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
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A licant errr►itee Signature ate Issued By Signature Date
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��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
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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:
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Site Address: �-� � U� �� ����� 1` �' V e
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Owner: J��'� �`--�-�5��'� Mailing Address: ����3 /v. ���� ��•`� C-
City: �% �`'� � Zip: ��-S � 5�
Home Phone: Alternate Phone: ��(Sr�' � ��-` — ��8� �-
Contractor Information:
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Contractor:�) �vc.��S.'� �`e c� � t �""�P . Contact Person:
Address: State Bond #: � � 3 5 �� a� ��
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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.
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Applicant's Signature: �'�� Date:
Building Official/ Inspector: Date:
Page 2
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CITY OF ORONO � cnLLED IN � —
INSPECTION HEDULED � � •�
PERMIT NO. '� � OMP ETE
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� ❑ FINAL Q WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY [� SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE Q SEPTIC INSTALL
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Cail for next inspection 24 hours in advance. � 249-46��
OwnerlContract on site:
inspector:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�VOTICE '��SCHEDULED �� �—� � �� •�
PERMIT NO.����' —����"� LOMPL ED
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
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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
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CITY OF ORONO CALLED IN '
INSPECTION NOTICE r SCHEDULED �t� ���' �
PERMIT NO. ,,_���_������COMPLETED
ADDRESS ���` � �� ; �' :��
OWNER TELEPHONE O. • ��
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�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
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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.
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Ca11 rorthe next inspection 24 hours in advance. (952) 249-4600
OMmedContra or on site:
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Inspector: �^-
White Copyllnspeetor's Flle Canary CopylSlte Notics