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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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL,(2)DISHWASHERS (2)LALJNDRY TRAYS,(2)WASHERS AND(1)WET BAR VALUATION OF PLUMBING 22000 APPLICANT PLUMBING FIXTURE FEE 275.00 RICK'S PLUMBING SERVICES LLC STATE SURCHARGE PLBG(VALUATION) 11.00 14015 SPRING LAKE ROAD TOTAL 286.00 MINNEAPOLIS, MN 55402- Payment(s) (952)933-3132 CREDIT CARD 2724 286.00 Minnesota State License#: PLUM-PC648723 OWNER MCGLYNN,DAN 3090 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ���'1�� ��-��� � / .� �, l`? l Appl' ant Permitee Signature Date Iss d B Si nature Date Y g r � • Noa crrti��sr o�v�.v ;-�O w'T� City of Orono ��� % •yO'� P.O.Hos 6Ei Date Received: Permit# � � 2750 Kelley Parkway � �� M� '� 1 Crystal Bay,:�1N 553_3 Approved B��: Amount$�-�--�_� V L� I (95'_l?49-4600-Maiu � ` } (952)249-4616-Eax y�', �;`� CITY OF ORONO— PLUMBING PERMIT �k�s►��'�'�,� (All Commcrcial Permits Must be Approved by the State Prior to City Approval) _____—.-- htt_:llw����i�.dli.mn.�ovICCLD/PDF/�e lumb�lan�•c��a . df 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 • � � pr g tc. 7 3 � � � — D TE/,/ TIME � CITY OF ORONO CALLED IN � � 1" INSPECTION N�O Cj SCHEDULED ,3 � � PERMIT NO. `"�� D��/� C MPL ED 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 c�n COMMENT5: � a j 0 � 0 W R Q � 2 � W � J d W� KSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE w RRECT YYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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 � D TIME ✓ CITY OF ORONO CALLED IN 3' INSPECTION NOTI E SCHEDULED 3-ia-� ��_ PERMIT NO. < 0���� COMP�ETED ADDRESS 3d 90 /� OWNER TELEPHONE NO. �SZ ��� a�1 CONTRACTOR �.S pL�'�rt� t�s2 �; DESCRIPTION �X-�l`�� � � ❑ 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 � COMMENTS: �� ��' /�i��.1(c�.�. - �cL�i�r y► a -t � �'!r . l�.�v y � x)r�cJ ✓ P�/C sc.•�. �� j o , � b � a�✓ -��s� �S /(�l�Pr�s� — 0 � W Q D!G '�iS �p f/6✓ -f"�t� S Do/f�e:, — � � W � � J � �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE 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: - White opyllnspecto�'s File Canary CopylSlfe Notice �� � (.� TIME C � , � V CITY OF ORONO CALLED IN � � INSPECTION I �}�//�J SCHEDULED PERMIT NO ���� �COMPLF�TED ADDRESS �� /v OWNER / ' LEP ��IQ„ �� ��� CONTRACTOR 7 \,�'" "�J/�•� � DESCRIPTION '�'l � � ❑ 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: W �, - a 1 ��u✓Gs SGt� �,0 � � � .?,G� 4�d r � (p„�,p!¢te � O � W � �C�►.c�� �'i�.eaC� Q � z W � W � J � ❑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