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HomeMy WebLinkAbout2017-00161 - plumbing ' CITY OF ORONO * 2 0 1 7 - 0 0 1 6 1 * 2750 KELLEY PARKWAY DATE ISSUED: 02/2ll2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3414 LIVINGSTON AVE PIN : 17-117-23-43-0023 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURES-MULTIPLE NOTE: (1)WATER CLOSEI',(1)LAVATORY,(l)SHOWER VALUATION OF PLUMBING 1800 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.90 JS PLUMBING INC TOTAL 50.90 19701 261ST AVE BELLE PLAIN, MN 56011- Payment(s) CREDIT CARD 2148 50.90 (612)490-2160 Minnesota State License#: plbg-PC690348 OWNER BORG,CARL&CAREN 3414 L[VINGSTON AVE WAYZATA, MN 55391- 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 L80 days of the date of issuance,or if construction is suspended for a period of l80 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. � Y-� � o�la i � Applicant Permitee Signature Date Issued Signature Date ' �p� City of Orono FOR CI USE NLY O P.O. Box 66 Date Received: __��:��r/,7 2750 Kelley Parkway � y > Crystal Bay, MN 55323 Permit# o� � �7 —��J/� �' c`�` (952)249-4600—Main �qkESH04�' (952)249-4616—Fax Approved By: Amount$: �� G/� 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) �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: / ^ \ �j �� �'r Q Site Address: - �l `� (_-iU r Owner: G��.�� �_���- J �e /�j Mailing Address: city: zip: �'S^ � �1 Home Phone: � S� ' � � � ��G� 3 Alternate Phone: Contractor Information: � � !(/�'�L�!%l � ��'-Q-✓��.1� Contractor: �� Contact Person: Address: �� �� � ��0� 5� _ '� State Bond #: _��- � �0 3 `� �' City: ���I� {����'�� Zip: S� d � � Expiration Date: �� .�1 I 7 � Phone: � �� � � � � � � U Alternate Phone: ❑ Insurance — Current: Page 1 �' . FIXTURE BSMT �sr 2ND OTHER FITMPEE BSMT Floor Floor OTHER 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 " 's 1.25% of contract price with a (Minimum Fee of$50.00) � �d� x .0125 $ Id (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� 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 fixedSc stseatas the amount to be cha ged to permitted work including materials, labor, profit, and other 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. The undersigned hereby applies to the Cit ' s�a e of a Plumbing Permit, agrees to do all work in strict accordance with t r i anc ity and th regulations of the State of Minnesota, and certifies that all statem nts ma e is plic i re com lete, true and correct. Applicant's Signature. Date: � a � � Building OfficiaU Inspector: Date: Page 2 �/� � �DA�E� TIME �J CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � � 1, .� PERMR NO. ��- � �� - �! � coM L�TED _ ADDRESS � ` �� OWNER TELEPH E N���— � ��'�'" CONTRACTOR � DESCRIPTION � � "`� l~y ❑ FOOTING ❑ DEMO F AL ❑ SEPTIC FINAL � ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNFR�CONTRACTOR TO MEEi 11�U:_YES_NO y COMMENTS: � � o �°/ ���,�� ��� v�,�rl�r�S J�o� �. � ° /������ ��� W � Q � � � zS��� O� //a-/j/.�� W � W � j � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: ����G �• Whits Copyllnspector's File Canary CopylSite Notke �� �� �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � SCHEDULED ��--�-� PERMIT NO. %G I 7 -�C��' COMPLETED � �.� / 1 ADDRESS `� �/ I �� � /L I f�;S�/�'�3'll r��-' OWNER TELEPHONE NO.������ CONTAACTOR �--J J ���h �, DESCRIPTION � I ����-n���'� �-1+- lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ �PTIC INSTALL 2 01NNERICONTRACTOR TO MEET YOU:�YES_NO y COMMENTS: � � � j - �/-Gw> ��G.�-� � O _ , � Y��/ G � ' '``.`�,�- ° - 1 � ��.r'' �-c,��--c� W � — �c�� � ` (r—�-._ c"��J lpJ Q � W O � W � J W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEfl POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContr�ctor on/sit� Inspector. !� � � VYhite Copyllnspector's Ffle Cenary CopylSite Notke