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:
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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:
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Contractor: �� Contact Person:
Address: �� �� � ��0� 5� _ '� State Bond #: _��- � �0 3 `� �'
City: ���I� {����'�� Zip: S� d � � Expiration Date: �� .�1 I 7
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Phone: � �� � � � � � � U Alternate Phone:
❑ Insurance — Current:
Page 1
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.
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
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� �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
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� 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
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE � SCHEDULED ��--�-�
PERMIT NO. %G I 7 -�C��' COMPLETED �
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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:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ RRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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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