HomeMy WebLinkAbout2017-00281 - plumbing CITY OF ORONO * 2 0 1 7 - e 0 z e 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017
� ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2060 NORTH SHORE DR
PIN : 10-117-23-31-0003
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTI01�1 TYPE : FIXTURES-MULTIPLE
NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(1)SHOWER,(1)BATHTUB,(1)WASHER
VALUATION OF PLUMBING 5500
APPLICANT PLUMBING FIXTURE FEE 68.75
ALL PRIDE PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 2.75
21977 HEIDELBERG ST NE TOTAL 71.50
STACY,MN 55079- Payment(s)
(651)775-0545 CHECK 5915 71.50
Minnesota State License#:cont-PC644027
OWNER
GODFREY,LYLE&NORMA
2060 NORTH SHORE DR
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 pertnit is for onty the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws 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 l80 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 appiicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any tim ue cause. �
0.3-.�.7/7 � ��7� l �
Applicant ite Signature Date Issued B ignature Date
c � �
���p� City of Orono FOR CITY USE ONLY � I
�� P.O. Box 66 Date Received: od0/`7 —�Z `
�, � ''� 2750 Kelley Parkway
y �/ Crystal Bay, MN 55323 Permit# �— Z7 J�7
� (952)249-4600—Main
���k f s H�aE/ (9 5 2)2 4 9-4 6 1 6—F a x Approved B y:
� � Amount$: � �
CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:/Iwww.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 wilt 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 TME 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 invotved, 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)
(�esidential ❑ Commercial (Approval Required) [Backflow Device:�AVB ❑PVB]
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need arior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article t�
Job Site/Owner Information:
Site Address: ��6� ,ya��� �SiCa�/�� ,t:�,/c',
Owner: 1-y/e Goq��/2 e 5/ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Con#ractor. _�/r,�iei�� ,p/���i h� Contact Person: � /eS/���
Address: 0?/�7�f��i��d{�5 ST.�lO�" State Bond#: �G��`?�p� .7
City: S7��L� Zip: 5.��79 Expiration Date: 1��31 ��7
Phone: ���K 7 75 ~�s �s Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2"D OTHER
TYPE Fioor Floor TYPE Fioor Floor
Water Closet � Floor Drains
Lavatory a Sewer Ejedor
Bathtub Laundry Tray
Shower Washer `
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillc�dcs Miscellaneous
'�.. ,.�-'�F� i•�,,, lb f /k fi�4 1
1. CONTRACT PRICE 'is 1.25%of cor�trract price with a(Minimum Fee af�5Q.00)
�,.� , S db, � x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
x.0005 $
(c�ntract prioe)
3. POSTAGE�HANDLING (Only on Mail-In Apptications) $ 2.00
4. TOTAL PERMR FEE(Add Une.s 1-3 A�ve) s
* CONTRACT PRICE or JOB COST means the aCtual or estimated dollar amourrt cha�ged f� tF�
permitted wo�ic including materials, labor, profit, and other fixed costs. It is the amount to be charged to
the customer for the work dor�. If any material, equipment, labor or installations are fumished by the
owner, tenarrt or any other party, the reasonable market value of such items must be added to the
estimated cost or contrad price for �it fee pu�Oses. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed oopy of the actual contract.
, F�t. _ ;,, �` , `
The undersigned hereby applies to the City for issuance of a Plumbing Pem�it, agreeS to do all work in
strict acxordance wi� the ordinanoes of the City and the regulations of the State of Minnesota, and
certifies that all statements made on this application are complete, true and correct.
ApplicaM's Signature: Date: d3 �7�� 7
Building OffiaaU Inspector. Date:
F�e2
� �� �
DATE TIME
CITY OF ORONO CALLED IN � - �
INSPECTION OTICE �7 SCHEDULED
PERMR NO. � �7-�G� COMPLETED
ADDRESS �' ���� ��'
OWNER �TELEP NO
CONTRACTOR � � �
� DESCRIPTION -
ty ❑ FOOTING ❑ DEMO AL ❑ SEPTIC FINAL
Q ❑ POURED WALL PLUM G RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ UMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNEWCONITRACTOR TO MEET YOU:_YES_NO
� COMMENT'� � I/�S!!4G
� ��r.�aDdl- ,6a�/4 - -� l�st _�.Z`Lt
o ,or�� - PV� ��. 40 �,�� �
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W�ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
0 �CORRECT WOFiK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERINO PERMANENT
❑CaRRECT UNSAFE CONDITION WRHIN HOURS. p p�{pT0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
can ro�tne�ext insPect�2a no�,�s�a�e�ce. (952) 249-4600
on site:
Inspector:
AnspscMr's Flle Cenary CopylSit�Nodce
�U� � DATE TIME �
CITY OF ORONO CALLED IN 6e�
INSPEC�O�I���' SCHEDULED .
PERMIT , COMPLEfED
ADDRESS �CX�� � S�
OWNER l�l� ��� _ TELEPHONE NO.�� �' �y���
CONTRACTOR �"1:`��� �` ���c�
� DESCRIPTION ��'�
�y ❑ FOOTING ❑ DEM ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF �UMBING 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERlCOI�fTMCTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PFiOCEED ���S�U ECT COMPLETE
W ❑OORRECT WORK 3 PROCEED ❑I E CERTIFICATE OF OCCUPANCY
� ❑COFiRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i PERMANENT
❑CORRECT UNSAFE CONDI710N WITHIN HOURS. p p�{pT0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECT�i ��AT10N ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
can ro�a��xt�,s�tro�za na,�s���e. (952) 249-4600
on site:
Inspeator: ��� �
WhiN CoPY�aDector's Ffla C�mry CopyfSib Notiw