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HomeMy WebLinkAbout2014-00705 - plumbing r . CITY OF ORONO * Z 0 1 4 - 0 P1 7 PJ 5 * 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1575 MAPLE PL PIN : 08-117-23-33-0032 LEGAL DESC : CRYSTAL BAY VIEW : LOT O10 BLOCK 006 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS, (1)FLOOR,(1)WASHER AND(1)WATER HEATER VALUATION OF PLUMBING 13000 APPLICANT PLUMBING FIXTURE FEE 162.50 STATE SURCHARGE PLBG(VALUATION) 6.50 NORTH ANOKA PLUMBING MAIL-1N FEE 2.00 22590 RUM RIVER BLVD.N.W. MN 55070- TOTAL 171.00 (763)753-3373 Payment(s) CHECK 18652 171.00 OWNER Maple Place LLC 550 25TH AVE N ST. CLOUD,MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �`�r� 7 / Cl l/ Applicant e rtee Signature Date Iss d By Signature Date FO CI LJSE ONLY / City of Orono / �ON\ P.O.Box 66 Date Receiv� � Permit#� 7� � � 2750 Kelley Parkway rV Crystal Bay,MN 55323 Approved By: Amount$:�L�% � � (952)249-4600—Main �' � (952)249-4616—Fax ���` �� CITY OF ORONO-PLUMBING PERMIT ��kE�sH���� (All Commercial Permits Must be Approved by the State Prior to City Approval) - htt �:l/�������ti�.dli.mn. o��/CCLD/PDF/ c �lumb lan►•c��.> > . df GENERAL INFORMATION L 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 RECENE 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 prior apnroval and may need(_L P.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: , �� � �f/��1n�,e �'n,,C e, Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � • `�,,��¢ 1')u v,��•L� C ntact Person: I �v eh�CNl�s=r,-n N tr-� Address: 2Z�`l U 12�.,-,.,,,12...�',,�e..., 13�,Q State Bond #: �C lp y Z 8 � �{ City: � .�Vu-ti.c.,S Zip: �7vExpiration Date: 1�-`"3 \� �� Phone: �1 l�3 - 7 S 3 -3 3�1 � Alternate Phone: lD I`L --l, l�i - �l 0 3 �1 ❑ Insurance-Current: 1 FIXTURE BSMT 1 2 OT'I�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet 1 � Floor Drains i � Lavatory i ` , f Sewer Ejector ( � �..1 Bathtub � Laundry Tray Shower I ( Washer ( Kitchen Sink ' Water Heater f Disposal Water Softener Dishwasher Wet Bar � Sillcocks ,Z Miscellaneous ❑ Yes,this section applies T'he 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 fi�cture 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 Nezt Page) 2 ' If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) `� O� O X.oias$ � ( �2--�0 (cc tract price) (minimum$50.00) 2. STATE SURCHARGE � O� x.0005 $ �o • ,� (c ntract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ( , � b ■ * 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. 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 al statements made on this application are complete, true and correct. Applicant's Signature: ` lC.l� Date: � — g � � y 3 t CDATE TIME �'�j� �ITY OF ORONO CALLED IN INSPECTION N�OiTICE// SCHEDULED � �11 PERMIT NO. /1�� 7 `�7��COMPLEfED ADDRESS �5 7� ��-�lZ(D �/� . OWNER TELEPHON NO.���Z �a��S CONTRACTOR ��� ��d/LC} �/fam.� � DESCRIPTION ��� u"a" ( ` /�"�� W ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL _ v ❑ DEMO-SITE PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: ' YES_NO � COMMENTS: �— � a _�D� /-�f/ �G�r C'O.GL�•�4G�/' ^ � 1 0 " B �rQGvol W tCl rCsC/� (G� �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑iSSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED caF[�_ T�_REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-460� OwnerfContractor on site: � Inspector. White opyllnspector's Ffle Cenary CopylSite Notice � C� DATE TIME ��/ CITY OF ORO O CALLED IN ,��_� " INSPECTION OTIC�f� CHEDULED 3!9�� /D.�d PERMR N��5"' �7�� PLETED ADDRESS S7 � / L �- �- OWNER _ T EP NO. a� -�75 CONTRACTOR a• � � � DESCRIPTION v� " t~y ❑ FOOTING ❑ DEMO- AL ❑ SEPTIC FINAL � ❑ POURED WALL �UM ING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF UMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRIICTOR TO MEEf YOU:_YES_NO c�.� COMMENTS: a� W C j O � — O � W � � Q ni � W � W � J d W RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑ RRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in adva . 9 -46�� OwneHContractor on site: Inspector: White Copyllnspector's Flle Canary CopylSfte Notke � / r ,� DATE TIM� U CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED i� �n PERMIT N '- '� U� COMPLETED ADDRESS � ��`-� ��-2 t''�� OWNER TELEPHONE NO�O�Z "(���i "703� CONTRACTOR �� `��`�0'`�� �� � � � DESCRIPTION V�S 0.Q � I�Q��. ��� W ❑ FOOTING ❑ DEMO-FINAL ❑ S P IC 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � c�.� COMMENTS: � ��� � � a o �� � s � � O � � O � W � Q � 2 W � w � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WOHK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 2a hours in advance (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Ca ry CopylSite Notice / �� �i"��V � D,yTE TIME CITY OF ORONO CALLED IN C�:��3—��'; / INSPECTION N ICE SCHEDULED �� f�� PERMIT NO. ��5 COMPLETED ' ADDRESS �J� 7 � OWNER TEL PH � NO. � � � � CONTRACTOR �• Q C � DESCRIPTION ty ❑ FOOTING ❑ DEMO- I AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM IN 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: o� W a � � ' O �. � O � W � Q � 2 W � W � J O W ❑WORKSATISFACTORY:PROCEED JECT COMPIEfE � ❑CORRECT 1NORK 8 PROCEED ISS CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfUHN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ Call for the next inspection 24 hours in advance. (952 j 9-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary Copy/Site otice