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HomeMy WebLinkAbout2014-01381 - plumbing CITY OF ORONO * Z 0 1 4 - 0 1 3 8� .� 2750 KELLEY PARKWAY DATE ISSUED: 1 U26/2014 `� ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 125 KINTYRE LA PIN : 32-118-23-43-0017 LEGAL DESC : KINTYRE TWO : LOT 3 BLOCK 1 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 WATER DOCTORS STATE SURCHARGE PLBG(<$500) 5.00 8201 CENTRAL AVENUE MAIL-IN FEE 2.00 SPRING LAKE PARK,MN 55432- TOTAL 22.00 (763)535-1800 Payment(s) Minnesota State License#:mech-WC645002 CHECK 11634 22.00 OWNER Gonyea Homes 6102 OLSON MEMORIAL HWY GOLDEN VALLEY,MN 55427- AGREEMENT AND SWORN STATEME1vT 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. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for d cause. ~ o H �li �i / Applicant Permite i a Date Issued y Signature Date �� �� ` ` �Tt G'iTY USE QI�iL'�? ��A T� City of Orono <y P.O.Box 66 T?atc ReceivCd: Pennifi# ; 2750 Kelley Parkway Crystal Bay,MN 55323 A�raved�iy: Amtount�i' (952)249-4600—Main (952)249-4616—Fax y�' ,�c`� CITY OF ORONO—PLUMBING PERMIT K�sH�4` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. av/CCLD/PDF! e lumh lanreva . df ����4�°�F'C3�tMATt�I� : �� 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 pernut 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�F PEI�IIT G�i�ck A11 T�at A 1 f�Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need orior auuroval and may need CUP.(Per Orono City Code,Chapter 78,Article I� ;��..�1���}Wil���11�i'���i�tii: Site Address: �e�.� 7�l/��"�(�E l.�� Owner: �o N ye� �p►til� S Mailing Address: City: Zip: Home Phone: Alternate Phone: �an#ractvr�i�`ornaation: ; Contractor: (�V�1�)2g Contact Person: G� U��DI�A� Address: C�,�2�1 Cerc?�2A-� A�� State Bond#: D8L(�3y Q3 City: ���N � % � Zip:y ,S�'�/j2Expiration Date: �' �— �� Phone: 7 b3—.f35=l�OJ Alternate Phone: ' ❑ Insurance—Current: 1 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Silicocks Miscellaneous � � � ���� �� �;� ❑ Yes,this section applies The replacement of only one Residential fixture or apnliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$SQ0.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �a�� (Permit Fees Continued On Next Pagc) 2 , , .. r _���:� � . ����` If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (cuntract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Onl}�on Mail-In Applications) $ 2.00 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,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: , Date: �r—�'�� 1 3 DATE TIM CITY OF ORONO �'CALLED IN � INSPECTION NO C , (,, O�� SCHEDULED PERMIT NO. ��� COMPLETED ��� �/� ADDRESS �o�S if%�rL���� �`r. OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �Q��'� 's��/��" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � �'Y'MMt ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 �NNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: �Ir C� � �.�vc�0�� � W � J o Gi/'evll L�a��1��c � � 0 � W � Q � 2 � �•-�.� �i��� -� � j W O WORKSATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISS CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector: r--- White Copyflnspector's File Canary CopylSite Notics