HomeMy WebLinkAbout2015-01118 - plumbins � 1
CITY OF ORONO * z 0 1 5 - 0 1 1 1 8 *
2750 KELLEY PARKWAY DATE ISSUED: 09/02/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 100 KINTYRE LA
PIN : 32-118-23-43-0020
LEGAL DESC : KINTYRE TWO
: LOT 3 BLOCK 2
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: WATER SOFTENER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 1.00
WATER DOCTORS MAIL-IN FEE 2.00
8201 CENTRAL AVENUE
SPRING LAKE PARK,MN 55432- TOTAL 18.00
(763)535-1800 Payment(s)
Minnesota State License#:mech-WC645002 CREDIT CARD 6765 18.00
OWNER
Gonyea Homes
6102 OLSON MEMORIAL HWY
GOLDEN VALLEY,MN 55427-
AGREEMENT AND SWORN STATEMENT
work for which this permit is issued shall be performed according to
proved plans and specifications,applicable City approvals,and the
uilding Code. This permit is for only the work described and does
'permission for additional or related work which requires sepazate
�ll provisions of laws and ordinances governing this type of work
npied with whether or not specified herein.'fhis permit will
�come null and void if construction authorized is not
•ithin 180 days of the date of issuance,or if consVuction is
period of 180 days at any time after work has commenced.
-esponsible for assuring all required inspections are
rmance with the State Building Code.'I'his perrr►it may be
for due cause.
r
��l�C���� O l �- l
-nature Date Issued By ' nature Date
•Sep 01�•15 02:31 p Water poctors 7635351805 p.2
F CI USE ONLY �
,��� City of Urono � ��� ///
�� P.O.80�66 Date Recei Pemiit
� 279p K:Ilcy Parkway
1 f.ryscal Aay,bT�I 55323 Approc•ed y: Amottnt 5:1�_
(952)249-4600—Main
� �1 (95=)249-4515—Fax
�� �L�� CTTY OF ORONO—PL[iMBING PERMIT
xE'sria� (All Cornmercial Permits Wus[be Approved hy the State Pria•to City Approval)
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GENERAL l:�'ORMATiON
I. You may apply for plumbing perniits by mail or in person ac[he Ciry orfices. Applications��ill bc
revicwed and a permit wi II be issued��ithin tvvo working days.
2. Pemiit cards w•ill be sent by return mail after a revieu�is compieted_ P�Rlti97TS ARE N�T
�'ALID I1NTiL 1'OU RECEIV�A PERMIT. l�'ORK MUST i�OT BEGIr l:lYTII.THE
PERNIIT C.4RD iS POSTED OA1 THF JOB SITE
3. Plurnbing pennits may be issued ONLY to licensed plumbing conu�actors anJ to property oKmeis
residing in the dwelling.
4. ��l'hen anyncw canstruction er remodelin�is invol��ed,a scpa��tc bui'ding permit nmst be
obtaineci.
5. All work must be done in accordance with State Code rcquircments.
6. All�vork must be inspected and air tested before it is covcred. Call(95•'_)�49-4600.
(24-�f8 hour noEice rcquired)
_ TY.PE OF PER1�lIT
(Check All That A l
�Residen�ial Q Commercial(.4pproval Reouired)
�New ❑Additional ❑Repairs ❑Replace
❑ Tn.Accessory Structurc?
�You w•ill need nrior anproval and rnay nec;d CliP.(Per Orono City Code,CE�apter 7S,Anicle IV)
Job Site!Owner Information:
Site.4ddress: _1 V� �%��� L��yzr�
Ou�ner: C�C�l��J�C� ��� 5 Mailing Address:
City: Zip:
Hame Phone: Alternatc Phone:
Conlractor Information; �
Contractor: �/�el`� �Cf�(� Contact Person: ,�� �` �t.�2s
Address: S� � Q 10 �2vt�ra��2 �i�e«s� f_ �„(��.i�Z
State�#: t� (�
��"'��g�� o��r.��-q�
C�tY� .������ �r'� Zip:,���Expiration Date: 1�/����_
Phone: ��i3 '�3,S` r�� A I ternate Phone: �C.3` �~7..��
� Insurance—Current: ��p � �f� e�y-,
1
Sep 01`15 02:31 p Water poctors 7635351805 p 3
- .
° : ��,tr�anvG���s B��vG mT��r�;z;�D ,
FIXTURE BSMT ]� 2 OTHER FiXTURE BSib1T lsr �^ OTHER
TYPE FL FL TYPE FL FL
VJater Cbset Ploor Drains
Lavatory Sewer�jector :
Bathtub Laundry Tray
I
Sl�owcr Washer
Kitchen Sink Vi�'ater Heat�r
Disposal 1Y'ater Softener
Dishwasher lt�'ct Baz
Sillcocks Misceltaneous
�
` PERi�T FEE CALCULATION(S� .
:, _ .S:A.SED O�F-2EK12 STA7'£STt1TUE _
� 1'es,this section applies
Tlic repl:►cement of ottly one Rcsidcntial Gxture or appliance that meets all tl�rcc of ine following
requirements:
I. Does not require modification to electncal or gas servicc.
2. 1Ta,e a total cost of$SOO.QO or les5;excludint*the cost of the fixture or appliance:and
3. is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip nexl section,iftl�is applie:s; Cusl ofPcr�nit $ ]5.00
State Surchar�;e $ I.QO
Mail-in Fcc([f AppIicablel $ —2.d�
Total Perrnit Fee s�(z,�
(Pcrmit Fees Confinued On Ncxt Pagc)
2
.Sep 01.15 02:31 p Water poctors 7635351805 p.4
---
� PERMI�'FEE C�ILCULATION(S)—JOBS t��ER$�QO.{l0 _
If abo��e does not apply;follow guide[in:s below:
L CONTRACT PRICF. '' is I.25°ro of contrac�price wi[h a(htinimum Fec af 0.00)
_ x.0125�� ��
(contractpricc) ( iinm�um 559A0)
2. STATCSURCHARGE
x.Q005 S . �T�
1 eonrract pricc)
--- —_ --
3. P05TAGE&HANDLTn�G(Only on Mail-�n .Applications) S �AO
4. TOTAL PER141LT FEE(Add Lines 1-3 Abo��e; $ � (/ ' ���
• " CONTRACT PRTCE or JOB COS[ means the actual or eslimnteJ dollar arnounI charscd for [hc
petzTiitt�d�.ti•ork including matcrials, labor,profit,and othcr fixed cost;. lt is d�e amount co be charged
to the cus[orner fer lhe work don;:. IE v�y rnalerial, equipment, labor or incrallat;ons are (urnishcd l�y
the owner,ier,ant ur ai,y other party, the reasonable market value oi'such items mus[ be added [o the
es:imated cost or conU�act price for permit fez purposes. In die event that there is a dispute on the
amuu�t of�hc job cos�, the Ciry may request th� submission of a signcd copy of thc actual contract.
. PLUM$I�lG PERM7T APPL�CAT'�ON A�REEMENT
Thc undei�signed hereby applies to the City For issuance of e Plumbing PermiC, agrees te do all
�york in strict accordanec with the ordinances of tEte City and the re�ttlations oC the S�ale of
I��innesota, and certifies that a�l statcmcnts made on this �tpplication are complete, true and
correc t.
� � � ���
AppLicant's Signature: Dato:
3
I 1 � �� ,/
� V
� _ipl�E i TIME
CITY OF ORONO CALLED IN ��r
INSPECTION TIC Q�SCHEDULED f(-� �
PERMIT NO � ����/ C LEfED �
ADDRESS d
OWNER LE NE NO.f��/�Z��^.�-3�
CONTRACTOR S ���
� DESCRIPTION �� �Ll"�n
ll� ❑ FOOTING ❑ DEMO F AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLU G RI ❑ EXCAV/GRADING/FILLI
y ❑ FOUNDATION WATERPROOF �MBING 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 INSTALI
2 OWNERICONTHACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �80.�E6T COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANEN7
❑CORRECT UNSAFE CONDITiON WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspecto�-- �`'� �
White Copyllnspector's File Canary CopylSite Notice