HomeMy WebLinkAbout2016-00948 - plumbing CITY OF ORONO * z 0 1 6 — 0 PJ 9 4�
. 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2016
ORONO, MN 55356—
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2710 KELLY AVE
PIN : 21-117-23-23-0034
LEGAL DESC : VERN-MAR MANOR
: LOT 009 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOi�1 TYPE : FIXTURES-MULTIPLE
NOTE: ADDITIONAL FIXTURES:4 WATER CLOSETS,5 LAVATORY,3 BATHTUBS, 1 SHOWER, 1 KITCHEN SINK, l SILLCOCKS, 1
FLOOR DRAINS
1 LAUNDRY TRAY, 1 WASHER
VALUATION OF PLUMBING 7500
APPLICAI�TT PLUMBING FIXTURE FEE 93.75
STATE SURCHARGE PLBG(VALUATION) 3.75
PRONTO HEATING&AC TOTAL 97.50
7415 CAH[LL RD
EDINA,MN 55439- Payment(s)
(952)835-7777 CHECK 12331 97.50
OWNER
RESTORATION,ROBIN
2080 SHORELINE DR
WAYZATA, MN 55391-
AGREEMENT AIVD SWORN STATEME1vT
The work for which Ihis permit is issued shall be performed according to
the approved plans and specifications,applicable City approvais,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. 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 Yor a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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A icant ,mit e Signatur ate Issued By Signa ure Date
�/�pN�� City of Orono FOR CITY USE ONLY
O �', P.O. Box 66 Date Received: ��i� � � l� ,
`', 2750 Kelley Parkway n'I (�
' � Crystal Bay, MN 55323 Permit# �.(, (� '� � C `/ `I /J
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`f �tc,� (952)249-4600—Main Appfoved By: T, �
t�1�EJH� (952)249-4616—Fax �,-
Amount$: ! -��
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.qov/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 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 required)
TYPE OF PERMIT(Check All That Apply)
� Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ 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:2�"l ICJ k�l�,1,�1 �V�. (� I�VI� �'�� ��?�'� �
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Owner: ��,1,�1�� ���"1�,��� Mailing Address 2-1 �1.� {��.�11(�1 �,
City: L�k-Gti'1� Zip: `'�'r�'� I
Home Phone: � U�2" Z��'L�� �1�-�1 �S� Alternate Phone:
Contractor Information:
Contractor: �`', �1 * � , Contact Person: �(����
Address �- �� �11t\.� State Bond #: _��l��a�1�11���
City: �1�,�V1�'L Zip: `�'-��-����1 Expiration Date: ?��
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Phone: ;�_- '"; n���� � � Alternate Phone:
❑ Insurance - Current:
Page 1
• •FIXTURE BSMT 1s-r 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Z Z Floor Drains \
Lavatory Z � Sewer Ejector
Bathtub `f� Laundry Tray l
Shower l Washer I
Kitchen Sink 1 Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks 1 Miscellaneous
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
���U x .0125 $ "���� "I
(contract price) (minimum $50.00)
2. STATE SURCHARGE
� �U� x .0005 $ �-� ;O
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �1 : -J�
" 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 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
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.
Applicant's Signature: CA��_ k(;�DI/Vw�C.. Date: �'�'��
Building Official/ Inspector: Date:
Page 2
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CITY OF ORONO CALLED IN l
INSPECTIO OTICE p- SCHEDULED - C3:1?+a
� PERMIT N�� '�9 a COMPLETED
ADDRESS d 7�0 '`�! G�-L-
OWNER T P ONE NO. �as�-�s�9
CONTRACTOR D II�
� DESCRIPTION - �
�
� ❑ FOOTING O-FINAL SEPTIC FINAL
Q ❑ POURED WALL U G RI EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ BING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ M HANICAL 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑ SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice