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HomeMy WebLinkAbout2017-01047 - plumbing CITY OF ORONO 1 1 1E 11 Thrill! 2750 KELLEY PARKWAY 1I1I II DATE ISSUED: 08/31/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2509 KELLY AVE PIN : 20-117-23-12-0037 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(10 SHOWER,(1)WET BAR VALUATION OF PLUMBING 4500 APPLICANT PLUMBING FIXTURE FEE 56.25 FOXX RIVER PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.25 20327 HAMBURG AVE TOTAL 58.50 LAKEVILLE,MN 56150- Payment(s) (612)701-8072 CREDIT CARD 7859 58.50 Minnesota State License#:plbg-PC649840 OWNER NADLER,CHARLES&CANDICE 2509 KELLY AVE EXCELSIOR,MN 55331- 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. ‘"-°"6-1.71—'SZ.) ''"�-L / - Applicant Permitee Signature Date Issued By ature Date r „cLpk City of Orono FOR CI USE USE . Y 0 P.O. Box 66 Date Received: . / 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# (2 O/ j - �% ��^ �` (952)249-4600—Main <ikEs Hoa`` (952)249-4616—Fax Approved By: Amount$: 5k', 5D CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/PDF/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) g Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑ Additional El Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site I Owner Information: Site Address: 2 6-Q kGl110y ivc Owner: --4'4 c-le /2 d (-e►— Mailing Address: � �--t City: Zip: Home Phone: Alternate Phone: Contractor Information: • Contractor: F.-=3X X ifto=� /sot/0, 'k Contact Person: �) 44e p- 2-I ch,S' Address: 2c:3 g 2 ? #=:=1.h,6 tfy 4e/ State Bond #: ,013c--6/974. City: L� -,--z-0,//z `, !in G, Zip: cf:CQ y Expiration Date: /Z-3,-,p Phone: &2 701 1"07 a 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 l Floor Drains Lavatory ( Sewer Ejector Bathtub Laundry Tray Shower ( Washer Kitchen Sink - Water Heater Disposal Water Softener Dishwasher Wet Bar I Sillcocks Miscellaneous PERMIT FEE CALCULATIO 1. CONTRACT PRICE/*his 1.25% of contract price with a (Minimum Fee of$50.00) `f 4 oo 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. 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. I PLUMBING PERMIT APPLICATION AGREEMENT =` r 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. Applicant's Signature: L95 Date: � 3r / 7 Building Official/ Inspector: Date: Page 2 2>,-- \ D S-c-f- Qj J�ii TIM/ CITY OF ORONO CALLED IN 7 INSPECTIONNOTICE !b r/7 SCHEDULED S . 17 ``I PERMIT NO. O� 7_ `''" COMPL E,, / ADDRESS SSD 77 OWNER ��y el TELEPHO INO. 7O�O/ateCONTRACTOR �" t�-�K- V�L I Oj DESCRIPTION Pib, ç W ❑ FOOTING 0 DEMO- IN L 0 SEPTIC FINAL kL• ❑ POURED WALL AiPLUMBI RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL O Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION ' 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP CIFOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL r ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO c4 COMMENTS: 1/64(4 IQ 4 .4- ZA re 04 cr�c( — -O 1v 1 ' Ag5 o ‘5'.A , 40 - -4({49 -t. JA-t 11655 4-Sf15 - ct 6 /v W - I 1/1,C- I /co• / /-5.404—ie6-- -t / k1ehr..-- - CC Q i G6fee' C cp If 66 i6 e,16, W Z W CC 0 W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY im O CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrattor on site: Inspector: �/ ti., 74 White Copylnspector's File Canary Copy/Site Notice ° v D TE TIME CITY OF ORONO CALLED IN /- -/e3r INSPECTION NOTICE J SCHEDULED 1 .17-#5 �' PERMIT NO. Z0/7-DJ"/7 c9MPLFTED ADDRESS &59 5>' y OWNER mir)LEPAT NO. CONTRACTOR r DESCRIPTION 2a) W ❑ FOOTING 0 DEMO-F 0 SEPTIC FINAL Q0 POURED WALL 0 PLUMB! I 0 EXCAV/GRADING/FILLING ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION • 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 W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ❑ DEMO-SITE ❑ SEPTIC INSTALL • OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: a 11 4 v#' J Se7`- -+r►6 5PG IC Lou_ -f:rim O cc O w cc z z cc W• 1S1 WORK SATISFACTORY:PROCEED O PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT LI CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑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. White Copyllnspector's File Canary Copy/Site Notice