HomeMy WebLinkAbout2015-00178 - plumbing CITY OF ORONO * 2 0 1 5 - 0 0 1 7 8 *
� ` 2750 KELLEY PARKWAY DATE ISSUED: 02/i l/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1555 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: WATER SOFTENER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 5.00
NORTH ANOKA PLUMBING MAIL-IN FEE 2.00
22590 RUM RIVER BLVD.N.W.
MN 55070- TOTAL 22.00
(763)753-3373 Payment(s)
CREDIT CARD 7809 22.00
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD,MN 56303-
AGREEME1vT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if consWction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
' � .� �.S L�— �+ l L� � / .
App icant Permitee e Date Issu By Signature Date
..� —..--.,,\ C i F,[)NI,Y i / �
f� . City of Orona p� /�
' / �On/ � P.O.Box 66 Dato Receive� LS__ F'ermit
! � "i 275U Kelley Parkwxy ����`
Crystal Bay,Iv1N 55323 Approved By: Amount$�01�
� � (952)249-460U–Main
(952)249-461b–Fax
� `�, _..
CITY OF ORONO—PLUMBING PERMIT
��k�;'ft�i�� (All Commerc.ia(Permits Must be Approved by the State Prior to Crty Apprc�val)
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GENERAL 1NFORNIATION
l. You may apply for plumbing permrts by roail or in person at the City o�ces. Applications wiil be
reviewed and a per�nit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE N�T
VALID UNT1L YOU RECEIVE A YERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS P05TED ON TH�:InB SI'I'E
3. Plumbing pennits rnay be issued ONI..Y to licensed plumbin�contraetors and to properiy owners
residing in the dweliin�;.
4. When any new cpnstruction or remodeling is involved,a separate buildin�;permit must be
obtained.
5. All work must be dvne in accardance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(2448 hour natice required)
� TYPE Ol�P�RMIT
Check All That A 1 )
�Residential ❑Commercial(Approval Required)
�a]New ❑Additional
� ❑Repairs ❑ Replace
❑ In Accessory Structure'
*You wilt need prior aaaroval and may need (:'Ut'.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:.
Site Addxess: � � �S 1ti°�..ra�� � � a-fi.�
Ow-ner: � -�',.�-S ��,-�.� �; lt�iailing Address:
City: Zip:
Hame Phone: Alternate Phone:
Contractor Information:
Contractor: �.! : /�y�..a��„ ��t,t,,�,�1 � Contac,K Ferson: 1�,.�J��m �.�,��-�.
Y ;�-�. �� -Z1'--.
Address: 2 2 S`1 U 1�.w,�ri ��,,�,,., State Bond#: 'P (,.. (� `E 2�$ �-�
A �5�
City: S�� �''f�u'"�e_i� 7.,ip: 1 E�iration Date: 12 f� t ,�- 4�
--�
Phone: ��3 -'"l S� � —�s"�'�� Alternate Phone: t,,��1—(,t•��='�D j'�
❑ Insurance—Current:
l
��_``:`_. '� P�,CTI��N�F��TVRES BEII*l�Z Ii��Tt�LLED -
FIXTURE BSM'T 1 2 OTHER I'IXTiJRE BSMT 1' 2 OTHFR
1'}'p� FL FL TYPE FL FL
Water Closet Floor Draii�s
I.avatory Sewer Ejector
Bathtub Laundry 7'ray
5hower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous �
�'E�tMTT F�E CALCUI,ATIt?N�S) ,
B�ED(�FF -2�}U2�Tl�'TE STATUF,''
� Yes,this seetion applies
The replacement of only one�tesidential fixture or aopliance,thai 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;excludins�fhe cost of the fixture or appliance:and
3. Is imprvved,installed or replaced by the homeawner or licensed pl�mbing contractor.
Skip next section, if this applies; Cost c�f Permit $ 15.00
State Surc(�arge $ S.dO
Mail-In Fee(TfApplicable) $ 2:00
Total Permit Fee $�� (j
(Permit Fees ConNnued Qn Next Page)
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� . .
PE�:1�II'�F����CLT�,�i1'I()l�i(S ;-�C��S t�'�EIR'$5i}i�.l0 -
lf above does nUt apply;follow guidelines below:
1. CONTRACT PRiCE �`is 1.25%of contract price with a(Mfnimum Fee of$50.00)
x.O125$
(contract price) (minimum�50.00)
2. STATE SURCHARGE
x.0005 $
_._ _._.__........._
(amtract pnce) -
3. POSTAG�&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL P�RMIT FE.E(Add Lines 1-3 Above) x
■ * CONTRt1CT PRICE or JOB COST means the actual or estimated d�llar amount charged for the
permitted work including mttterials,labor,profit,and ott�er fxed casts. It is the amount to be charged
to the customer for the work done. 1f 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.
P�,�11VI��G�ERMIT APpLIGA�I�I��C�R��MEI�T `
The undersigned hereby applies to the City for issuance of a Piumbing Permit, agrees to d� all
work in strict accordance with the ordinances of the City and the regulations af the State of
Minnesora; and certifies that all statements made on this application are complete, tr«e and
correct.
Appticant's Signature: Date:_ � - f C�_•~� �
3
DATE TIME �
CITY OF ORONO CALLED IN t?��'/�
INSPECTION NOTICE SCHEDULED �!�--�S oZ'
PERMIT NO. ��� 7(2��7� co PLETED
ADDRESS � �-�
OWNER TELE NO. 7
CONTRACTO
� DESCRIPTION V v�� "-'-
4~j ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTNACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR V1fILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 rs in advance. (952) 249-46��
OwnerlContractor on site•
. inspector:
White Copydnspector's File Canary Copy . Notke