HomeMy WebLinkAbout2017-00191 - plumbing ' -- CITY OF ORONO * 2 0 1 7 - 0 0 1 9 1 *
2750 KELLEY PARKWAY DATE ISSUED: 03/OU2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1565 FAIRVIEW COTTAGE LA
PIN : 07-117-23-43-0033
LEGAL DESC : ORCHARD BEACH
: LOT MB BLOCK MB
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATER CLOSET,(1)LAVATORY,(I)SHOWER
VALUATION OF PLUMBING 2000
APPLICANT PLUMBING FIXTURE FEE 50.00
PAVEK PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00
TOTAL 51.00
4550 COLJNTY RD 10 N Payment(s)
WATERTOWN,MN 55388 CREDIT CARD 9574 51.00
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Minnesota State License#:plbg-60617-PM
OWNER
MARY SNYKER BECKER,TIMOTHY BECKER&
1565 FAIRVIEW COTTAGE LANE
MOLJND,MN 55364-
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 herein.This permit wili
expire and become nutl 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 cause.
�-�'�-- /� -� �v �; / � /7
Ap ' t Permitee Signature Date Issued By gnature Date
- 4p� City of Orono
FOR CITY USE ONLY
O P.O. Box 66 Date Received:
2750 Kelley Parkway
Crystal Bay, MN 55323 Pemtit#;
y��1kfSH04�'G� (952)249-4600_Main Approved By:
( ) 9-4616 Fax
Amount$: '
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.aov/CCLD/PDF/qe plumbalanrevaqa adf
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offlces. 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 PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed pfumbing 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.
(Z4-48 hour notice required)
TYPE OF PERMIT(Check All That Apply)
�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
�I New ❑Additional ❑ Repairs
❑ Replace
❑ In Accessory Structure?
"You will need orior a�aroval and may need CUP. (Per Orono City Code, Chapter 78, Article I�
Job Site/Owner Infdrmatior�:
SiteAddress:_ l��� ��J21/'��CJ G o l����--�
Owner:�Cf�--/ �7���t�� Mailing Address:
CitY�'���� Zip:
Home Phone: Alternate Phone:
Contrac#or Inforrnation:
Contractor: �"�V�K p/UM6�� �G Contact Person: �uk 1 �c�/�I-�
Address: yS� G rrT,/� /D State Bond #:
City: �,cJ�1 �� I d�/'
Zip: �s3� V Expiration Date:
Phone: ��.2-q�� � �� 3� Alternate Phone:
❑ Insurance— Current:
Page 1
FIXTURE BSMT �sr 2ND OTHER FITMPEE BSMT Floor Floor �THER
NpE Floor Floor
Water Closet ' Floor Drains
Lavatory j 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 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 estirr�ated dollar amount charged for the
permitted work including materials, labor, prof�, 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
s t r i c t a c c o r d ance 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.
C'��-`-
Applicant's Signature: �— Date: �"����
Building Official/ Inspector: Date:
Page 2
� �� ,r°'y� �/ DATE TIME
CITY OF ORONO ���� CALLED IN — � � �� ,,�,
INSPECTION NOTICE SCHEDULED � � �
PERMIT NO. �G� � COMPIEfED
ADDRESS �J��O� r�l f/� �p i��-�
OWNER T LEPHONE NO.I�'�- '�I�6 ��-��
CONTRACTOR ���"� �
� DESCRIPTION ��� �
ly ❑ FOOTING ❑ O-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
"j ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMfNEAICOt�ITRACT�R TO MEET YiOU:_YE$_NO
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� WOFiK SATiSFACTORY:PFiOCEED O PROJECT COMPLETE
W�CORRECT WORK 8 PHOCEED ❑ISSUE CERTIFICATE OF OCCUWINC�
0 O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HWRS. p pH0T0 TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPEC710N REQUIRED.CALL TO ARRANGE ACCESS.
Csfl tor the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlCa�tractor on site:
Inspector: �'�9�'/<- G�
YVhite CopYAnapectoPs FII� C�nary Cop�rlSlb Notiw
TIME �
CITY OF ORONO CALLED IN �-� � 7
INSPECTION N IC SCHEDULED
PERMIT NO. �,��� C PLETED(-��
ADDRESS /`J th E L� �
OWNER T HONF 10.
CONTRACTOR
� DESCRIPTION " ""`" "'`�
lL ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
� ❑ POURED WALL �P.�UMBING I ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTMCTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W�M9RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector: � �
Whits Copyllnspector's Ffle Canary CopyfSite Notice