HomeMy WebLinkAbout2014-00117 - plumbing ' ' " CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 — 0 0 1 1' 7 *
DATE ISSUED: 02/07/2014
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3090 NORTH SHORE DR
PIN : 09-117-23-32-0006
LEGAL DESC : CRYSTAL BAY PARK -
: LOT 000 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL,(2)DISHWASHERS
(2)LALJNDRY TRAYS,(2)WASHERS AND(1)WET BAR
VALUATION OF PLUMBING 22000
APPLICANT PLUMBING FIXTURE FEE 275.00
RICK'S PLUMBING SERVICES LLC STATE SURCHARGE PLBG(VALUATION) 11.00
14015 SPRING LAKE ROAD TOTAL 286.00
MINNEAPOLIS, MN 55402- Payment(s)
(952)933-3132 CREDIT CARD 2724 286.00
Minnesota State License#: PLUM-PC648723
OWNER
MCGLYNN,DAN
3090 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be perfortned 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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y�', �;`� CITY OF ORONO— PLUMBING PERMIT
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GENERt1L INFORMATION
i. You may apply for pluinbing pennits by mai l or in person at the City oftices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by returi�mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMiT CARD IS POSTED UN THE JOB SITE.
3. Plumbing perniits may be issued ONLY to licensed plumbinb contiractors and to prope�ty owners
residing in ll�e dwellin�.
4. When any new construction or remodeling is involved,a separate building pernut must be
obtained.
5. All woi•k must be done in accordance with State Code requiremcnts.
6. All work must be inspeeted and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A I
[�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessoty Stiuctw•e'?
*Yau will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Infonnation:
Site Address: J � �J t� � '�2-� � -�k-�� �rZ
Owner: ��^<<f-l i'1 LG � y N�r�' Mailing Address: ���� ��'�-`�� S�� �
city: 0�.o rv o zip: � S 3`� j
Hvme Phone: �S L'2'�Z`-3 7 �7 Alternate Pllone:
Contractor Information:
` �, LL� , �� , /
Contractor: �I �105 PI�1M�'IJG� ��V�u� Contact Person: �j�L`�wut ��G!!�1
Address: ���j5�j��//1�j � /�j( State Bond#: �G �'�� � Z�
City: �'1//'1/1 G�i�'u�'-�'� Zip:�3Y5 Expiration Date: � L 31 �� S
Phonc: ��SZ G1,3 3 -3/3 L Alternate Phone: GI S 2 yv� �Z�5'f� ��
❑ Insurance—Cttrrent:
1
PLUMBING FI�TURES BEING INSTALLED
FIXTURE BSMT 1 2 ' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Z 1 Floor Drains
Lavatory 2 Z Sewer Ejector
Bathtub , Laundry Tray i �
Shower Z Washer ' ,
Kitchen Sink � Water Heater
Disposal � Water 5oftener
Dishwasher Z Wet Bar 1
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BA�ED OFF-2002 STATE STATLTE
❑ Yes,this section applies
The replacement of only one Residential fixhu�e or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exdudine the cost of the tixture or appliance: and
3. Ts 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
PERMIT FEE CALCULATION S —3(��S OVER�SOq.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25°/„of contract price witb a(Minimum Fee of$50.00)
� ��,00�3 x .0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAI,PERMIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted 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 funiished by
the owner, tenant or any other parly, the reasonabie 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.
PLUMBING PERMIT APPLICATION.A,('rREEMENT
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 on this application are complete, true and
correct.
A licant's Si nature: �r�,�'�r ` � Da • � �
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ADDRESS �`0 - ��'ll�Y��l��
OWNER ELEP NE NO�!��`��P"�Sg 7
CONTRACTOR ` L ULC�. -'
� DESCRIPTION � �'``�-�
� ❑ FOOTING ❑ P BIN FINAL p EXCAV/GRADING/FIWNG �
y ❑ POURED WALL O HANICAL RI ❑ LAKESHORENVETLANDS
Q O FRAMING ❑ ECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT
`� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
? OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR W{LL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 br the next inspection 24 hours in advance. (g5 9-4600
OwnerlContractor on site•
Inspector.
Whits C�ydnspecMr's File Canary CopylSke Noties
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CITY OF ORONO CALLED IN 3'
INSPECTION NOTI E SCHEDULED 3-ia-� ��_
PERMIT NO. < 0���� COMP�ETED
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OWNER TELEPHONE NO. �SZ ��� a�1
CONTRACTOR �.S pL�'�rt� t�s2
�; DESCRIPTION �X-�l`��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
Q ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca�� • �ahours in advance. (952) 249-4600
Owner ctor on site:
Inspector: -
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CITY OF ORONO CALLED IN � �
INSPECTION I �}�//�J SCHEDULED
PERMIT NO ���� �COMPLF�TED
ADDRESS �� /v
OWNER / ' LEP ��IQ„ �� ���
CONTRACTOR 7 \,�'" "�J/�•�
� DESCRIPTION '�'l
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� ❑ FOOTING �LUMBI FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MECH AL RI ❑ LAKESHORE/WETLANDS
O ❑ FRAMING ° ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
'`i ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WONK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal next inspection 24 hours in advance. (J52� 249-4600
Ownerl ontractor on site: �
Inspector. �
White Copyflnspector's File Canary CopylSite Notice