HomeMy WebLinkAbout2017-01562 - plumbing C• ITY OF ORONO 1 1 1 1 I1 1111 1 1111 1 I 111111
2750 KELLEY PARKWAY DATE ISSUED: 11/28/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3444 EASTLAKE ST
PIN : 05-117-23-13-0043
LEGAL DESC : BAYSIDE BEACH
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)
FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER
VALUATION OF PLUMBING 32000
APPLICANT PLUMBING FIXTURE FEE 400.00
STATE SURCHARGE PLBG(VALUATION) 16.00
B&D PLUMBING&HEATING INC.
MAIL-IN FEE 2.00
4145 MACKENZIE CT NE TOTAL 418.00
ST MICHAEL,MN 55376-
(763)497-2290 Payment(s)
Minnesota State License#:mech-MB003016 CREDIT CARD 1070 418.00
OWNER
BRAUN,JEAN
14342 HARBOUR LANDINGS DR,UNIT
FORT MEYERS,FL 33908-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed 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 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 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Date
Applicant Permitee Signature Issued I3 ignature Date
From:7634974263 11/22/2017 15:03 #116 P.001/003
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CV .."City of Orono FOR CTY'U ONLYy !
O 4" O\ P.O.Box 66 •Date Received `1 1.
2750 Kelley Parkway •
d -� , Crystal Bay,MN 55323 Permit# o 17 - /�2.....--1
"toe r, / (952)249-4600-Main ..
'kfSr ``' (952)249-4616-Fax APAroved By
Amount S.. _ ,L_ ,
CITY OF ORONO-PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
O Jtttp:Uwww,dli.mn.aovICCLDIPDFIpe plumbolanrevapp.odf
o I GENERAL.INF:ORMATION, -
ui 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.
t` 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
OPOSTED ON THE JOB SITE.
N 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
N residing in the dwelling.
N 4. When any new construction or remodeling is involved,a separate building permit must be obtained.
•
T 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)
r `TYPE OF PD MIT(ClieckAll)that Apply)
A.Residential 0 Commercial(Approval Required) [BFcktlow Device:0 AVB ❑PVB1
❑New ❑Additional ❑Repairs Replace
0 in Accessory Structure? (
'You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) F`: .
Job•Site::/Owner.`:Information
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Site Address: .3'r'' 1 i%'°SI V.el. S+-!e.t-i
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Owner; Mailing Address:
City: CCU O Zip:
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Home Phone: �I -3.4-�('� '(� Alternate Phone:
Contractor Information:
Av �'rNCtl:n) ti i.- 6Gyr f) ,""
Contractor: / 7 J , iContact Person: ,.
O Address:
;I'd 5 ("tc,) s.f (( 13 State Bond#: e'1 s?fit I
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co City. S•4 l' �- 'l Zip: S 5_; ` Expiration Date:'?'j3 i'
N `163-411_ -?g,`t� e.}.t 1 3 .3 - ::
o Phone: Alternate Phone:
C ❑Insurance-Current:
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d FIXTURE BSMT 1sr 2"o OTHER FIXTURE BSMT 1ST 2N° OTHER
TYPE l Floor Floor TYPE Floor Floor
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Water Closet ti Floor Drains ( I
Lavatory y I Sewer Ejector
Bathtub Laundry Tray I •
O Shower )-- Washer 1
Kitchen Sink I I Water Heater
r Disposal ( Water Softener
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N I Dishwasher ( Wet Bar
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N Miscellaneous I
N Silicocks l___
1- R5iggniWr=f x ,O tfi : ., 1' x,' aigigi Upro. :
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
✓* 0--Ot x.0125 $
?contract price) (minimum$50.00) i'
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&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 N
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. _ >
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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. •
N Applicant's Signature: "'P1'"1- k_'t Date: ick,e 1`1
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d• Building Official/Inspector: Date:
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DATE JTIME
CITY OF ORONO CALLED IN /c71– '� 6�–7 •` a
INSPECTION OTICE SCHEDULED /03-ta-/7 ;%_ ip
PERMIT NO. iD /– /1 PLETED
ADDRESS 3(-1- is-1-(1 -k,_,
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OWNEREPHON NO. �l/---- -CONTRACTOR '- WW/L./.,d
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ti, ❑ FOOTING 0 DEI NAL 0 SEPTIC FINAL
Q ❑ POURED WALL .LUMBING RI 0 EXCAV/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
I, ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
(e3• COMMENTS: RGnwoC?eZ ( — IT S U Aft,
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W K SATISFACTORY:PROCEED El PROJECT COMPLETE
W ElCORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
OO CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR LI CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. ----94.A.A._, ?Cis-
White Copyllnspector's File Canary CopylSite Notice
����//// DATE TIME
�'CITY OF ORONO CALLED IN 1 .R1/'Qa7* anera
INSPECTION NOTICE SCHEDULED <=-.,.!�
PERMIT NO.gt 17 -65/51.p. COMPLETED 149)--1 5-17
ADDRESS 31-1LI �- - _ Sh"e-LJ
OWNER TELEPHONE NO. / -3 '-7/96
CONTRACTOR v CC "I/L.
DESCRIPTION PI/ /\
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• ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
(03 ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
• ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU: YES NO
v) COMMENTS: 274 V SG k NO P v C.
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• NEIWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
u BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. S�- I
White Copyllnspector's File Canary Copy/Site Notice
DATIME
CITY OF ORONO CALLED IN / `
s.
INSPECTION NOTICESCHEDULED - � i��i: r
PERMIT NO.,-- 0/7-U J WO2COMPLETED
ADDRESS 34/L/L/
OWNER (� TELEPHONE NO. I� '7796
CONTRACTOR
DESCRIPTION PMFlNA /" 2�
W ❑ FOOTING 0 DEMO- L 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: �rlva / or as,/ drppiirftc4S
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W\WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.I BEFORE COVERING PERMANENT
U CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. � d e
White Copyllnspector's File Canary CopylSite Notice