HomeMy WebLinkAbout2016-01315 - plumbling � � CITY OF ORONO * 2 0 1 6 — 0 1 3 1 5 *
� 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1070 HUNTER DR
PIN : 25-118-23-42-0008
LEGAL DESC : MOONEY LAKE PRESERVE
: LOT 3 BLOCK 2
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(3)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LAUDRY TRAY,(1)WASHER,(1)WAT'ER HEATER,(1)WET BAR,(1)MISCELLANEOUS
VALUATION OF PLUMBING 21000
APPLICANT PLUMBING FIXTURE FEE 262.50
STATE SURCHARGE PLBG(VALUATION) 10.50
MID STATE PLUMBING&HEATING INC MAIL-IN FEE 2.00
2075 67TH STREET E
INVER GROVE HEIGHTS,MN 55077- TOTAL 275.00
(651)480-1195 Payment(s)
Minnesota State License#:plbg-PC652126 CREDIT CARD 1602 275.00
OWNER
GRONHOLZ,SCOTT&AMY
2008 SUGARWOOD DRIVE
ORONO,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 does
not grant permission for additional or related work which requires separate
pertnits. 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 any time for due�ause.
/� �-G! /�//7 / �
Applicant ermitee Signature Date Issued y Signature Date
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CITY OF ORONO —PLUMBING PERMIT �
(All Commerci�l Permits Must be Approved by f�e$�8te Prior to City Approval)
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G ER�AL INFQRMATIC�N� „ . � , � � � , � � � , � , • �.,�„� � �.�. ,•�� -• �
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„i, R;�"it::
1. You may appiy for plumbfng permits by mall ar In person at�e Cfty offices. Appllcationslwlll be
reviewed and a permit wiN be issued within two working days.
2. Permit cards will be eent by retum mail after a revlew Is completed. PERMITS ARE NOT VALID
UNTlL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT�AE��IS
POSTED ON THE JOB SITE.
3. Plumbing permifs may be issued ONLY to lic�nsed plumbing contractors and to property ownets
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate buildinq perrnit must be obtalned.
5. AI!work must be done in accordance with State Code requlrements.
6. All work must be In�pected and air tested�efore it is covered. C�II (952) 248-4600.
(24-48 hour notice requlred)
� ' � . � � : ''T`,Y,RE.OF�.P.�FtM;l7,(Ghec(c`l��I��rtFi�t�:Ap ly: �'� ' ' � ��'"°�� ��'•���;'��
P, �'., ���;, ,��-�,
..j.;',^1;�;. �� r•�'ri' �6
.�Ina?'+a,'�.tl M.h. J/.�
�Residentiel ❑ Commercial (Approval Requlred) (Backflow Device:�A'VB ❑PV'e]
��New ❑Addltlonal ❑ Repairs ❑ Replace
❑ In Accessory Stn,cture?
"Ynu will need orior aga�oval and may need CUP, (Per Orono City Code, Chapter 78,Articla IV)
Job Sit��'l Qvime�.I�jfQ�cil�ti�n: . '
Site Address:--- ��J7v /����or ���. /�i�a, �i • .�..����
Owner: �i�/+a.� L'•�� ���s Mailing Address: a�`��Y I'J7Urf c.�1v�
CitY:�,���, I+J� Zip: S�t7�F!
Home Phone: �/��' ��U� ���Altern8te Phone: �
'G�t��i,tra�Cor��lnfcrinatibrt;:� . �� � - -
�ontractar: �� .S� P�r< � /q�• Contact Persan: ` ti �. �
Address: .���7� �`�� �� �- State Bond #: �G�a���r��
City; �� � �• ��"� Zip: 5�7� Expiratian Date:
Phone: ��� ��✓�l� �l�� Alternate Phone: _� '�r� �Y��'��
[�Insurance—Current; A+.�v Qw�.s d�0��15� ��3��,9 ���� ��+��
Page 1
i0/la/2416 FRI 8: 39 FAx 651 730 9a00 xNw GROVP I�OOz/00z
, ,
FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT 1aT 2ND OTHER
TYPE Floor Floor TYPE Floor Floar
Water Closet � � Floor Drains
Lavatory � ,� Sewer EJector
Bathtub . � � L�undry Tray '
Shower a Washer �
Kitchen Sink � Water Heater
Dlsposal , Water Soft�ner
C7ishwasher , Wet Bar +
Sillcocks a Miscelleneous �
1. CONTRACT PRICE }Is 1.25%of contract price with a(Minimum Fee of$50.00)
�/ �" `" x.0125 $
�ontract price) (minimum$50.00}
2. STATE SURCHARQE
_ __x .0005 $
(contract price)
3, PQSTAG� 8� HANDLING (Only on Meil-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1�3 Above) a
* CONTRACT PRICE or JQB CQST means the ackual or estlmated dollar amount charged for the
permitted work including materials, labor, prafit, and other fixed costs. It is the amount to be charged to
the customer for the work done. If eny materi�l, equipment, labor or installations are fumished by the
owner, tenant or any �ther party, the reasonable market value of such items must ba added to the
estimated cost or contract price fcr permit fee purposes. In the event that there Is a dispute on the
amount of the job cost, the Clty may request the submission of a signed copy of the actual contrect.
The undersigned hereby applies to th� City for issuance of a Plumbing Permit, agrees to do all wark 1n
str(ct accordance with ihe ordinances of the City and the regulations of the State of Minnesota, and
ce�ifies that all statements made on this application are complete, true and correct.
Applicant's Signature: �r�� �~ Date: �a '�� /w
Building OfficiaV(nspector; Date:
Page 2
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C�`
/-� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � � l�.�Q'�
PERMIT NO.�O/,(�-d/3/5 COMPLETED
ADDRESS �O 70 �Z y�� �r
OWNER TELEP �N .
CONTRACTOR
� DESCRIPTION � ��
ly ❑ FOOTING ❑ DE - INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P M NG RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ 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 ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO ./
� COMM ENTS: ` /�a+�G /��,''rv,.� Gsi'O� o�. ✓'i TB
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4�j . O PRWECTCOMPLETE
� CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HWRS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO AflRANGE ACCESS.
Cai1 for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector. �'�'��G �'
Whits Copyllnspector's Ffle Canary CopylSib Notics
�� ATE TIME �
CITY OF ORONO CALLED IN ���� �
INSPECTION NQ��C � //' HEDULED �,�T�
PERMIT NO. a� �6� OMPLEjED -
ADDRESS �7� 7z� � V�-.-
OWNER � T HONE NO� �— s�7
CONTRACTOR � ��'v
'' DESCRIPTION � ` � �
4�j ❑ FOOTING ❑ DEMO-F AL ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNENCOI�fTMCTOR TO MEEf YiOU:_YES_NO
� COMMENTS: / ,
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4�j ❑WORK SATISFACTOFi1P:PROCEED ❑PRW ECT COMPLETE
��CORRECT WORK d PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Cd1/ERINO PERMANENT
D CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: ��c�L.
yy�Nte CopYAnspectw's Flla Cmary CopYlSlts Notks
I�� � �
� ��}re nMe
CITY OF ORONO CALLED IN �"/
IN8PECTION NO E� �3� scaEouLED � •�
PERMR NO. coMv�ErED
ADDRESS I���� ,�1������������ _
p�WNER T LEPHONE NO. s ���
CONTRAC'TOR
� DESCRIPTION �
1y ❑ FOOTINCa ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/CaRADINGIFILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SfTE ❑ SEPTIC INSTALL
a OMINERICOKTMC7'aR TO MEEf 1f�lY._YES_NO ,
� COMME� - �,:�� c�uik c��-o Lh� �,;�P ,,, a o,QAe.
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OC
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W SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� OOFiRECT WOF�C 8 PROCEED ❑ISSUE CERTiFIC/1TE OF OCCl1W1NCY
W
(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVEFtlNO PERMANENT
❑pppqECfUNS/1FECONWTIONWITHIN HOUR3. ❑pMpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR ❑qTATION 18S11ED
p IN3PECT10N qEOUIRED.CALL TO ARRANGE ACCESS.
caM tor n�e next tnspaction u nours M.aranoa. (952) 249-4600
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