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HomeMy WebLinkAbout2013-00064 - plumbing HHHUIEFEM CITY OF ORONO * 2013 - 00064 * 2750 KELLEY PARKWAY DATE ISSUED: 01/24/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 990 NORTH SHORE DR W PIN 07-117-23-22-0018 LEGAL DESC ENGLUND THIRD ADDITION LOT 001 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: 5 WATER CLOSETS,8 LAVATORY,3 BATHTUB,4 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,4 SILLCOCKS, 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER VALUATION OF PLUMBING 15500 APPLICANT PLUMBING FIXTURE FEE 193.75 NRH PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 7.75 6460 153RD LN RAMSEY,MN 55303- TOTAL 201.50 (612)245-7280 PAID WITH CC# 8476 Minnesota State License#:067436 PM OWNER WILSEY,JASON 8151 33RD AVE S #206 BLOOMINGTON,MN 55425- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is respon ible for assuring all req red inspections are requested in conform cc with the Stat u' g Code.This permit may be revoked at any time f due cause. /� �Y/ /-3- Appli nt PermKee Signatur Date � C �� �� / ~`� Issued By Sig ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f F0A CM 1JSE:0N X' City of Orono �40�0 P.O.Box 66 Date Aecerved; Pernvt# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: tinount$ ' (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO —PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dH.mn.gov/CCLD/PDF/pe 1plumbp1anrevapp.pdf GENERAL IN,FOR A'TION- " 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. (2448 hour notice required) n TI'PE O TERNTIT Check AU'Th4t 1 Residential ❑Commercial(Approval Required) 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 J,Ovnex,i4rmation: Site Address: Owner: ".TtaS oral w i c..5 f,--j Mailing Address: O H-ew City: QRVA16 Zip: Home Phone: l-P1 Z -31,6 nl gY- Alternate Phone: Coxitraet�ir ItfQrriaaxioi: Contractor: /V014 10.0 Contact Person: AA t-) ALIeal Address: State Bond#: VC- fa N Y S'ba City: Zip:�s3.P 3 Expiration Date: 03/01/, 2 n y Phone: !o/z z V S 7 z 20 Alternate Phone: ❑ Insurance—Current: y es 1 FIXTURE BSMT IST 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet 1 Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower ` 3 Washer 1 Kitchen Sink ' Water Heater ' Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous IRS Or- QN�� fir"-::.. A0 nj ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 t eE If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) r-5- j SPJb x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 1,5� 57ay x.0005 $ 7' -7 S (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 BTNG P] RR 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: -7d )�44Date: 3 r —5 :5� DATE TIME CITY OF ORONO CALLED IN 1 r r INSPECTIONMT SCHEDULED _..l 13 PERMIT NO. - COMPLE1E,D ADDRESS OWNER EPHONE NO.'P�O� �S- 7 CONTRACTOR DESCRIPTION L1 FOOTING ❑ PLUMBI INA ❑ EXCAV/GRADING/FILLING Q El POURED WALL ❑ MECHA IC RI ❑ LAKESHORE/WETLANDS y El FRAMING ❑ MECHA AL FINAL El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES—NO COMMENTS: cc W a cc J cc O O i W CC Q Z W z W cc d � LU )R7ddORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY QO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onsite: Inspector. (' White CopylInspector's File Canary CopylSite Notice ��J DAT TIME CITY OF ORONel,2 VeALLED IN �,2 / INSPECTION �Q�� ✓SCHEDULED �- r �' PERMIT NO.o2o43-0oD(f:5 COMPLETED /� ADDRESS �9D M-9 �J_A OWNER _ TELEPHONE NO. � CONTRACTOR �2N110// �� /& DESCRIPTION 12_.L_, �( ❑ FOOTING L1 PLUMBING FINAL (� R DING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ElDEMO-FINAL ❑ SEPTIC INSTALL ElHARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: ac W Q. CC cc 0 W CC Q Z W Z LU j d W SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY Q1 Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: NN Inspector. White Copy/Inspector's File Canary Copy/Site Notice ( � T% TIME `CITY OF ORONO CALLED IN4_1 INSPECTIOIE � SCHEDULED _ 3 ��"oo PERMIT NO. COMPLETED ADDRESS `-Y`'fy �� Of . OWNER TELEPHONE NO. �Of Z 2c[E• 7`- CONTRACTOR N tZ f4 — -J z ,, Com' DESCRIPTION ���-�-%� F(cx-y ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS Oy ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 2 ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: W C _ ) i� j r l 00'r �y/�-S r1l�n� $ (Te o e-6 0 W ac W W LmA1NG$KSATISFACTORY-PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFECONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours In advance. (952) 249-4600 Ovmr/Contmctor on site: Inspector. White CopyMspectoes File Canary Copy/Site Notice DATE TIME CITY OF ORONO c ED IN 3� INSPECTION NOTI SCHEDULED1 — PERMIT NO. 20 F — OMPL D ADDRESS OWNER 02 1 TELEPHONE NO. CONTRACTOR fl � DESCRIPTION G ❑ FOOTING ❑ PLUMBING N L ❑ EXCAV/GRADING/FILLING q:rLlPOURED WALL LiMECHANI L I El LAKE SHORE/WETLANDS O ❑ FRAMING EJ MEC HANI L FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W A0 �s' �- d Cr 0 LL W CC Q 2 W W cc j d W W60CAK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN J CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice