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HomeMy WebLinkAbout2017-00722 - plumbing ` CITY OF ORONO * z 0 1 7 - 0 0 7 z z * 2750 KELLEY PARKWAY DATE ISSUED: 06/28/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2465 NORTH SHORE DR PIN : 09-117-23-44-0012 LEGAL DESC : UNPLATTED 09 117 23 : LOT MB BLOCK MB PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(5)LAVATORIES,(1)BATHTUB,(3)SHOWERS,(3)K[TCHEN SINKS,(2)DISPOSALS,(1)DISHWASHER, (2)S[LLCOCKS, (3)FLOOR DRAINS,(2)LAUNDRY TRAYS,(I)WASHER,(1)WATER HEATER AND(1)WET BAR VALUATION OF PLUMBING 55430 APPLICANT PLUMBING FIXTURE FEE 692.88 STATE SURCHARGE PLBG(VALUATION) 27.72 SELECT MECHANICAL SERVICES INC. 6219 CAMBRIDGE ST TOTAL 720.60 ST. LOU[S PARK,MN 55416- Payment(s) (952)926-4488 CRED[T CARD 4447 720.60 Minnesota State License#: mech-MB003390 OWNER L[NDAHL, B JOHN 2485 NORTH SHORE DRIVE 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 du cause. � ���� � Z� 1� /� �`�� � / �/ Applicant Per itee Signature Date [ssued By ature Date �pN City of Orono FOR CI�Y USE ONLY O P.O. Box 66 Date Received: �P ��'-/� � 2750 Kelley Parkway permit# �� �� — � 7 �"Z` ., ,, Crystal Bay, MN 55323 y� � (952)249-4600—Main Approved By: `qKfSHV�� (952)249-4616—Fax Amount$: 7 �� ` �'�' 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 StTE. 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 ❑Additional ❑ 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: �;��ns �Dl��-/ ,ff/0/�b� „�iQlllbs Owner: ✓d/�� �/.�/D��l'L Mailing Address: 7ylos N��i 5����DI�I� City: ��O�I/� Zip: �.�3�I Home Phone: Alternate Phone: ��Z . 8�/� ���� Contractor Information: S L c Contractor: /`1�CH�4.�llC��- S,��r/1C� Contact Person: G�1�I�1� �,�V.�'L�� Address: ��9 �'AJ�I(j�{D�� S'T, State Bond #: ,PG'!o y Z�2� City: .� GOUL3 P�4� Zip: s�tfl� Expiration Date: /Z .� Phone: 9sZ� �Z�+ �/�}g Alternate Phone: ❑ Insurance- Current: Page 1 . , • PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet R� � Floor Drains �, I Lavatory Jz„� � � Sewer Ejector Bathtub � Laundry Tray � � Shower �„J, � Washer R,1, ( Kitchen Sink 3 Water Heater � Disposal Z Water Softener Dishwasher I Wet Bar I Sillcocks � Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE '` is 1.25% of contract price with a (Minimum Fee of$50.00) .� �S�30. � x .0125 � �9�• S� (contract price) (minimum $50.00) 2. STATE SURCHARGE .�S ���• � x .0005 $ Z �• �Z (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ � 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ n��- �� * 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 Ciry 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 this plic�tion are complete, true and correct. �° ApplicanYs Signature: Date: � Z�' `� Building Official/ Inspector: Date: Page 2 �-� � DATE TIME CITY OF ORONO CALLED IN �T-� INSPECTION NOTICE SCHEDULED �l'�v sz,�: �Q PERMITNO. ZO17�QO�JLZ COMPLETED ADDRESS 4�y�/� Ivor'�1. ��1� �r• OWNER TEL,�PH NE NO.q�z"�Bb��TZ CONTRACTOR SQ��C� Ivl2('GIC�l�ll�i� � DESCRIPTION �I UYYI�IYCC �'L lV� '(�tVIG�E�"S.�'�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:��• ��� " �•W• II• �� SG�- �d ' � �S-� � •� �i e5� /.S ��1�� •c c " J �O ` � � L�C�f�k.�.�" V`�VC ✓�L'QV�rC� � ° ' �Gl !,r.cGpC�'4i''d!�wr� ,/�scx�v �hs.T .�IE` �S�' W / � � f.t�D S���i�'4 ,t�'ll rt�t�� �l>ti'Gr Q 2 r r�� � ��s� � W � � �r��WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE w o c.�'t�ECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau ror the next insPection 2a hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspector: ite CopyAnapector's Flle Cenary CopylSite Notiee �.� ���-i � �+TE TIME CITY OF ORONO CALLED IN � ( _ INSPECTION NOTICE / SCHEDULED �.L7 —/Z. � PERM�T NO. ���J�v�����COMPLETED ADDRESS �`�(v.� �, �'1D/< �ri v� OWNER TELEPHONE P10.�a� ��y���� CONTRACTOR ������� �-�'r���� ���� � DESCRIPTION � `� ���n� ����� �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMINpVCOfITMCTOR TO MEET YWl:_YES_NO y COMMENTS: ¢ � ,D.��„'��. r�.�a��4�k Tsp ��z ��� 0 l;� �.'S' ocw�v �/'v� ��<;v.a•��.�'.�t1e�S a v�� w�'f��n rl S � � �O W � Q � � W 0� ,(� 4T���WORKSATISFACTORY:PROCEED ❑PROJECT COMPIETE � ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY w 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdNERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPEGTOR WILL RETURN ❑CITAT�ON ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Cafl for the r�xt inspection 24 hours in advance. (952) 249-4600 OwnedConlractor on site: Inspector: YYhits CcDYAnspector's Fila C�nary CopylSit�Notke 1/1 J D E TIME CITY OF ORONO ✓~ CALLED IN I /c�� INSPECTION N�7 ,r , DULED C9'--1;%—/-7 lJ ') PERMIT NO. faOMPLETED ADDRESS a ,"5- 0 fl ize OWNER - LEPH9NE NO. 5 8bi ,a CONTRACTOR �/ Lam' vj • DESCRIPTION oh1-cke---- -- 1....W ❑ FOOTING 0 DEMO-Fl go 0 SEPTIC FINAL Li. ❑ POURED WALL LUMBINr Q 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT ✓ 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2• OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: al ,d /14.i . no V ` ,4&s •'z cc a —k- o -14f) ,eeAeri kJ' Alf bs.on o Gou/Jfi4 - I . L_ /sokee,c) & '44 4 fon 4e- i. tnk---- 54-_ cc0 Lu d Pr ,je' 041G /,4tes 2 (eet- 4.--esK_ ,1&ItCtQ W CC 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W BBECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑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 ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: y�_� Inspector. ,' p—' /V— White Copyllnspector's File Canary Copy/Site Notice