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.
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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:
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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
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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 '
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�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:
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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
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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
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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