HomeMy WebLinkAbout2015-00708 - plumbing , , CITY OF ORONO * z 0 1 5 - 0 0 7 � 8 *
2750 KELLEY PARKWAY DATE ISSUED: 06/04/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3115 NORTH SHORE DR
PIN : 09-117-23-32-0013
LEGAL DESC : REG. LAND SURVEY NO. 0269
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMBING FIXTURES:
(1)KITCHEN SINK,(I)DISPOSAL,(1)DISHWASHER,(1)LALINDRY TRAY AND(1)WET BAR
VALUATION OF PLUMBING 7780
APPLICANT PLUMBING FIXTURE FEE 97.25
STATE SURCHARGE PLBG(VALUATION) 3.89
SPRING PLUMBING LLC MAIL-IN FEE 2.00
11473 KENYON COURT
BLAINE,MN 55449- TOTAL 103.14
(763)614-7963 Payment(s)
Minnesota State License#:plbg-066807 PM CREDIT CARD 3580 ]03.14
OWNER
CONNELLY,THOMAS
3115 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the da[e of issuance,or if construction is
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due�cause. �-
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Applicant Perm' e Signature Date Iss ed By;Signature Date
06/04/15 09: 18AM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 2
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�v^/� P.P.Box 4G Dete Redoiyed;�,�.� Pecmit I����..L�- V
2750 Kellny Parkway l
Cryxtnl Bxy,MN 55323 Apprnvod sy: Amourtt$: ?
(452)249116�70—Mein
� �. (952)7A9-4Gi6—P'ax
c.` CITY OF ORONO—PLUMBING PERMIT
�r'�'��s H u�`�' (All Commercial Permits Muat be Approved by the Stnte Priar to City Approvsl)
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G��IERAL INFORM,ATION
l. You m�y apply for plumbing permits 6y mail or in person at the City off'ices. Applications will be
reviewed and a permit wifl be issued within two working days,
2. Perrnit cards will be sent by return mail after a review is completed, PERNIITS ARE NOT
VALI�UN'I'�-1`O1J RECENE..A PERNIIT, K T PI T S HE
p�Rn'�T CARD IS POST�DQ�THE JOB S1T�.
3, Flumbing permits may be issued ONLY to licensed p3umbing contractors and to properry owners
residing in the dweiling,
4. When any new construction or rennodeling is involved,a separzite building p�rmit must be
obtaine�l.
5. All work must be done in accordance with State Code requiremants,
6. All work must be inspected and air tested bafore it is covered, Call(952)2A9-4600.
(24-48 hour notice required)
TYPE OF PE�T
Check All That A 1
esidential C]Commercial(Approval Required)
❑New ❑Additional ❑Repairs ��fe�ce
❑ Tn Accessory 5tructure?
"You will need nrior aooraval and may need�j�,(Per Orono City Code,Chaptec 7�,,�#rticle N)
Job Site/4wner Information:
Site Address: � � � S� ��'��S ����- ���
p��: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractar: � Y 1
#(�/L�h� Contact PErson: � �( ��1
Address: ) �7 �.,..,��-�'��� � State�ond#: �C�9 ��g�1 I
City: + zip:�y��xpiratian Date: ��"I 3 I /I,�
Phone: y u�� r �(N '"� � �� Alternate Phone:
❑ Insurarce—�urrent:
l
06/04/15 09: 18AM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 3
/4
PLUM�ING FIXTURES BEING INSTALL$D
FIXTURE BSMT 1 2 OTH�R F[XTURE BSMT 1' 2 OTE�R
'I'YPL �'L Pl, TYPE �'I. FL
Water C104�4 �t0pr DtainS
Lavatory Sewer Ejectoi
Bathtub I.aundry Tray
Showa Washer
KitChen Sin1c � Water Heater
Disposal I Water Softerter
Dishwasher I Wet Bar
SillcocJcs Miscellsn�us
PERMIT FEE CALGULAT"ION(S)
BASED O�'�'-2002 STATE STAT[JE
� Yes,this section applies
Ther replacement of only one Residential fixhire or anelianae that meeta all three of the following
requirements:
1• Does not requue mod�cation to electrical or gas service.
2, Has a total cost of SS00.00 or less;�y�jp�the cost of the fixture or applisnce:and
3, Is improved,in4talled or replaced by the homeowc�er or licensed plumbing contractor,
Skip next section,if d�;s appties; Coat of Aermit $ 15.00
State Surcharge $_---._.5.00
Mail-In Fea¢f Ap�plicable) $�,,,,, 2 00
'Y'otal Permit Fte S
(Permh Fea Conanued Qn Ne:c Page)
2
06/04/15 09: 18AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg 4
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PERMIT FEE CALCULATION S -JOBS OVER$504.QU
If above does not�pply;fotlow guidelines below:
i. CONTRAGT PRICE *is 1.25%of contract price with a(Minimum Fce of SS0.00)
�
�+ 1V � ' ��x,01255 � � • aS
(co�si.i pricc) (mlelmon 550.06)
2, S'i'ATE SURCHARGE
� � � ��X.000s a_---3,---� cl
conunct prioel - -
3, POSTA(i�&HANDLiNG(4nly on Mail-In AppGc�tions) S -�6�--" ,,,__
4. 7'dTAL PERMTT IrET(Add Lines 1-3 Above) S � � 1 � � T�
■ * CONTRACT PRICS or 30B CO3T moans the actusl or eatimatad dollar�unount charged £or the
permined work including mat�ials, labor,pro�t,and other fixed costs. It is the amount w be c}�rged
to the customer for the work done. if any material,equipment,labor or installations are fumiahed by
the owner, tenant or any other party,the reaswwble market value of such items must be added to the
estimated cost or contrset price for permit fa purposes. In the ev�t that there is s disputo on the
amount of the job cost, the City may request the aubmission of a s�gned copy of the actual contract
P'LUMBZiVG PERNIIT APPI�ICATION AGREEMEN'T
The undersigned hereby applies to the City for issuance of a plumbu►g Permit, agrees to do all
work in strict accordancc witl� the ordi�tances of the City and the regulations of the State of
Minnesota, and carti�es that all statements made on this application are complece, true and
correct.
Applicant's Sxgn.ature: _ IC/ ' `�'�-"�G —Date: � /"� I� �
3
� �O' " �Ait TIME �
CIN OF ORONO � CALLED IN
INSPECTION NOTICE � SCHEDULED �S
PERMIT NO. 2��S �COMPLETED
ADDRESS � l l cv I�l -.S �'l 0 (� (�{•Z.
OWNER TELEPHONE NO. �D ��—g�S-��
CONTRACTOR `S ►
� DESCRIPTION V^ (�""_ � �l�
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lN ❑ FOOTING ❑ DEMO-FINAL �� SEPTI 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY -- ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SIT �'• -•----. ��PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERIC RACTOR TO MEET YOU: YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W4lL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call ' s ion 24 hours in advance. (952) 249-4600
Own Contractor on site: � ��
Inspector. _ .
White Copyllnspector's File Canary CopylSfte Notice
�/ I �
� �'— DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �_ ^ — �
PERMiT NO.�15�7��COMPLET .
ADDRESS �l � �� N, c �� ��l l/'e.
OWNER _ ��EPHONE NO. — —
CONTRACTOR
� DESCRIPTION � �'✓ �
�
l� ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL
�
Q ❑ POURED WALL UMBING 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notke
I' �
DATE TIME �
CITY OF ORONO CALLED IN �„�� _��
INSPECTION NOTICE SCHEDULED 5/� 2l/,S
PERMR NO.�S'�Z COMPLEfED
ADDRESS � � � S N � J �O I�P �P _
OWNER TELEPHONE NO.
CONTRACTOR �
i DESCRIPTION � ��
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC I S ALL
� OWNERICONTtiACTOR TO MEET YOU:_YES�O
y COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho in advance. (g52) 249-46��
OwnerlContractor on site: ��
Inspector:
White Copyllnspector's File Canary Copy e Notice