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HomeMy WebLinkAbout2013-00275 - final re-inspect / �� V � � ���`" /��V p7� TIME CITY OF ORONO CALLED IN -���v•'�-% iNSPECTION NO C � SCHEDULED "� — 7 PERMR NO. � COMPLET ADDRESS v �t OWNER TELEPHONE N . � g 7 � CONTRACTOR � DESCRIPTION - � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI INAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERICONTRACTOR TO MEET YOU:_YE8_NO � COMMENTS:� ! �G�•�U G �Ctce�00✓�• � c�0�vt�.�,s' � �'J1l��l � �� �SDc��.r� ' L'��✓��� 1� c4 <(. � r /'G�.ii S �'��6�, O �. � O Qer N►�� � O�/!{• /a, " �1/�4C - o�r ��/ ? (/�/'J L'L - O/� � /rrt:t r v[G�� � w � j 4�j WORK SATISFACTORY:PFiOCEED rROJECT COAAPLETE � CORRECT YMORK 8 PROCEED O ISSUE CEFiTIFICATE OF OCCUPY\NCY W OO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERINO PERMANENT ❑CORFiECTUNSAFECONDIT10NWffHIN H��- ❑p►{OTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR NSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS. CaN tor the next inspectfon 24 hours in achance. (952) 249-4600 OwneHCoMractor on site: O � Inspector / � � WhIM CapYAnspector's FII� C�nary CopylSit�NWIc� 4 - � lf_e�_ DATE/ TIME CITY OF ORONO CALLED IN ' INSPECTION NOTICE CHEDULED `�� V� PERMIT NO. o2 G/.3-oz2,17&OMPLETED ADDR OWNER � TELEPHONE NO. CONTR TOR DESCRIPTION 61`1 ��_ L W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI AL 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ S PTIC INSTALL _V—_0W_NEik04ffRACTOR TO MEET YOU: YES_NO y COMMENTS: JJJ 0 4 / o W Cc Q 2 W W QC Z) W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Cc ❑CORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ACORRECT WORK,CALL FOR REINSPECTION TEMPORARY CJ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor /n site: Inspector. / L White CopyAnspector's File Canary CopyfUe Notice iiiiiiiiiiiiiiiiiiiiiillillillil CITY OF ORONO * z m 1 5 - ® 3�1u5 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 4440 FOREST LAKE LANDING PIN 07-117-23-24-0017 LEGAL DESC TONKAVIEW GARDENS LOT 012 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: 1 WATER CLOSET, 1 LAVATORY, I BATHTUB, 1 SHOWER, 1 FLOOR DRAIN, I WET BAR, 1 WASHER BOX VALUATION OF PLUMBING 7000 APPLICANT PLUMBING FIXTURE FEE 87.50 STATE SURCHARGE PLBG(VALUATION) 3.50 TJK PLUMBING INCORPORATED MAIL-IN FEE 2.00 13570 GROVE DR#284 MAPLE GROVE, MN 55311- TOTAL 93.00 (651)216-1318 Payment(s) CREDIT CARD 1782 93.00 OWNER CHURCH,JOSEPH 6175 STONE COURT INDEPENDENCE,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applic nt ermitee Signature Date Issued By Signature Date r FOR CFFY USE ONLY City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO-PLUMBING PERMIT KEsHO (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.iiiii.gov/CCLD/PDF/pe plumbp1anrevapp.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) Residential ❑ Commercial(Approval Required) ❑ New /kAdditional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and ma -ed CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: -jam �( tom►`� Owner: U��-�',`J�-U� Mailing Address: City: 0 9 d A � Zip: Home Phone: l �` �G � 7/L/Ulternate Phone: Contractor Information: Contractor: �������� Contact Person: �. S Address: I�5 7C� V(c)✓e. Qf"A*2� PC l�-!7 `l� State Bond#: City: G(,cve Zip:�s3i1 Expiration Date: I Phone: ��)�Z (l l�l� Alternate Phone: ❑ Insurance-Current: '� S /�L) 'V4 1 FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND 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 Sillcocks Miscellaneous / Now- F-1 Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding 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 $ (Permit Fees Continued On Next Page) 2 r PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract rice with ajMinimum Fee of$50.00) x .0125 $ (contr7t price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only 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. PLUMBING PERMIT APPLICATIONAGREEMENT 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: 3