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HomeMy WebLinkAbout2013-00634 - plumbing CITY OF ORONO * Z 0 1 3 - 0 0 6 3 � . 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1121 NORTH ARM DR PIN : 07-117-23-14-0063 LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)SHOWER AND(2)LAVATORIES VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 MINNESOTA MASTER PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00 24128 E TYPO DR NE STACY,MN 55079- TOTAL 51.00 (651)270-5782 PAID WITH CC# 5947 OWNER SOLIE,GLENN 1121 NORTH ARM DR MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of days at any time after work has commenced. The applicant is res si for ring all required inspections are requested in tate Building Code.This permit may be revoke an m �� � ��j ] �/D ermitee Signature Date Issu By ignature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. . - R ITY USE ONLY ' City of Orono �n ��� P.O.Box 66 Date Recei Permit#C�1/�� � � 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: ; Amount$:��r� (952)249-4600—Main (952)249-4616—Fax y�'�q ��` CITY OF ORONO—PLUMBING PERMIT k�sHo� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df 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 properiy 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 ly) �Residential ❑ Commercial(Approval Required) � � ❑ New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��� ,N . `r. �4' �`� " � Owner: Mailing Address: City: ��'�n l7 Zip: Home Phone: Alternate Phone: Contractor Information. ,�7;�nQ�o �s �� f ,/ Contractor: ,�„ ,' � Contact Person: �„)c�S(n /���-�-0� Address: a - i� ti �'./v� State Bond#: T(... C7 7����9 y City: c Zip:��'0�4 Expiration Date: o� O/� Phone: C� � � P � Alternate Phone: � Insurance-Current: 1 , � . , . � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory r� Sewer Ejector s-, Bathtub Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: l. 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 . r �. . v. � ��.��� � ,: ,� . � , � � �� . � „�- �t �<: . ..< < <. v-_..a, �. . �� ;,�� .4 ;�-�N � ���;,,_�� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � x.0125$ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract 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 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. , [ �� t . .,_ _ _ . . x � ; �... _� . � „��� � �� _� �s ,� b�. � ,._ � �.. . 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 o this application are complete, true and correct. Applicant's Signatu e: Date: � 3 3 `-� - DATE TIME ✓ CITY OF ORONO CALLED IN _7 ///3 � INSPECTION NOTICE SCHEDULED PERMIT NO.o�O - cOMPLETED ADDRESS l al � OWNER /n�E�� ONE NO. � -oZ �578� CONTRACTOR 77 � DESCRIPTION � v � � ❑ FOOTING ❑ P U ING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ E ANICAL R ❑ LAKESHOREM/EfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j � /�IIORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE /� " W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site• Inspector. � ��_� -- White Copyllnspector's Ffle Canary CopylSite Notice lyl�j, - �a/3- oaG/S N� — �v�3� ����G DATE TIME CITY O�ORONO l CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO. o�S/,�•C0.SLL COMPLEfED _�� ADDRESS lla?� �YdrfLt /j�/�? Q/'• OWNER TELEPHONE NO. CONTRACTOR ��C G',��� � • � DESCRIPTION —�'3a��I �"�'�'����-� � ❑ FOOTING �LUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��3.EINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �CFOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 �IYNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��—rw.:t ftal���. �'�.�lcQ � uc/l �•' 4' � T��7 p.� !rt 3 l �b,� J O � /�b nlle �l6MdC - O � W P�� s t l�til� d�'o.co C�`S. /�!l � � Q 2 ����Lt� -/�e K�G /KSiGL�Gl%EYt S kJ/1JEl.�. lQ Q�i�i S � D r wi� ��� .o� ��s � � � � W ❑1NORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR W{LL REfURN O CITATION ISSUED �O�STOP ORDER POSTED.CALL INSPECTOR �[rSPECTION REQUIRED.CALL TO ARRANGE ACCESS. i � Ca11 for the next inspection 24 hours in adv nce. (952) 249-4600 OwnerlContractor on site: Inspector: ��� White Copyllnapector's File Canary CopylS{te Notiee v DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�� ' ��y COMPLETED ' ADDRESS /�� / ,JV�r�F .�r�2 �� � OWNER � TELEPHONE NO. CONTRACTOR ����a� ����'� ��- � DESCRIPTION ��!'1 ��� �� � � ❑ FOOTING �'LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 � 0 DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP = 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ D COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ? OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �•T,�=,7 ���' �3 wG,�� W C o �;�.� fu�',sr /sn� .5��-o�s ��' �' �lo� . �4���5 � � 0 � W . � Go r rzcf �/ c.� �! �"o .� ��3p�z��6... Q � � W � j W ❑WORKSATISFACTOR�F.PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN iNSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �eECT10N REQUIRED.CALL TO ARRANGE ACCESS. Ca�l brthe next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector: �`�-� White Copyllnspector's File Cenary CopylSfte Notics � �� DATE TIME � CrTY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED � � PERMIT NO. 3�d°�'�� COMPLETED ADDRESS � � 2' � / v ` � 6'� V1/) 6�� OWNER cJ' TELEPHONE NO. L2I��o.���,�_--`�,�,r[ .. CONTRACTOR � DESCRIPTION �` �'�'�� ���"'""" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL 2 OWNE�O�CTOR TO MEET YOU: YES_NO � COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANEN7 ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice 4 � � � �� DATE TIME (�' CITY OF ORONO CALLED IN li�'� INSPECTION NOTICE CHEDULED � — �� PERMIT NO. c�d l 3-DD(G�J�OMPLETED ADDRESS ��� �V• , OWNER � TELEPHONE NO.����� , CONTRACTOR � DESCRIPTION ' ` � O FOOTING , �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL i�� MECHANICAL RI p LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ f-0UNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET 1�U:_YES_NO c�., COMMENTS: o� ` � /'ed��ce.S� ,rr�c.s✓� ir�, �l.. L . ,�`-� — � � �' �Bl� � �I� � ��4 wd�.t� L�D�✓s`''y, � 4� � SceDP 1�� �JD�� W � � 2 r�vK.earwr�e✓ -i+5 C6 +�� c,r�— �a�ro�¢l � ����t�er � ge,� t� rit�1c , d � �� �;�� � � W ❑VYORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. (/�- all for the next inspection 24 hours in advance. (952) 249-46�� Owner ctor on site: �� nspector: w-~ White Copyflnspector's File Canary CopylSite Notke