax
CITY OF ORONO—PLUMBING PERMIT
t�kESH04�' (All Commercial Permits Must be Approved by the State Prior to City Approval)
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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 BEGIN UNTIL THE
PERMTT 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 A11 That A 1 )
❑Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
j *You will need orior aporoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: ' ���r�s ����= 1 15D "�-I��s�-ec�J.
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Site Address: 3� �v� � �N v S�3�'6
Owner: ��l.J�.° �"Iq t` i a�! Mailing Address: f«S �5����7q. �
c��y: (� (�o n o Zlp: s;`�5�6
Home Phone: l� �2'—� �'— �q 2� Alternate Phone:
Contractor I�€ormation:
Contractor: Contact Person:
Address: Sta.te Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower � Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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❑ Yes,this section applies
T'he replacement of only one Residential fixture or ap�liance that meets all three of the following
requirements:
i. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 Next Page)
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If above does not apply;follow guidelines below:
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 SURCHARGE
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 chazged
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 mazket 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.
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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 certifie at all statements made on this application are complete, true and
correct.
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Applicant's Signature: Date: 0
3
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CIfiY OF ORONO CALLED IN J " - =��L,��
INSPECTION N �ICEc SCHEDULED �.�i--_
PERMiT NO.�'� �' �✓ -�I��bCOMPLETFD - �
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ADDRESS �D L ;� `�'��+�
OWNE�-��� -`� �1'jQ��'�Q�/ TELEPHONE NO.�'��7�7 7���
CONTRACTOR
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� DESCRIPTION
lL ❑ FOOTING ❑ DEMO-FIIVA ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBIp1G I ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF Vp�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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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❑ QEMO-SITE ❑ SEPTIC INSTALL
2�OWNE NTRACTOR TO MEET YOU�ES_NO
v�, COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�PECTION REQUIRED.CALL TO ARRANGE ACCESS.
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all for the next inspection 24 hours in advance. (g52) 249-460�
w Contractor on site: Gr v
tor. '^^-�
White Copyllnspector's File Canary CopylSite Notice
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G'�fTY OF ORONO CALLED IN �
INSPECTIONN TICE SCHEDULED /.{��tS -Z•�Bz�
PERMR NO. ' OMPLETFD �1re�s
ADDRESS ,�sb���� r�.
OWNE �TELEPHONE N0.�7'7—�7�
CONTRACTOR
� DESCRIPTION —" C��'V
4~j ❑ FOOTING ❑ -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL MBING 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
v�i COMMENTS:
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� ❑WORKSATISFACTOFlIh PROCEED �PROJECT COMPLETE
W �RECT WORK b PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECT UNSAFE CONDITiON WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call brthe next inspection 24 hours in advance. (952) 249-46�0
OMmeNCartractor on site: a
Inspector.
yyhite CopyAnspecta's Fik Canary CopylSite Notice
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CITY OF ORONO CALLED IN /(-9 TTE IME
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INSPECTION NOTICED o7 "SCHEDULED J/-/d -1? • 3. 3
PERMIT NO. O/5- MPLETED
ADDRE 5 4
OWNER VFtf / TELEPHONE NO. 9 7�97�
CONTRACTOR /?llb,5(
DESCRIPTION /gid
to ❑ FOOTING ❑ DEMO-FINA0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
• 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWN ERICONTRACTOR TO MEET YOU:_YES NO
y COMMENTS: 41) T.i)rhvc'tS Sit' 8 Siacc
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CC
Q
CC
aWORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED-CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. ) 4 Sv IV �F�h
White Copyllnspector's File Canary Copy/Site Notice