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HomeMy WebLinkAbout2016-00236 - plumbing � i CITY OF ORONO * z 0 1 6 — 0 0 2 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 517 FERNDALE RD N PIN : 36-118-23-14-0007 LEGAL DESC : LINPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 WATER DOCTORS MAIL-IN FEE 2.00 8201 CENTRAL AVENUE TOTAL 52.25 SPRING LAKE PARK,MN 55432- (763)535-1800 Payment(s) Minnesota State License#:mech-WC645002 CREDIT CARD 8557 52.25 OWNER ANDERSEN, STEVEN& STACIA 517 FERNDALE 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 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. I 1},� ,��j��(Li� �.� � ��� ; /��u `{s�, =J-� i y�i Applicant Permitee Signature Date Issued By Signat�re Date Mar 11 1 F.10:23a Water poctors 7635351805 p.1 �q�� r�•eJ , � � �� ,�p�`�., Cify of Orono FOR CITY USE ONLY � z P O. Box 6E � Date Received: ��—i�—/(r� t� 275�Kelley Parkway � ',y\� �i Crystal Ba y,MN 55323 Permit# Z�' !�'— �U�.`-�� .�'�'� �,> (952)249-4600—Main �`� ��s����%' (952}249�616—Fax Approved By: Am�unt$: ?a • ��`-� CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http:f/www.dli.mn.qov/CCLD/PDFIpe plumbplanrevapp pdf GENERAL fNFORMATION 1. You may apply for plumbing permits by mail or in person at the City offces. Applications will be reviewea anc a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review i5 compJeted. PERMITS ARE N07�VALIa U NTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CAR� IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners �esidirg in the dwelling. 4. When any new canstruction or remodeiing is invofved, 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 couered. Call (952)249-4600. (24-48 hour notice required) TYPE �F PERMIT(Check All That Appiy) f�' Residential ❑ Commercial {Approval Required) [t3ack�tow[7evice:❑AV8 �Pv[3) ,�New ❑Additional ❑ Repairs ❑ Repface [] In Accessory Structure? "You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/Ownef InfoITnation: � Site Address: �/ � ,T--�Vy1�� Owner.�/;�q �,T._�j�D��Mailing Address: Gity: Zi p: Home Phone: Alternate Phone: Contractor Information: � Contractor:LX/a.� ���rrS Contact Person: Address: �o�p/ �'�n�✓��C�'.-e /U � State Bond #: ����l SD�� City:�rr� �/�� �i� Zip: S'S�3� Expiration Date: Phone: 7C,.�- S`3S—«�U Afternate Phone: ❑ Insurance -Current: Fage� Mar 11 1� 10:23a Water poctors 7635351805 p,2 � :_'; "_. - : �LL1�VI81NG FtXTt�R�S B€��1�INST�LLED ., ; FIXTURE , BSMT 1sT 2"o OTHER FIXTURE BSMT 1sT 2ND pTHER TYPE Floar Floor TYPE Floor Floor 1Nater Closet , Floor Drains I Lavatory � Sewer Ejector Bathtub i Laundry Tray 5hower Washer Kitchen Sink Water Heater ' Disposal Water Softener Dishwasher Wet Bar Sil Icocks ' Miscellaneous ' , F'�f�MfTfE� GAi.C�1LAT[D�J. . . ' 1. CONTRACT PRICE *is 4.25% of contract price with a(Minimum Fee of$50.00) �^� x .0125 � (contract price) (rninimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE�HANDLING(Only�n Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $ " CONTRACT PRICE or JOB COST means the actual or estimaied doflar amount charged for the permitted work including materials, labor, profit, and other fxed 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 o�er party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. I� the event that there is a dispute on the amaunt of the job c�st, the City may request the submissian of a signed copy of the actual contract. P�UNIBENJ� PERAtItT APPL1£',ATION l�k,GREERIlENT - The undersigned hereby appfies to the City for issuance of a Plurr�bing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifes that all statemenfs mad on this appli re mplete,true and correct. Applicant's Signature: Date: Buildir�g OfficiaU Inspector: Date: Page 2 �, � �� �Q� _,,,�-. /' �`�`_ � ^p/�7E ' �,;; TI� CITY OF ORONO CALLED IN � -� INSPECTION,A����r /q/� CHEDULED �� `D: PERMIT NO.�� ��� MPLETED __� ADDRESS OWNER LEPH E NO?�� ���5-�g� CONTRACTOR C-�� � � DESCRIPTION � . - 6��� � '�� ty ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING ❑ 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 4! ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNE RACTOR TO MEET YOU:�YES_NO � COMMENTS: � • a A��/ � d�/'ur�dc� � � J � LJ6� e Co /YII��C ' ,�Cc���«1�i �',K��2 � OO W � Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAII FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE COND�TION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractoron site: ��G�i�'i Inspector.��� White Copyllnspector's File Canary CopylSite Notice �L � �' c�.�$— , � CITY OF ORONO CALLED IN � —�E /� TINfE INSPECTION���/�„r/f4 CHEDULED �� ��' PERMIT NO. � �� MPLEfED � ADDRESS OWNER LEPH E NO?�-3 �'��S-�g� CONTRACTOR y� 7 . � � � DESCRIPTION - ��� ' � �� ty ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING ❑ 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 �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNE RACTOR TO MEET YOU:�YES_NO � COMMENTS: � . a GI�r �Y�tl�O �!'c�r�!Je� � � J � l.Ja� L' Co i✓1/��C ' ,a�%��i �'.vt�� � O � W � Q � 2 W � W � J d W� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑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 ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractoronsite: �'�Cv� r Inspector.T�i � �"r L. White Copyllnspector's File Canary CopylSite Notice