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HomeMy WebLinkAbout2013-01244 - plumbing CITY OF ORONO �0 1 3 - 0 1 2 4 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 1 U26/2013 , ORONO, MN 55356- ,. (952) 249-4600 FAX: (952) 249-4616 ADDR�SS : 3048 NORTH SHORE DR PIN : 09-117-23-32-0004 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BSMT:2 WC,2 LAV,2 SHOWER,3 SILLCOCKS,6 FLOOR DRAINS, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR 1 ST FL: 2 WC,3 LAV, 1 TUB, 1 SHOWER, I KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER 2ND FL: 1 WC,2 LAV, 1 SHOWER VALUATION OF PLUMBING 34800 APPLICANT PLUMBING FIXTURE FEE 435.00 SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 17.40 1 1473 KENYON COURT BLAINE, MN 55449- MAIL-IN FEE 2.00 (763)614-7963 TOTAL 454.40 Minnesota State License#: 066807 PM OWNER KALLAS, KATHRYN D 1 1653 CEDAR PASS HOPKINS, MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and become nuil and void if construction authorized is not commenced wi[hin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. l'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due canse. __���.0`-G"�'�' �. � � / / Applicant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. � _—_.. FOR CITY USE ONLY i����� City of Orono � P.O.f3ox 66 Date Received: Permit# � � � 2750 Kelley Parkway �' Crystal Bay,MN 55323 Approved By: Amount$: � i � (952)249-4600-Main � % �. � (952)249-4616-Fax �\F ..` CITY OF ORONO—PLUMBING PERMIT `��k��►i���'�� (All Commercial Permits Must be Approved by the State Prior to City Approval) -____-- htt�:/hvww�.dli.mn.�Ff���l(�'C'�'�.t)iPi)1•�l�e �iumb �ianre�-a��.�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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTI'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 1 �Residential ❑Commercial(Approval Required) ,� New ❑Additianal ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site!Owner Inforination: . Site Address: � � Y U / " � r� S� � � �r� � Owner: ��1����U Mailing Address: City: � Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��� . � U�� Contact Person: � YJ 1 G`�d Y7 Address: ! � `7 7.3 ���/(/Yl �State Bond#: �� �0 � 3��� City: ���`'� Zip:�yExpiration Date: � v� 3 l�� Phone: `7�a �i— �/�-��° � Alternate Phone: � Insurance—Current: 1 N ' J . PLtJMB1NG.�TCTT;R��BEFI�G IldSTALL�L) ' FIXTURE BSMT 1 2 O'THER FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet ^ � � Floor Drains �/_ � O oC llJ ��atory a 3 a Sewer Ejector c� Bathtub O � n La.undry Tray ll Shower ^ � I Washer ` a�� Kitchen Sink � � � Water Heater � Disposal � � � Water SoBener Dishwasher O ( � Wet Bar l Sillcocks � ,O � Miscellaneous ���c�c���c�.cu�,��orrEs� B�SEI�►C)F�-2002 STATE�'TA'I`�TE ❑ Yes,this section applies T'he replacement of only one R�sidential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a toffi1 cost of$500.00 or less;excludin�the cost of the f'vcture 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 Swcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Perroit Fee $ (Permit Fees Coutinued On Next Page) 2 ,, . . ` PERMIT�E GALCUI.ATI4N S -J4BS U�J'ER��U�?.t�U � � If above does not apply;follow guidelines below: 1. CONTRACT PRiCE *is 125%of contract price with a(Minimum Fee of 550.00) 3 S 0 0 .o� X.0�25$ �l 3S. o J ( ontract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ I � • � � (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 dollaz 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 fumished by the owner, tenant or any other party,the reasonable masket 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. PLUM�3Il�T�'r P�'�t11�II:T APPLICATif)1�1 A�r�:�,rv1��N'�' 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 certif'ies that a11 statements made on this application are complete, true and correct. Applicant's Signature: KJC ��ate: � � J 3 �^� � DATE TIME � CITY OF ORONO CALLED IN < '! - INSPECTION NOTICE SCHEDULED /- 1 - /D.'O� PERMIT NO. - l2 COMPL� ADDRESS O OWNER PHONE NO. - `� CONTRACTOR � DESCRIPTION � � ❑ FOOTtNG ❑ P MB� G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ C NICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: l`-G• � �,6, - a �ki v - �/C �r� �. �� j c�j�� Cj�r` ��f`� �S 1l6lcQ�rc O ,� � W . n� - a� — � Q z �ih�s! iks�i�l� �,Y .o%�cs t�_ � �SCGls�� � w � J d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE W �Gn@RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: �r'�te r-, � Inspector. � Wh Copyflnspector's File Canary CopylSite Notice � � D/�T{, TIME � CITY OF ORONO cnLLED IN 3�� INSPECTION OT CE SCHEDULED �Q-�-� � PERMIT NO. � �'� COMPL ED ADDRESS 30�g N�� �� �"l � OWNER TELEPHONENO. l6J� Z�X��7�sS CONTRACTOR � DESCRIPTION '�n � � � ❑ FOOTING �PLUMBING FINAL EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAI FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PFiOGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: , � l�6Ra !s �!���. — o � � , s t� .1- �. � � /� � _/!J f�l'D1��7 C T 46 �r[�G'� �l� I.��w+.. / �-`' W /� �/� Q �4.'� '�ls� �� w� ' � l_/ ��d4. �e�/ .' � W �� 4�i �t �C, � � J � ❑UVORK SATISFACTORY:PROCEED (�W ECT COMPLEfE W �ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR YVILL RETURN ❑STOP OHDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. can t inspection 24 hours in advance. (952) 249-4600 otor on site: r`�w Inspect . �' ite Copyllnspector's File Canary CopylSite Notiee DATE TIME `� CITY OF ORONO CALLED IN INSPECTION NOTICE SCMEDULED PERMIT NO. e�3 • D/�5� COMPLETED _� -/'��- ADDRESS ��g /� si�re_ �D/'. OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �'�Gb� d��� � � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRAD�NG/FIWNG y ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORFJWETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �'.PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W � 3 " Fldar r�t�K� — � ��►.�r�l� o _�'r� -- -f ra� r►t c.s-� b e ex�dc�sc�D-- � ° �/� -'�`S C°f� v�o_� W � Q � � W 0� J O W O WORK SATISFACTORY:PROCEED O PROJECT COMPLETE W1�6Q�RECT WORK�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTORYVILLRETURN ❑CITATION ISSUED O STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector:�l�^' �� WhiM CopyllnspecMr's File Canary CopylSite Notice