HomeMy WebLinkAbout2017-00348 - plumbing CITY OF ORONO * 2 0 1 7 - PJ 0 3 4 8 *
• 2750 KELLEY PARKWAY DATE [SSUED: 04/12/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3051 FARV[EW LA
PIN : 04-117-23-33-0009
LEGAL DESC : FARVIEW
: LOT 007 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: REPLACING FIXTURES: I WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER
VALUATION OF PLUMBING 2500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 125
BOE PLUMBING TOTAL 51.25
15481 KIOWA ST.
ANDOVER, MN 55304 Payment(s)
(763)757-1991 CHECK 4508 51.25
Minnesota State License#: plbg-PC644079
OWNER
DELANEY, DAVID&FRANCINE
3051 FARVIEW LA
LONG LAKE, MN 55356-
AGREEME1vT 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 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
cxpire 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 I SO days at any time afrer work has commenced.
The applicant responsible for assuring all required inspections are
requested in formance w'th the State Building Code.This permit may be
revoked at an im or due se. ' �,
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Applicant Per itee Signature a e Issued By Signature � Date
�p� City of Orono FOR CITY U E.ONLY
O P.O. Box 66 Date Received: _�--j ?. --j �
2750 Kelley Parkway ,.
. � y Crystal Bay, MN 55323 Permit# �(, � � i���
y c` (952)249-4600—Main
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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/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)
�tesidential ❑ 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: ,����� �a�r�,�,'�✓
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Owner: �z,✓� ''I���`7 Mailing Address: ..3��5� /-�rv�-�
City: 0'�'n `� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �9 e ( w�b r�n Contact Person: ��
Address: f��� ( �����✓`` S� State Bond #:
City: �✓���1'�/ Zip: S_��J � Expiration Date:
Phone: � � � 1 �� f q �l Alternate Phone:
� Insurance — Current:
Page 1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT 1sT 2N0 OTHER •
TYPE Floor Floor TYPE Floor Floor
Water Closet � Floor Drains
Lavatory Z Sewer Ejector
Bathtub t Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE '` is 1.25% of contract price with a (Minimum Fee of$50.00) l��
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� 6��, ,.
�� x .0125 $
(cont act price) (minimum $50.00)
2. STATE SURCHARGE
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x .0005 $ `
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2•
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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.
PLUMBING PERMIT APPLICATION AGREEMENT
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 o is appli tion are complete, true and correct.
. /
Applicant's Signature: Date: y�/ Z/ � �
Buifding Official/ Inspector: Date:
Page 2
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CITY OF ORONO cnLLED IN /
INSPECTION N C �IEDULED �
PERMR NO. � 1�C0 ED
ADORESS
OWNER T LEPHONE NO
CONRRACTOR
�'' DESCRIPTION
❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL
Q � POURED WALL BING RI � EXCAV/GRADING/FILLING
`f ❑ FOUNDATION WATERPROOF LUMBING 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOI�fTRACTOR TO MEET YbU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE
� �ORRECT VMORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOMERINd PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOFi ��TATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN ror u�e next tnspect�on 2a hours�n ad�rance. (952) 249-4600
oNmerlcontractor on site:
I�spector: �j'"=�y
WMte CopyAnsp�ctors Flb C�n�ry CopylSib Nodee
Ce 5°'.- 6‘2.'e Z
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE G, SCHEDULED 7/21 J a o
PERMIT NO.01017 ( COMPLETED
ADDRESS 'OSI �pyl'Jie L...._.
OWNER TELEPHONE NO.7b3 757 ImoJ
CONTRACTOR 8OI P/i4 5-teae_
DESCRIPTION
Pthg ',14
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
5 ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOFNLUMBING FINAL 0 TREE REMOVAL
Q
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
c• COMMENTS:
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W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
El 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. (952) 249-4600
Owner!Contractor on site:
Inspector. ,6-- t..---2-.
White Copylinspector's File Canary Copy/Site Notice