HomeMy WebLinkAbout2016-00731 - plumbing » CITY OF ORONO * 2 0 1 6 - 0 0 7 3 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1830 SHORELINE DR
PIN : 10-117-23-42-0002
LEGAL DESC : AUDITOR'S SUBD.NO.356
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:7 WATER CLOSETS, 10 LAVATORY,3 BATHTUBS,3 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1
DISHWASHER,7 SILLCOKS,7 FLOOR DRAINS,2 LAUNDRY TRAYS,4 WASHER, 1 WATER HEATER, 1 WET BAR,3 MISCELLANEOUS
VALUATION OF PLUMBING 54905
APPLICANT PLUMBING FIXTURE FEE 68631
STATE SURCHARGE PLBG(VALUATION) 27.45
STEWART PLUMBING,INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 715.76
ROGERS,MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 715.76
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
TUFAA&NEDIYO SADO,TASHITTA
1224 CEDAR POINTE DR N
MINNETONKA,MN 55305-
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 goveming this type of work
shall be compied with whether or not speci6ed 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 180 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. f�
�� � � U lJ�� C��JI n�-`�`�l� � Z� � �
Applicant Permitee Signature Date Issued By Signature Date
�p� City of Orono Date Recei dR CITrl' J220 LY
o P.o.BoX ss
2750 Keliey Parkway
a - Cry5tal Bay,MfV 55323 PG'�Tlit# 7�l�O����3�
� (952)249-460U—Main
fi�'kcstto4`` (952)249-4616—F2X ApptOVed By.���
Amount$: �
CITY OF ORONO— PLUMBING PERMIT
(Alf Commerciai Permits Must be Approved by the State Prior to City Approvai)
http://www.dli.mn,qovICCLDlPDF/pe piumbplanr�vapp.adf
GENERAL INF�RMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications wili be
reviewed and a permit wil(be issued within two woflcing days.
2. Permit cards will be sent by retum mail after a review is completed. PERMI`fS ARE NOT VAUD
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED pN THE JOB SfTE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to prvperty owners
residing in the dwelling.
4. When any new construction or remodeling i�involved,a separate building permit must be obtained.
5. All work must be done in accordance with State Gode requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(24-48 hour notice required)
TYPE QF PERMlT(Check,All That Apply)
�Residential ❑ Commercial(Approval Required) [Backflow Device:�AVB ❑PVB]
New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
"You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Owner In#ormation:
Site Address: � �.�� ���It���1'�.Q ��.
Owner: Mailing Address:
Gity: Zip:
Home Phone: Altemate Phane:
Contractor Information:
Contractar: iJ l-�'�-�=},�� , � . Contact Person: �-�1�V'�✓7
Address: � �' � � , 5 ' tate Bond#: D(�1���
City: G�� Zip:���^Expiration Date: fo�'���
Phone: ��.�` `1��"� S�� Alternate Rhone:
�Insurance—Current: ��G�I`�
Pago 1
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�`` Pd.:1JM$�'�F���1f���"i;`�����`1N�''��;,� � ��r�
FIXTURE BSMT 1sr 2Na OTHER FIXTURE BSMI' 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Gloset � ��-- � Fiaor Drains ��
Lavatory a Sewer Ejector
Bathtub � � � L.aundry Tray p�
Shower � , Washer � �
Kitchen Sink � Water Heater '
Disposal Water Softener
Dishwasher � Wet Bar �
Silicocks `7 Miscellaneous �
PER�UII?`.FE� C��t�l�'CI�� � �. .
1. CONTRACT PRICE *is 1.25%o#contract price with a{Minimum Fee of$50.00)
�`� ��5� � o X .0,�5 � (��C�� 31
(contract price} (minimum$50.00)
2. STATE SURCHARGE
_ 4:...J�� �Q��C?C� x .0005 $ ��• � �
(contract price)
3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ 2.00
� � �
4. TOTAL PERMfT 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. tf any material, equipment, labor or instaliations 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
amvunt of the job cost, the City may request the submission of a signed copy of the actual contract.
PLUI�tBfN�F�Rlt�t���,����I�f��'�CJf'�J���t�11A�NT, : . ,° �
The undersigned hereby applies to the Ciry for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinances of the City and the regula#ions of the State of Minnesota, and
certifies that all stateme�ts made on this application are comple#e,true and correct.
Applicant's Signatur � Date:�J���
Building Official/ Inspector: Date:
Page 2
/� DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO_N,NOTICE SCHEDULED �� _�����
PERMIT NQ.T����n'��3( COMPLETED
ADDRESS ( ��V ���� C�-�.C1
OWNER TELEPHONE NO. ��'3"`���"( �3 �'
CONTRACT�R �' �_� :�9-r-�-�� ��i .�,���
� DESCRIPTION � '-:�=1'U-��
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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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNEiUCONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContra on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice
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✓ DATE TIME
CfTY OF ORONO CALLED IN 7L���/y�� �
INSPECTION NO CE SCHEDULED
PERMR NO. � COMPLETED
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OWNER TELEPHO�1 ,E. O. �a -� �
CONTRACTOR � �
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPUINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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V BEFORE COVERiNO PERMANENT
❑CpqqEC'TUN3AFEOpNDIT10N WITHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑qTAT10N iSSUED
O INSPEC710N REOUIRED.CALL TO ARRAN(iE ACCESS.
CaM tor the next Mspectlon 24 hours in advanoe. (952) 249-4600
OwnedContrector on site:
Inspecta:
WMt�Copynnspectds Flb can�ry CapylBib Notiw
!�� C�%� DATE TIME V
CITY OF ORONO CALLED IN ---��
INSPECTION OT CE ,� `� SCHEDULED
PERMIT NO. � ' ' / � COMPLETED
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OWNER TELEPHONE NO. ��'�' �a������
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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
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V BEFORECONERIN(3 PERMANENT
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INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: `���
inspector: � �'
Whits CopyAnspactor's Ffl� Canary CopylSib Notia
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CITY OF ORONO CALLED IN "��
INSPECTION IC SCHEDULED '� _y,1+SL=
PERMIT N �7 COMPLETE
ADDRESS � �
OWNER T NE NO. — �
CONTRACTOR
� DESCRIPTION
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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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEET 11�U:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call ror the next inspection 24 hours in advance. 9 9-4600
OwnedContractor on site•
Inspector:
Whits C�yAnspecto�'s File Canary CopyISIM Notks
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�� DATE TIME
CITY OF ORONO CALLED IN -��`7'�`
INSPECTION NOTICE /SCHEDULED
PERMR NO. ' 7-3 COMPLETED
ADDRESS S�O ��% �
OWNER TELEP O. ��� g�g33
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� DESCRIPTION l� l f D�l'�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN
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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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICOI�ITNACTOR TO MEET Y�OU:_YES_NO
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INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspeCtion 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Ins �
YYhite CopyAnapector's File Cenary CopylSite Notiee
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CITY OF ORONO CALLED IN
INSPEGTION NOTICE SCHEDULED ' ��
PERMIT NO. Z Q���OO�3 � COMPLETED
ADDRESS I��O ��OY�'_�I(l� �r•
01AINER ��'�tlG�r''f` ��UI�Lh.TELEPHONE NO.��3 -4 Z8- l�3�
CONTRACTOR
� DESCRIPTION � u�'�/(�� — ���
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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Vj ❑ 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
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Csll for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector:
WMb CapyAnspscto�'s Flle Gn�ry CopylSit�NoNee
DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.ra,,:'>>���n73� COMPLETED S—oZ S'/7
ADDRESS /8 3b S1ro;��li�� 1)�.v�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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Z ❑ RADON SLAB ,LJ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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Z OWNERICOI�fTRACTOR TO MEEi Y�OU:_YES_NO
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V BEFORE CONERINf3 PERMANENT
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INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector: �����- L.
White CapyAnspecto�'s Fflt Caruiry CopplSib NoNee