HomeMy WebLinkAbout2017-00378 (plumbing) ,.
� CITY OF ORONO * z 0 1 7 - 0 0 3 7 8 *
2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017
ORONO, MN 55356-
• (952) 249-�4600 FAX: (952) 249-4616
ADDRESS : 4765 AUGUSTA ST
PIN : 06-117-23-33-0009
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 7 BLOCK 1
PERMIT TYPE : PLUMB[NG
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:6 WATER CLOSET,7 LAVATORY,3 BATHTUB,4 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2
SILCOCKS,3 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER,3 WET BAR
VALUATION OF PLUMBING 12500
APPLICANT PLUMBING FIXTURE FEE 156.25
STATE SURCHARGE PLBG(VALUATION) 6.25
HUIKKO PLUMBING INC. MAIL-IN FEE 2.00
1001 RIDGE HAVEN CIRCLE
BUFFALO, MN 55313 TOTAL 164.50
(612)919-1923 Payment(s)
Minnesota State License#: plbg-PC645372 CREDIT CARD 1245 164.50
OWNER
Swanson Homes
1360 HAMEL RD
MEDINA,MN 55340-
AGREEMENT AND SWORN STATEMEIYT
The work for which this pennit 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 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 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 due cause.
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Applicant Permitee Signature Date Issued By Signature Date
= p City of Orano FOR CITY�USE ON�Y
� 4` �C7`� r�_� Box 66 DaIQ Received: �1-'� � �� -/
((( 2750 Kelley Parkway : (� �_� , �- � � -����,
\�� � Crystal Bay, MN 55323 P@rtT1i1#__ ___rT.�-._
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� � (952)249-4600—Main Approved By: /<-'_/-� �`J
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�--� Amount S:
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CITY OF ORONO - PLUMBING PERMIT
(Ail Commercial Permits Must be Approved by the State Prior to City Approval)
http•llwww dli mn qoviCCLDIPDFtpe 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 wili be issued within hNo working days.
2. Permit cards wili be sent by return mail after a review is compieted. 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 haur notice required)
� TYPE OF PERMIT(Check Ail That Apply)
�Residential ❑ Commercial (Approva( Required)
�New [_] Additional [] Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapte� 78, Article IV)
Job Site / Owner Information:
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Site Address:� ti ��'
Owner: ��`��'�-��_a(�.h5c�� �-�Mailing Address:
�-�t�!�'1 c�S
City: Zip:
Home Phone: Atternate Phone:
Contractor Information:
----_�_____----____ ___ _�.�.__ ___�
Contractor. f� � �Cc� L�Contact Person: ���� � �'�'< < �
����.r�.:.�-�, � s �. I�-�
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Address: y G�C�� �i��,,� ��� �1�'n,� i f�State Bond #:
� r � � ^ ' "-� �-7
City: ��� c��1 %��'/-��2% /�� N Zip: .-� ,� �/ �> Expiration Date.
Phone: ���� �J������ � Alternate Phone:
❑ Insuranc� -- Current: '
P<�gc J
���' _ �` � _ � � P�,UMBING FIXTURES-BEING�INSTALLED` -��: _�� p �, = _��-�.°���:�,��6-,�
, _ . _---.— ---- ___. __�.____._ _
FIX1"URE BSMT 1�� ( � ?r�� � (�THER FIXTl1RE BSMT ' '1�� 2""' OTHER
TYPE Floor " Floor TYPE Floor Floor
�
i
r----- ...___ __.
Watcr Closet f � � Floor Drains iW �� � � �j-��i�j�L.
—_.___ _........__________� �_____---_ .__ /
Lavatory � � S�wer Ejector
Bathtub � � Laundry Tray l
Shower �:�� � Washer �
`' ----- __ --
Kitch�n Sink � Water Heater �
.�_. _ _ �.._._�. __ _. _ �
Disposal J Water Softener
Uishwasher � Wet Bar � / �
------ �----- ---- -
Sillcocks � �� Miscellaneous
_..�_.._..... .__L_.....� _.. . ..... :_____.... _
� . , .
� �`� ���PERMIT�FEE CALCI�LATION :u�a_��� ,��°� '� ' ` �=����:
1. CONTRACT PRICE ' is 1.25% of contract price with a (Minimum Fee af 550.00)
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�v �-
���- , �%����; x .0125 � � `���- • , ,.
(contract price) (minimum 550.00}
2. STATE SURCHARGE %
��,
,
� � ,�� ��
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� <-- � � � x .000� $ �% �
{contract price}
3. POSTAGE 8� HANDLING (Oniy on Mail-In Applications) � 2.00
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4. TOTAL PERMIT FEE {Add Lines 1-3 Above) 5 �\�� 1
' CONTRACT PRICE or JOB COST means the actuai or estimated dollar amount charged for the
permitted work incl�ding materials, {abor, profit, and other fixed costs. It is the amount to be charged to
the customer for the work done. If any m�terial, equipment, labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must b� added to the
estimated cost ar contract price far permit fee purposes. In the event that there is a dispute on the
amount af the job cast, the City may request the submission of a signed copy of the actual contract.
_ __ �_.__.._ ___�_ .__ , ..
�� �` " ����PLUMBING�PERMIT�APPLI_CATION AGREEMENT '���' `"` � � � a�� -��:�
� ` �_ __ __ � __ _-- - --
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 regulatians of the State of Minnesota, and
certifies that all statements made on this applicatinn are complete, true and correct.
Applicanfs Signature: l' vl� � �-- G�`'6`L Date: � , 1� ��
Building Official/ Inspector. __ Date: �___.___._._,.
Page 2
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CITY OF ORONO �� CALLED IN �/`r � /��
INSPECTION NOTIC � -C�o SCHEDULED �� -
PERMIT NO. ' � COMPLETED
ADDRESS `T 7 C=% � � � S �` C"x �;�
OWNER TELEPHONENO. �'�� y�g �'97
COI�TRACTOR ����K'��'� ���
� DESCRIPTION � f L t f�Y7�� � /�'�7C�-��f�,l�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �
� ❑ POURED WALL '�PLUMBING RI ��G _ ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑ SE �IC INSTALL
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? OWNERICOPfTiiACTOR TO MEEf YiOU: YES_NO
y COMMENTS: �-- `G '
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� �KSATISFACTORY:PROCEED ❑ PRWECTCOMPLEfE
W ❑CORRECT YYORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContraator on site:
Inspector:�, � r+^� �
Whits CopyAnspector's File Cenary CopylSite Notks
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DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO.�ni7�3�� COMPLETED
ADDRESS �� l0.� �/ �- S-�
OWNER TELEPHONE NO.f� /�' 9 �g ���
CONTRACTOR �-�� �
� DESCRIPTION b �
4� ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL �
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
Vj ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ 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 ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
2 01NNENCONfTRACTOR TO MEEi YiW. YE$_NO
y COMMENTS: �"'"
� — $� G...i �PiS'�' l0/�'J
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� K SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE
� CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT NfORK����R REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl forthe next inspection 24 hours in advanoe. (952) 249-4600
OvvnerlContractor on site:
Inspector. �'�'�''� G
White CcPYAnapectoPs Flls C�n�ry CopylBiN Notks