HomeMy WebLinkAbout2017-00382 - plumbing • . CITY OF ORONO * 2 0 1 7 - 0 0 3 8 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4385 CHIPPEWA LA
PIN : 31-118-23-42-0017
LEGAL DESC : LJNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: REPLACE WATER CLOSET AND LAVATORY
VALUATION OF PLUMBING 9000
APPLICANT PLUMBING FIXTURE FEE 112.50
STATE SURCHARGE PLBG(VALUATION) 4.50
GRADY,THOMAS&MARGARET TOTAL 117.00
4385 CHIPPEWA LA Payment(s)
MAPLE PLAIN,MN 55359- CHECK 3788 117.00
OWNER
GRADY,THOMAS&MARGARET
4385 CHIPPEWA LA
MAPLE PLAIN,MN 55359-
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 dces
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 l80 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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Applica Permitee gnature Date Issue y Signature Date
,�pN City of Orono FOR CI ��JSE��LY
O P.O. Box 66 Date Received: �
2750 Kelley Parkway permit# �� ��— ��/ ��
,� Crystal Bay, MN 55323
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CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.qov/CCLD/PDFipe plumbplanrevapp.pdf
GENERAL INFORMATION
1. You may appiy 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:
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Site Address: �� ��1�.� C � � �����r � �' '� .'
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Owner: ��� � ' �
��o►� f o� �3 '.�'� Mailing Address: � � �'���� `�
City: �� ; �` ::� ���:� Zip. - .� � ���
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Home Phone -�_� � Alternate Phone: � ' � � -� �ws
Contractor Information:
Contractor: Contact Person:
Address: State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance — Current:
Page 1
. ,
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
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 Miscellaneous
1. CONTRACT PRICE * is 1.25°/a of contract price with a (Minimum Fee of$50.00)
� �i �0� x .0125 $ �1a e +.��
(contract price) (minimum $50.00)
2. STATE SURCHARGE
� �l o X .0005 $ y � s�
(con ract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ I � � . � �
* 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 reasonabfe 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: ��
Building Official/ Inspector: Date:
Page 2
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DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE ��j scHEDULED � � __=%��
PERMR NO.;� � 7����5 � COMPLETED
ADDRESS .� � � C � >>�
01MNER '� .'�C� " �"2.i._�� '��HONE NO. ��� � 7 3�(��
CONTRACTOR ,L���
� DESCRIPTION ,L,( l r-�n h /�--� �`�
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
`j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ���N�����'�'�'' ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ F�L ❑ WATER HOOK-UP ❑ FOLLOW-UP
i AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATtON/REMOVAL
� (a DEMO-SITE ❑ SE TIC INSTALL
�FR�CO�ITMCTOR TO MEET Y�Wl: YES_NO
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� �WORK SATISFACTORY:PFiOCEED O PROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERIN(3 PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advanoe. (952) 249-4600
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�nspector:
WMte CopyAnapector's Flls C�nary CopylSits Noflee
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DATE TIME
CITY OF ORONO CALLEDVr� `i,,
INSPECTION NOTICE SCHEDULED � .�L�7 __,:� v
PERMIT NO. =����1 -f�'J�� COMPLETED
ADDRESS ���� �� C�_� � � ►.711� ���� � ��
OWNER ��/~C�PC.�t�TELEPHONE NO.9��� � � ���
CONTRACTOR
� DESCRIPTION ���� �`l l�� �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ f�S-SU�LT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J��UEMQ-SITE ❑ S TIC INSTALL
SC 'OWN �ONTWICTOR TO MEET YiOU: YES_NO
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� ❑WORKSA7ISFACTORY:PROCEED RWECTCOMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑S70P ORDER POSTED.CA�L INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwneNContractor on site:
Inspector:
White Copyllnapector's File Cenary CopylSNe Notice