HomeMy WebLinkAbout2017-00488 - plumbing CITY OF ORONO * z 0 1 7 - 0 0 4 S 8 *
2750 KELLEY PARKWAY DATE ISSUED: OS/12/2017
` ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3295 CRYSTAL BAY RD
PIN : 17-117-23-41-0013
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 002 BLOCK 002
PERMIT TYPE : PLUMBiNG
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOf�TYPE : FIXTURES-MULTIPLE
NOTE: NEW: 5 WATER CLOSETS,7 LAVATORY, 1 BATHTUB,3 SHOWER, I KITCHEN SINK, 1 DISPOSAL,2 DISHWASHERS,2
SILCOCKS,2 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WASTER SOFTNER, 1 WET BAR
VALUATION OF PLUMBING 28635
APPLICANT PLUMBING FIXTURE FEE 357.94
STATE SURCHARGE PLBG(VALUATION) 14.32
SPRING PLUMBING LLC MA[L-IN FEE 2.00
11473 KENYON COURT
BLAINE, MN 55449- TOTAL 374.26
(763)614-7963 Payment(s)
Minnesota State License#: plbg-PC643871 CHECK 10567 374.26
OWNER
GREG BLASKO& WHITNEY WINDMILLER
3295 CRYSTAL BAY RD
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 180 days of the date of issuance,or if construction is
suspended for a period of 1 AO days at any time after work has commenced.
The applicant is responsibie 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 Permitee Signature Date Issued By Signature Date
; �pN City of OrOno FOR CITY USE ONLY
O P.O. Box 66 Date Received: �� �-�l Z- `-I �
2750 Kelley Parkway � %
, 1 � Crystal Bay, MN 55323 Permit# �—� � � " C��y��
�\,�� ���� (952)249-4600—Main Approved By: ��
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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.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)
�esidential ❑ Commercial (Approva� Required) [Backflow De�ice: ❑ AVB ❑ PVB]
�'New ❑ Additional ❑ Repairs ❑ Reptace
❑ 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: � � � S �y S� � � ��
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor:
l�l �- �V✓�'� Contact Person: I ��` ��� �( �1
Address: I I � 7 3 ��-��/�" 1 � State Bond #: �e G � 3 � � �
City: I -� � �� Zip: ��� y� Expiration Date: �a �3 I /� �
Phone: �6 3 � �� � -�� � 3 Alternate Phone:
❑ Insurance - Current: ��
Page 1
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� � DATE TIME
CITY OF ORONO CALLED IN =_�� ,
INSPECTION NOTICE / SCHEDULED 7 �
PERMIT NO. -'���� ���� COMPLETED
ADDRESS �`� �S �� -� :� .
OWNER TELEPHONE NO. ^ ���
CONTRACTOR �'_:��a��7 6'K�� ���-t�'�2�.
� DESCRIPTION �/� � ���= J,�
tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �
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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE [� EPTIC INSTALL
2 OWNEAlCONTRACTOR TO MEEi YiOU: YES_NO
� COMMENTS:
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W RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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O O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. `��'�� �'
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FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet a- �-- Floor Drains � j
Lavatory a— � � Sewer Ejector
Bathtub Laundry Tray �
Shower � � Washer �
Kitchen Sink � Water Heater �
Disposal ' Water Softener (
Dishwasher � Wet Bar �
Sillcocks Miscellaneous
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1. CONTRACT PRICE "is 1.25% of contract price with a (Minimum Fee of$50.00)
a e . � 3s-� -- � �
x .0125 $ �� ..�'I
(contract price) (minimum $50.00)
2. STATE SURCHARGE
�� lv �5��� X .000s $ � � - 3a
(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.
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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 ade on this application are complete, true and correct.
Applicant's Signature: �- ��� Date: ��� ���
Building Official/ Inspector: Date:
Page 2
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DATE TIME
CITY OF ORONO cnLLED IN �
INSPECTION NOTICE SCHEDULED 7
PERMIT NO. �� ��7�COMPLETED
ADDRESS
OWNER TELEPHON . � —
CONTRACTOR �
� DESCRIPTION
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ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ S C INSTALL
2 O'WNF.A�CONTRACTOR TO MEET YWI: YE8_NO
� COMMENTS:
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� ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdNERINd PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p f{pT0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
O INSPEC170N REOUIRED.CALL TO ARRANGE ACCESS.
CaN Mr the next inspection 24 hours in advance. (952) 249-4600
OwnerlCoMractor on site:
Inspector. 'w
WMb CopyAnspsctor's FlN Canary CoPYISib NoUa
�� �� DATE TIME
CITY OF ORONO cnLLED IN � �
INSPECTION.CIOTI E � �Q scHeouLED
PERMIT NO� `���� COMPLETED
ADDRESS 3� , �
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CONTRACTOR
� DESCRIPTION `�- ��'^4'"'� �`�
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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
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECiION REOUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspeetor.�!�
Whits CopyAnapector's Flle Canary CopylSlb Noda