HomeMy WebLinkAbout2014-00706 - plumbing ` � CITY OF ORONO �
2750 KELLEY PARKWAY * � 0 1 4 - 0 0 7 0 6 *
DATE ISSUED: 07/09/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : I555 MAPLE PL
PIN : 08-117-23-33-0030
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 008 BLOCK 006
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,
(1)FLOOR DRAIN,(1)WASHER AND(1)WATER HEATER
VALUATION OF PLUMBING 13000
APPLICANT PLUMBING FIXTURE FEE 162.50
STATE SURCHARGE PLBG(VALUATION) 6.50
NORTH ANOKA PLUMBING MAIL-IN FEE 2.00
22590 RUM RIVER BLVD.N.W. TOTAL 171.00
MN 55070-
(763)753-3373 Payment(s)
CHECK 18651 171.00
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD, MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
"" l / / �
Applicant Permitee ignature Date Issue y Signature Date
1 F R CIT U � ONLY
��O A r�\ City of Orono � ,Q(p
�y \ P.O.Box 66 Date Received: Permit# ��
� � \ 2750 Kelley Parkway
�, Crystal Bay,MN 55323 Approved By: Amount$:��
� � (952)249-4600—Main
� %� �� (952)249-4616—Far
w�" c�` CITY OF ORONO-PLUMBING PERMIT
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�KF.s N���� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval)
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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 warking 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 A 1 )
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior aqproval and may need('l P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: � � s� M Gt:��� P I(A.0-e.
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
,/� I ���• , /'� �
Contractor: N . ���t'� v.n�rt�•1^4�ontact Person: �ll�l Y� J�t-'I�S-t-'t��-
J ,� `� N.� I
Address: �Z2'S�1 p �-�w. ���'+ State Bond#: ��- l, `(2� g `
City: S'�� ��C�1�c�S Zip:-S�d1�Expiration Date: ��-�3 t �� �
Phone: � �� '� S��3 3 7 3 Alternate Phone: � 1'Z-l� I �1 -� o�1
❑ Insurance-Current:
1
FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OT'I�R
TYPE FL FL TYPE FL FL
Water Closet I � Floor Drains `
�
Lavatory � Sewer Ejector
Bathtub � Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal ' Water Softener
Dishwasher � Wet Bar
Sillcocks n Miscellaneous
4�
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� 1 �� C7 x.0125$ 1 �o Z...�v
contract price) (minimum$50.00)
2. STATE SURCHARGE
�� � � � � x.0005 $ � • �
"(cdhtract 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 chazged 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.
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 made on this application are complete, true and
correct.
Applicant's Signature. Date: � —g' � y"
3
��� �� q TIME �
CITY OF ORON �� CALLED IN � �
INSPECTION NO SCHEDULED
PERMIT NO. COMPLETED
ADDRESS
OWNER TELEPHONE N�����y'r���
CONTRACTOR
� DESCRIPTION ,
�
� ❑ FOOTtNG �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVEH REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ,�Qd[1 - D��
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Y�FORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Own ontractor on si - �1 ttaTi
Inspector. ��
White Copyllnspector's File Canary CopyfSite Notiee
� DAT TIME V
CITY OF ORONO cALLED IN �� �o �-
INSPECTION O'jI�E SCHEDULED �
PERMIT NO D�`t'OD7 D Co COMPLEf D
ADDRESS
OWNER TELEPHONE NO.��Z �9 �7S
CONTRACTOR /�l �D�� ���
� DESCRIPTION � �
�
� ❑ FOOTtNG ❑ PLUMBING FIN ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL D �EE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J '�PLUMBING HI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERKbNTRACTOR TO MEET Y�U:_YES_NO
c�n COMMENTS:
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� .�ORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W�O CARRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
00 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RErURN
O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaU forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site: � r GG
�
Inspeator:
White Copyllnspector's File Canary CopylSke Notke
INSPECTION NOTICE
DATE TIME
CITY OF CALLED-IN
- �
,�/ �� SCHEDULED
PERMIT NO. �� ��� 7��' onnP ED�7�i�
ADDRESS !
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OWNER/CONTR.
❑SITE INSPECTION ❑MECHANICAL RI EINSPECTION
❑CONC SLABS ❑MECHANICAL FINAL FOLLOW-UP
❑ FOOTING ❑INSULATION ❑COMPLAINT
❑ POURED WALL 17 RATED ASSEMBLY ❑ FIREPLACE
❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM
❑ FRAMING ❑SEPTIC INSTALL ❑
� ❑S ATHING ❑SEPTIC FINAL �
� MBING RI ❑S&W HOOKUP ❑
� LUMBING FINAL ❑GAS LINE MANOMETER ❑
o CO ENTS:
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� FURTHER CORRECTIONS MAY BE REGIUIRED RMIT FINALED
� ❑WORK SATISFACTORY: PROCEED P OTO TAKEN
p ❑ CORRECT WORK& PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
0 INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on site:
Inspector: