HomeMy WebLinkAbout2017-00114 - plumbing � CITY OF ORONO * z 0 1 7 — 0 0 1 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: 02/07/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3215 LAFAYETTE RIDGE CT
PIN : 17-117-23-44-0088
LEGAL DESC : LAFAYETTE RIDGE
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIV TYPE : FIXTURES-MULTIPLE
NOTE: REPLACE: 1 WATER CLOSET, 1 LAVATORY, 1 BATHTUB
ADD: 1 LAVATORY AND 1 SHOWER
VALUATION OF PLUMBING 4100
APPLICANT PLUMBING FIXTURE FEE 51.25
STATE SURCHARGE PLBG(VALUATION) 2.05
PRECISION PLUMBING&HEATING INC. TOTAL 53.30
4124 MACKENZIE CT
ST. MICHEAL, MN 55376 Payment(s)
(763)497-7486 CREDIT CARD 9782 5330
Minnesota State License#: plbg-PC643806,mech-MB004099
OWNER
WYERS, DAVID&ANN
3215 LAFAYETTE RIDGE CT
WAYZATA, MN 55391-
AGREEMENT AND SWORIY STATEMENT
The work for which this permit is issued shall be performed according ro
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 I RO 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 ermitee Signature Date Issued By Signature Date
�pr� City of Orono FOR CITY US ONLY
O P.O. Box 66 Date Received: � �7
2750 Kelley Parkway , /
-� �. Crystal Bay, MN 55323 Permit# ,�- � � --- ` j ( � `��
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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 adf
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)
0 Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New �Additional ❑ Repairs �eplace
❑ 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: 1�(5 ���fi� y�TTz ����G e� �T
Owner: R lv/� � ��v-c� �„�yt f� Mailing Address:
c�ty: L✓1y z�,r�ti z�p: s5 ��1 I
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ���<<�,v� ���w, h;'r�� ��,C Contact Person:
Address: �I � �-�� h�Llc.,,,z; � C:.T �l/C� State Bond #: ��6�1,3`���
City: � � ✓� ,��,n,I Zip: ,�i� ��-� Expiration Date: ��-
Phone: �E� �- ���l �- ' t`"��� Alternate Phone:
❑ Insurance — Current:
Page 1
;'
FIXTURE BSMT �sr 2ND pTHER FITMPEE BSMT Floor Floor OTHER
-rypE Floor Floor
Water Closet ` Floor Drains
Lavatory a 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% of contract price with a (Minimum Fee of$50.00)
���ad �OD x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
�t�) d o, D� x .0005 $
(contract price)
3. POSTAGE S 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 fumished 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.
ApplicanYs Signature: �� Date:
Building Official/ Inspector: Date:
Page 2
l�� �
"�� � DATE TIME
CITY OF ORONO CALLED IN `�
INSPECTION NOTICE 1�HEDULED �
PERMR NO. r � � ' 1{ /I/GOMPLETED
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ADDRESS _�Z..( � � C� � (<<__`,_ �,- ;u ( �_ _�'
OWNER T PHO ,E NO.����-�g�� ���i�'
CONTRACTOR � -' ' � � � �-�� '� �`�
� DESCRIPTION ��� � �-�`����� ��"--�'
41 ❑ FOOTING ❑ DEMO-FINAL ❑ PTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑ �PTIC INSTALL
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Z OMINERlCONTRACTOR TO MEET YOU: YES_NO
y COMMENT'S:
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W C�'VVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECdVERiN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REUUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspectfon 24 hours in advanoe. (952) 249-4600
Owne�IContractor on site:
Inspector: � �`� `
WMts CapyAnapectors Flle C�nary CopylSit�Notics