HomeMy WebLinkAbout2017-00050 - plumbing CITY OF ORONO * 2 0 1 7 - 0 0 0 5 0 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: 02/OU2017
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 680 NORTH ARM DR
P[N : 06-117-23-43-0002
LEGAL DESC : AUDITOR'S SUBD.NO. 362
: LOT 001 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: ADDING&REPLACING FIXTURES:2 WATER CLOSETS,2 LAVATORY, 1 BATHTUB, i SHOWER
VALUATION OF PLUMBING 6000
APPLICANT PLUMBING FIXTURE FEE 75.00
STATE SURCHARGE PLBG(VALUATION) 3.00
GIRARD, BRIAN& SANDRA TOTAL 78.00
680 NORTH ARM DR
MOLJND, MN 55364- Payment(s)
CHECK 10462 78.00
OWNER
GIRARD,BRIAN&SANDRA
680 NORTH ARM DR
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shali be performed according to
the approved plans and specifications,applicable City approvals,and the
S[ate 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�uilding Code.This permit may be /�, �`
revoked at any time for due cause. -- � r/L /
�
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� / / �
pplica Permitee Signature Da [ssued By Signature Date
�p� City of Orono FOR CITY U E ONLY
�.. O P.O. Box 66 Date Received: j -1
, 2750 Kelley Parkway
Crystal Bay, MN 55323 Permit# �(�i ��� - ����;���C::�
� c,` (952)249-4600-Main
��A'�fSH�4� (952)249-4616-Fax Approved By: _ ��.1�
Amount$. l ) ' . �C'
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli mn qov/CCLD/PDF/pe plumbplanrevapp pdf
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 working 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 Apply)
❑ Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB)
❑ New �dditional ❑ Repairs �Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
Site Address: (�� ����Gf� ���'cr
Owner: Y�tv�-!� ( -�(�.'�°-� Mailing Address: c��� ��� /I/ /�°wt �/L
City: �6u� � Zip: S ��� �
Home Phone: �1SZ- 7`�5-��/� Alternate Phone:
Contractor Information:
Contractor: Contact Person: ���l4iU (�j /�26�.r�
Address: State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone: /2 7�c�-�2/�
❑ Insurance - Current:
Page 1
PLUMBING FIXTURES BEING INSTALLED
,�
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER �
TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory � Sewer Ejector
Bathtub l Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
, �`, �` ;,
„� QOO X .0125 $ � '
(contr ct price) (minimum $50.00)
2. STATE SURCHARGE
,; `�,'
�� r�
x .0005 $ i
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2� �
j l ,� t i;
4. TOTAL PERMIT 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. 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.
PLUMBING PERMIT APPLICATION AGREEMENT
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 lete, true and correct.
Applicant's Signature: / � Date: f
Building Official/ Inspector: Date:
Page 2
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � - i- i� / :oo
PERMR NO. a0�� -�5 d COMPLETED a •i- i�
ADDRESS �SO ��t/. ArN'� D�-
�NNER TELEPHONE NO. �a" �� ` ga��3
CONTRACTOR
� DESCRIPTiON ���i'- �y •
4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
? 01MNERlW�fTRAC'fOR TO MEET Y�U:_Y'E$_NO
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� �K SATiSFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFIC/�TE OF OCCUPANCV
� O CORRECT WOFII(,CALL FOR REINSPECTION TEMPORARY
V BEFORE OdNERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CsN for tl�e next inspection 24 hours in advsnce. (952) 249-4600
OwmerlContrsator on site:
Inspector: �-'
1Nhite CcDYAnsp�ctor's FII� �Mry�P1►fSN�NoNc�
7
V
TE TIME
CITY OF ORONO CALLED IN //
6
INSPECTION N CHEDULED - -l- -5.` d
PERMIT NO. �� OMP ED
ADDRESS M 11 - In v
OWNER P an IrG TELEPHONE NO.'l "730—%
CONTRACTOR n
DESCRIPTION J =/
W ❑ FOOTING 0 DEMO AL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE ❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
- ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
- OWNERICONTRACTOR TO MEET YOU: YES NO
COMMENTS: Otwi SGL, p v c... •Gar
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W N/ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
From: gnelson@oronomn.gov
Sent: 06/26/2023 - 10:28 AM
To: gnelson@oronomn.gov
CC:
Subject: Inspection Report Individual
CITY OF ORONO
2750 KELLEY PARKWAY
ORONO, MN 55356
PH: (952) 249-4600
FAX: (952) 249-4616
Inspection Report
680 North Arm Dr
Permit Number: 2017-00050
Site Address: 680 North Arm Dr, , MN 55364
Property Owner:
Description: PLUM RESI MULT
Inspection Date: 06/26/2023
Inspection Type: Plumbing - Final
Inspection Results: Permit Finaled
Sincerely,
Gary Nelson
952-242-4442
To schedule your inspections please call: (952) 249-4600
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETY!