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HomeMy WebLinkAbout2017-01432 - plumbing .. CITY OF ORONO * 2 0 1 7 — 0 1 4 3 2 * � 2750 KELLEY PARKWAY DATE ISSUED: i l/02/2017 ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 4460 NORTH SHORE DR PIN : 07-117-23-31-0039 LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI : LOT 000 BLOCK 000 PERMIT TYPE : PLLTMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MUL'I'IPLE NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER VALUATION OF PLUMBING 4600 APPLICANT PLUMBING FIXTURE FEE 57.50 J.SCOTT PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.30 24421 QUINLAN AVE N TOTAL 59.80 SCANDIA,MN 55073- Payment(s) CHECK 15782 59.80 OWNER LOMA,JOSEPH&LISA 4460 NORTH SHORE DR MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT 1'he work for which this pe�mit is issued shall be performed according to the approved plans and specifications,applicable City appmvals,and the State Building Code. This permit is for only the work described and dces not grant pertnission for addidonal or related work wluch requires separate permits. All pmvisions 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 az►d void if construction authorized is not commenced within 180 days of the date of issuance,or if construcNon is suspended for a period of 180 days at any time after work has commenced. 'fhe 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 du cause. � � , � s� �r , �Z, �,z Applican rmitee Signature Date Issued B ignature Date . � gQ� City of Orono FOR CITY USE ONLY 0 P.O.Box 66 'r Date ReCeiVed: /-'��_�� 2750 Kelley Parkway D` � � Crystal Bay, MN 55323 Permit# �- �� � o� (952)249-4600—Main '�kESH044' (952)249-4616-Fax Approved By: Amount$: 5�1� CITY OF ORONO — PLUMBING PERMIT (All Commerciai Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.aov/CCLD/PDF/pe plumbalanrevapu udf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wili be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licsnsed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. (24-48 hour notice required) TYPE OF PfRMIT(ClieCk all That APp�Y) Residential ❑ Commercial (Approval Required) [Backtlow Device: 0 AVB PVB ❑ ] ❑ New ❑ Additional ❑ Repairs �eplace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Site/Owner lnformation: Site Address: ��(,C, ������� ���v� Owner:�, ��, Mailing Address: �7�� � o��� City: Zip: Home Phone: Altemate Phone: Contrector lnformation: . Contractor: � � Contact Person: �� � /����t ,� Address: ���� �l�v�r� J.�,. /�, State Bond #: ������� C�tY� ���.�°?G--l��� Zip: Expiration Date: f.�631-/� Phone: �� �� ��� Alternate Phone: ❑ Insurance— Current: Page 1 N 'i ' � � �-_a :P�:LJ,#�B��C-�,ffX'3'UR�$ 8�1 � Cr��fST�+►1����r Y _ .v w :,,: � . �4fi'<.�. 'a - . I FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT �sr 2ND OTHER " NpE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 3 :,k y IT� I . ,�.-.���, ���,f +��-'T';:,���� - ��� � � _ L "i E �f. �d r_ 1. CONTRACT PRICE * is 1.25% o�lf contract price with a(Minimum Fee of$50.00) � x .0125 $ � G� minimum $50.00) (contract price) � 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 estirraated 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 fumished 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. r '_ � � �, -,..'�,f3 _; �r,� .��:PL�;�1�11��P�R11�!'�J4;�!�'�:���4�'ffli����t��NI�NT. `.,.},�:, . , . �^ � �- ",,,Y�' 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: Date: /�/'"��l�� Building Official/ Inspector: Date: Page 2 �-� � D TE TIME � CITY OF OROMO c�►L�IN �-2�' —�-- INSPECTION CE _ ��sc�Eouu�.en � �l� PERMR NO. �17-0� s c,o,Mf�o ADDRESS /�• � GY�- �✓'1 t� OWNER PHONE NO�P�����g 9 � CONrRACTOR � � � DESCRIPTIOPI ` � ty ❑ FOOTINO � DEMO- ❑ SEPTIC FINAL � � POURED WALL �.PLUMBI I � EXCAVlORADIN(i/FILLINO Q ❑ FOUNDATION WATERPR�F � PLUMBINO FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑SITE INSPECTION Q � FRAMINO ❑ MECHANICAL FINAL � RATED WALLS � 0 INSULATION �WOOD BURNER/FIREPLACE 0 COMPLAINT � 0 FINAL �WATER HOOK-UP � FOLLOW-UP W ❑AS BUILT-SURVEY � SEWER HOOK-UP ❑ FOUNDATIDNIREMOVAL _ J ❑ DEMO-SffE ❑SEPTIC INSTALL a O�NERICONTRACTOR'1�MEET YOU:_YE�_MO � COMMENT� �/�YA�1 V'�er.rlGaQe� " 4 / ' k/•L. o� �vs. . / b o�e� � o �r�v- p vc s��.. � ��e�J,� '' �usfi�� ��re s�l �j � ° �5� �i%- fi�s�- ,�� �i�•,�� - W OC Q i � // �s���s �w U � 6e�� r.�se� �' � be ���o�e� — � �� � ca��-,.�i� J � �MOAK 3J1T18FACTORM:PROCEED ❑PROJBCT(�MPLETE W /"GORRECT WORK a PROCEED ❑ISSUE CERTIFICATE�OOCdiPJ1NCY D ❑c�ECT w'a�c,cnu.r-oA fmNsaEC�N � 7�PORnAr V BEFOREc�NERiNa pEpMAN� ❑(�pRRECTUN3AFECONDIT�NWITHIN HOUR3. ❑pHpTOTAKEN IN8PECTOR YVFLL RETURN O STOP ORDER POS'TED.CALL INSPECTOR O qTAT10N ISBUED O INSPECTION REGUIRED.CALL TO ARRANOE ACCESS. Cau ror tl�e rrext 6�spectlon 2a t�ours in a�rerioe. (952) 249-4600 O�n�lCorrlractor on sit� � �t �- Whits Cap�M�s Flle Grary GopYiBib N�es INSPECTION NOTICE DATE TIME CITY OF dr�h D CALLED-IN o i 5�3 a SCHEDULED PERMIT N0.��7� COMPLETED a��/-� ADDRESS �yG'a /f���L� a.�.a �l' OWNER/CONTR. �SITE INSPECTION 0 MECHANICAL RI ❑REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑FOLLOW-UP ❑F�TING 0 INSULATION ❑COMPLAINT ❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE 0 FOUND.DRAINAGE ❑BUILDING FINAL 0 SPRINKLER SYSTEM 1 ❑FRAMING ❑SEPTIC INSTALL ❑ ❑SHEATHING O SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP � l� 19.PLUMBING FINAL ❑GAS LINE MANOMETER 0 o COMMENTS• Q � ��Sfa t/ b�tG. -����,�i: � Q r� o�i,� �•x�-�r�.s .��'r Q�, a .s�� << �( � J Z � � W � � 0 � 0 W � Q � W W � � C'1 � FURTHER CORRECTIONS MAY BE REQUIRED 0 PERMIT FINALED p ❑WORK SATISFACTORY: PROCEED � PHOTO TAKEN p '�CORRECT WORK&PROCEED V ❑CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING ❑CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr.on site: .Inspector• �•r.Svrv P � V / 1 DATE TIME �CITY OF ORONO CALLED IN � INSPECT{ON NOTICE SCHEDULED l � —/7 PERMIT NO.� � OMPLETED ADDRESS � OWNER TELEPHONE NO. �y� "a `!� CONTRACTOR 'S , � DESCRIPTION ty ❑ FOOTIPIG DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC IIVSTALL a OINNERKANTRACTOR TO MEET YOU:_YES_NO � COMMENT`.�'-�. � � � -�����/L ��I���7'C�d' ✓I d T 0 � ��.�P�—���i�� � �/�S vN�i� ° a��26��1. � W � Q � W W aC � J W ❑WR�RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT N�RK 8�PROCEED 0 ISSUE CERTIFlCATE OF OCCUPANCY W 0 CORRECTNIOFliC,CALL FOR REINSPECTlON TEM�RARY ORE CdNERiNO PERMANENT ❑CARRECT WNSAFE(�NDCfION dVITHIN HOURS. p p�{pT0 TAKEN INSPECTOR WFLL RERJRN ❑STOP ORDEN POSTED.GALL INSPECTOR 0�TATION ISSUED ❑INSPECTfON REQUIRED.CALL TO ARRAN(iE ACCESS. Cetl tor the next inspection 24 hours in advanc�. (952) 249-4600 on site: 1 White CcP11M�tor's Flle Canary CoPY�ite Notke