HomeMy WebLinkAbout2016-00163 - plumbing CITY OF ORONO * Z 0 1 6 - PJ 0 1 6 3 *
. ' 2750 KELLEY PARKWAY DATE ISSUED: 02/16/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2699 KELLY AVE
PIIY : 21-117-23-23-0041
LEGAL DESC : WALTERS PORT
: LOT 002 BLOCK 002
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB,2 SHOWERS, i KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WATER LINE T�
FRIDGE
(FEW FIXTURES BEING MOVED,FEW BEING REPLACED)
VALUATION OF PLUMBING 7020
APPLICANT PLUMBING FIXTURE FEE 87.75
STATE SURCHARGE PLBG(VALUATION) 3.51
PALADIN PLUMBING LLC TOTAL 91.26
13963 45TH PLACE NE Payment(s)
ST MICHAEL,MN 55376- CHECK 3308 91.26
(763)432-5260
Minnesota State License#:plbg-PC644101,mech-MB005632
OWNER
MORIN&TANYA SREPEL,CHARLES
2699 KELLY AVE
EXCELSIOR,MN 55331-
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
permits. AII 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the S[ate Building Code.This permit may be
revoked at any time for due cause. _ /'
W>
a
1 � ��/� �� ���,� 1 I��� -i s �` �z� r c� l
pplicant Permitee Signature Date [ssued By Signature Date
;% �pti��, City of Orono FOR CITY U E ON Y l�
i O �, P.O. Box 66 Date Received:_ �' ��P � � T
I� `� 2750 Keiley Parkway
Crystal Bay, MN 55323 Permit# 2��� �� � � �
� Y�^ � ` � (952)249-4600—Main A roved B : �`�
\�qAI}►{UR,v/ (952)249-4616—Fax pp Y
Amount$: � • 2�
CITY OF ORC?NO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
GENERAL INFORMATION ]
1. You may apply for plumbing permits by mail ar 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 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 requiredj
TYPE OF PERMIT(Check All That Apply) �
Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
❑ In Accessory Structure?
'`You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
Site Address: :�t��� �((���' ._��C(� �6;,1�(—
Owner:_ ��'�Lt;r,h �� ���-� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: c � l I (.� ' Contact Person: ,��1�� ' .��� ��
Address: (;��(o?, �`� �-� �l�l(`� = State Band #: ��('L�'1��
City: 4� _ ���'I Zip: ��,��� Expiration Date: �„��
Phone: =1(�; �--��;;;�- �; �)��� Alternate Phone:
[�Insurance — Current: ' � u '•
/ '
Page 1
PLUMBING FIXTURES BEING INSTALLED� �
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT �sT 2ND OTHE:R
TYPE Floor Floor 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 Miscet anepus
PERMIT FEE CALCULATIO �
1. CONTRACT PRICE '' is 1.25% of contract price with a (Minimum Fee of$50.00)
�r/�� �� � �
, x .0125 $ � /,'%� _
(contract price) (minimum $50.00)
2. STATE SURCHARGE
��:��� X .000s � 3,�I
(contract price)
3. POSTAGE � HANDLING (Only on Mail-In Applications) $ $�t)'
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, labar, 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.
PLUMBING PERMIT APPLICATION AGREEMENT �
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
certifies that all statements made on this application are complete, true and correct.
. i , �
Applicant's Signature: Zi.1�� ' Date: _,��-[�--���r
Building Official/ Inspector: Date: _
Page 2
TIME
CITY OF ORONO cnLLED IN
INSPECTION OTI E SCHEDULED ��
PERMIT NO. COMP ETED
ADDRESS
OWNER � TE NE NO.
CONTRACTOR
.
� DESCRIPTION
4~j ❑ FOOTING ❑ M -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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE � SFyTIC ENSTALL
2 OYYN� Y�OU:�:i ES_NO
c�.� COMMENTS:
W ' /
�
j
0
�.
�
O
W
R
Q
�
W
�
W
�
J
d
W O WORK SATISFACTORY:PROCEED PRW ECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ E CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE(X11RED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hou in advance 49-46��
OMrnerlContractor on site:
Inspector:
White CopyllnspecMr's Ffle Canary CopylSite Notiee
( �-/� �`� ,/
�'�` De�T�,. TIME
CITY OF ORONO CALLED IN '47 "�
INSPECTION NOTICE /� SCHEDULED " /- �
PERMIT NO��/,�'��i� onnP ED
ADDRESS � T
OWNER EP N N07��-3���
CONTRACTOR
� DESCRIPTION
lL ❑ FOOTING ❑ DEMO-F A ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBI 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
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNEiiICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
� � � ,
a �/��r�'.r ' S Gv` - ,�c 'T� �•e/, -�c !!/�•
. yy� ,/ .�t� �./
J /YI /"�SL�� �JT�� � /d �G�r 4c �7J0(�.11��
� �1 P•�•�5
� ��UG
'i r G E+ /eSS U/� ��'r�!C<<c
W _
� � �
Q � // �/ re. ra r ✓
�
Z
W
�
W
�
�
�
d
W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. i I`!�9
White Copyilnspector's File Canary CopylSite Notiee
� r I�
4
DATE TI
CITY OF ORONO CALLED IN �?--��--I�
INSPECTION NOTICE SCHEDULED
PERMIT NO.�O�(����l l03 COMPLET D �— /— ��
ADDRESS � �
OWNER TE ONE N07��7�--3�7�
CONTRACTO Q-
� DESCRIPTION '`'e� ,
ty ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL °�UMBING 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
? OWNERICONTRACTOR TO MEET YiOU:_xES_NO
� COMMENTS: V�SU�
a � v P�G s�,�. �� - -�,� �--
' r
o �,.�'�� � c �ul'4a �
�
�
° //� �o��a �- nt�;�� L���� �� �',,o�.
W ��
Q SbG K��_; �
�
2
w ��� �K
�
�
a
W�/�IQ(O K SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W����i CO�NIORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor orZsite:
Inspector:
WhiM Copyllnspectw's File Canary CopylSite Notice