Loading...
HomeMy WebLinkAbout2014-00366 - plumbing � " CITY OF ORONO * Z 0 1 4 - 0 0 3 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2014 ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1065 LINDEN LA PIN : 07-117-23-14-0066 LEGAL DESC : LINDEN BEACH : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(5) SILLCOCKS, (4)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR VALUATION OF PLUMBING 35590 APPLICANT PLUMBING FIXTURE FEE 444.88 STATE SURCHARGE PLBG(VALUATION) 17.80 SPRING PLUMBING LLC MAIL-IN FEE 2.00 11473 KENYON COURT BLAINE,MN 55449- TOTAL 464.68 (763)614-7963 Payment(s) Minnesota State License#:plbg-066807 PM CHECK 9549 464.68 OWNER KUZNIK,TONY&CARRIE 10690 ZIEGLERS DRIVE BROOKLYN PARK, MN 55443- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate pertnits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 SO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � C � � �5�i Applicant Permitee Signature te Issu By Signature Date ' FO C�USE ONLY ����\ City of Orono ������ P.O.Boa 66 Date Rece � Permit#����� � 2750 Kelley Parkway d � 1 Crystal Bay,MN 55323 Approved By: Amount$:��[�6 f 1 1 c9sa>2a9-asoo-r��n �f � � ' I (952)249-4616—Fax F �� CITY OF ORONO—PLUMBING PERMIT �C�KESH���� _ / (A l l Commercia l Permi t s Mus t be Approv e d by t he S ta te Prior to Ci ty Approva l) hit �.ih�i�����.d`Ii.mn.�or1C('l.t)JND(�l�e �lumt> >I����revx��.�df 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. Z. 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 PERiV1IT 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 A 1 �]Residential ❑Commercial(Approval Required) � � �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior apuroval and may need Cti P. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Infonnation: Site Address: � � � S� �r`��� �-u--�`�- Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �L/�-/'J� Contact Person: � /��''-�� <��� Address: �,� �(�I 3 IC�/l�'I!/1� � State Bond#: Pl�. �D� 3��� City: Zip: '����Expiration Date: 1���/ S� Phone: ��3'�D�N`���3 Alternate Phone: [�,_Insurance—Current: 1 PLU1�IlrTG FLXTUI�t,�S BEI�TG INST I�E13 '` � FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavatory Sewer Ejector Bathtub 1 Laundry Tray I Shower ` Washer I Kitchen Sink 1 Water Heater ' � Disposal 1 Water Softener 1 Dishwasher ` Wet Bar 1 Sillcocks � Miscellaneous pE����c�.eut�A�+�rr( 3 BRSED OFF-2402 S'TA'I'E�TATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. D no require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the�xture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surchar�e $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S (Permit Fees Continued On Negt Page) 2 . . • ` FERMIT FEE C�ILCUL,�.TIt?N � �-�OBS 4 R$�t�0,00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of S50.00) 35; ��� . o� X.o�25� �l � � . e� �(contract price) (minimum$50.00) 2. STATE SURCHARGE �S i �G O. � � ` Q � � x.0005 $ I U (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ "1 � N . � V ■ * 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, eyuipment, 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. PLUIV�I�+tGr PERMIT APPLICA�"IC)N�.C�' : 1V�I+�'F The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a11 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: �C�" '�Date: � y I 3 �v � D TE TIME V CITY OF ORONO cALLED IN � INSPECTION NOT E SCHEDULED — � � PERMIT NO. � COMPLEfEO ADDRESS l�� L!nQ��t�C L,�CfL- OWNER TELEPHONE N0.7� �7� 7/yg CONTRACTOR �����'✓� � � DESCRIPTION �/���� � � ❑ FOOTiNG ❑ PLUMBING FI XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS "j ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE�R`�MOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE IFISPECTION Q � RAD SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FI ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q = EMO-FINAL SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10WREMOVAL OW NTRACTOR TO ET YOU:_YES_NO � COMMENTS: � j 0 �. � 0 W � Q � 2 � W � j d W WORKSATISFACTORY:PROCEED ❑PROJECT COMPIETE W ❑ RRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours i a ance. 9-4600 OwnerlContractor on site: Inspector: White CopyAnspector's File Canary CopylSite Notke �`�� � ✓ �,�-'.-- qT TIME CITY OF ORONO CALLED IN �'� _� INSPECTION NOTICE'/ scHeou�E� ' � •�� PERMIT NO. O?�� Y"_G���'COMPLEfED ADDRESS �D [-c ��� 1 C L OWNER EPHONE NO� � 7�5 7 CONTRACTOR � DESCRIPTION � �� ^ �� ��-'' W ❑ FOOTING ❑ PLUMBING RI AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANI RI ❑ LAKESHORENVETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC�NSTALI ❑ HARD COVER REMOVAL v �lFLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEETYOU:_YES_NO c�.� COMMENTS: a 1'�_lr.j� i/r ��/G 5��. �� o S � �►✓ �es� lS �tb��Ko ' �. � 0 � W � Q � 2 W � w � j W KSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca next ins ' 24 hours in advance. (952) 249-4600 Own Contracto ite: Inspecto . - '-�' White Copyllnspector's File Canary CopylSite Notice <_5�' / ATE T�ME/ CITY OF ORONO ��CALLED IN � -� ' � �` INSPECTION N I E SCHEDULED �� �— � PERMIT NO. co LETED , ADDRESS I�.1� 0��,/rl�LN l 7{/1./(.2� OWNER EPHONE N0.7�'OC�� CONTRACTOR , � DESCRIPTION � � � � ❑ FOOTING �LUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA I ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:✓1'l�!/�� " �S hL����1iT W a � .�D�� �E�arL 19r DC cc w� �c��r�o� �aue � �. �-,— � /�S�! S u�rt�J d�T L�FfG/ls�L � .�l�r.N/J�15�2¢' � (�bLe✓ r •� G10 ,��G�s�l� 64.S�Ce�S,� W � Q �' n Z (�7 l����s� '�t�7 ��D �a. �4/ivt r lj M�r�od�st - W2e�rcp�e rba� ve� CdOS � � /2e�6 � ' Gp rr�� —t /J�i..�-� �•r.l.iA j � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE �RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlConVactor on site: Inspector. � � O�" ��"r� , '-- White Copyllnspector's File Canary CopylSite Notice