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HomeMy WebLinkAbout2016-00712 - plumbing CITY OF ORONO * 2 0 1 6 - 0 0 7 1 2 * ` � � � 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2016 i ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS ' : 3G83 NORTH SHORE DR PIN : 08-117-23-34-0053 LEGAL DESC : C�YSTAL BEACH : LOT 005 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TY E : FIXTURES-MULTIPLE NOTE: 5 WATER CLOSE S,6 LAVATORY,2 BATHTUB,2 SHOWERS, 1 KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WASHER, 1 WATER HE TER VALUATION OF PLU ING 10000 LICANT PLUMBING FIXTURE FEE 125.00 DIVERSIFIED PLUMB G STATE SURCHARGE PLBG(VALUATION) 5.00 P O BOX 91 TOTAL 130.00 CHASKA,MN 55318- Payment(s) (763)221-5441 CASH 130.00 Minnesota State License#:PLUM-71354924 WNER RESSLER,JON 3683 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AN SWORN STATEMENT The work for which this permit is issued shall be performed acwrding to the approved plans and specificaf ns,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for addition or related work which requires separate permits. All provisions of laws a ordinances�overning this type of work shall be compied with whether or ot specified Nerein.This permit will expire and become null and void i construction authorized is not , commenced within 180 days of th date of issuamce,or' struction is sus ed for a period of l80 da at any tim work has commenced. The ap ic is responsible for as u ' requ'ved inspections aze request formance wi State Building Code.This permit may be y time u `�� �. �� ��-�� �''�-�� �� z �� , �� A licant errr►itee Signature ate Issued By Signature Date i ��N City of Orono FOR CITY U E ONLY ` O P.O. Box 66 Date Received: � % �1�6� I � 2750 Kelley Parkway � �. Crystal Bay, MN 55323 Permit# 1--� � l� —�D � � Z ti c`� (952)249-4600–Main ��� F`q'CfSH��� (952)249-4616–Fax Approved By: �� Amount$: CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLDIPDF/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 SITE. 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) Q 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: �-� � U� �� ����� 1` �' V e --� � _> Owner: J��'� �`--�-�5��'� Mailing Address: ����3 /v. ���� ��•`� C- City: �% �`'� � Zip: ��-S � 5� Home Phone: Alternate Phone: ��(Sr�' � ��-` — ��8� �- Contractor Information: ;� � Contractor:�) �vc.��S.'� �`e c� � t �""�P . Contact Person: Address: State Bond #: � � 3 5 �� a� �� c:� • � � City: � �'� � ��2 � ./�� Zip: �s� l � Expiration Date: Phon .: �S,�- 3 3 �� — �� � � Alternate Phone: Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED �_ , FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � � Floor Drains I Lavatory � E--� Sewer Ejector Bathtub Laundry Tray Shower ' I Washer � Kitchen Sink l Water Heater I Disposal Water Softener Dishwasher ' Wet Bar Sillcocks ,� Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �� � x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� 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 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 City may request the submission of a signed copy of the actual contract. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby appli the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance w h the or�n nc s of the City and the regulations of the State of Minnesota, and certifies that all statem m�delon th' application are complete, true and correct. y _ ____�_ � � � � Applicant's Signature: �'�� Date: Building Official/ Inspector: Date: Page 2 �r � .=:`� ,/ � DAT TIME " CITY OF ORONO � cnLLED IN � — INSPECTION HEDULED � � •� PERMIT NO. '� � OMP ETE ADDRESS � � � a 7��oss� OWNER L� H �VO. CONTRACTOR � �� ' � DESCRIPTION � �-�4 � ' � � W ❑ FOOTING 0 DEMO-FI ❑ SEPTIC FINAL Q ❑ POURED WALL � PLUMBI ❑ EXCAV/GRADING/FILLING "j ❑ FOUNDATION WATE ROOF � PLUMBIN FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING Q MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION � WOOD BURNER/FIREPIACE ❑ COMPLAINT � ❑ FINAL Q WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY [� SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE Q SEPTIC INSTALL 2 01NNERICOI�ITRACTOR MEET Y�OU._YES_NO y COMMENTS: � � j , �O _ a� � O W OC i Q � Z � W � J W RK SATISFACTO .�ROCEED ❑PRW ECT COMPLETE � RECT WORK 8 P EED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK, L FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFE NDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WF RETURN ❑STOP OROER POSTE .CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIF� D.CALLTOVIRRANGEACCESS. I Cail for next inspection 24 hours in advance. � 249-46�� OwnerlContract on site: inspector: VYhits llnspector's Ffle Canary CopylSite Notke il DATE TIME CITY OF ORONO CALLED IN INSPECTION�VOTICE '��SCHEDULED �� �—� � �� •� PERMIT NO.����' —����"� LOMPL ED ADDRESS �� �, � l�� c OWNER � E�P�HON CONTRACTO 11J�✓ S -2C�.�' ��J " � DESCRIPTION �'t ` � 1y ❑ FOOTING ❑ DEMO-FINAL ❑ PTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ /GRADING/FILLING Q ❑ FOUNDATION WATERPROOF LUMBING 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 ONfNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � .s� ����k�'ef . ��� � . . 4 �► � �.. /1 6 � � L� � h. YN�s � S cs-�L`� oP����, .�, , a �< <.� � a ,�a�;�, -� a. �. � ° �',,,u�� �,����, — � Q _ 2 G�i 6( � ✓ /`r�•�s,o�c��o ti W � w aC j W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � RRECT WORK,CALL FOR REINSPECTION TEMPORARY V �FORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWfTHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector: � � White CapyAnapector'a File Cenary CopylSite Notks r��// C�` ' � � � i � � DATE TIME CITY OF ORONO CALLED IN ' INSPECTION NOTICE r SCHEDULED �t� ���' � PERMIT NO. ,,_���_������COMPLETED ADDRESS ���` � �� ; �' :�� OWNER TELEPHONE O. • �� CONTRACTOR 1�� j�� � � � �� DESCRIPTION ��---��� ������ C� � l� /f�t--� ly ❑ 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 �ECHANICAL FINAL ❑ RATED WALLS � � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ E�TIC INSTALL 2 OWNEAICONTRACTOR TO MEET YpU: YES_NO � � COMMENTS: ��S / •-c� �1�11/Ia — 1�G� /I�'y9 � � o �6rf'�ct�- C� <� �O/ r e � �L1�c���, � � 0 � W � Q � 2 � W � J W �WO('tK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT Y1fORK d PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O O(bRRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTEO.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � .� Ca11 rorthe next inspection 24 hours in advance. (952) 249-4600 OMmedContra or on site: � Inspector: �^- White Copyllnspeetor's Flle Canary CopylSlte Notics