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Home My WebLink About2015-00432 - plumbing CITY OF ORONO * 2015 - 00432 * 2750 KELLEY PARKWAY DATE ISSUED: 04/15/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3740 NORTHERN AVE PIN : 17-117-23-34-0088 LEGAL DESC : REG.LAND SURVEY NO.0763 LOT 2 BLOCK 1 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: 5 WATER CLOSETS,7 LAVATORY,2 BATHTUB,3 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS, 1 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMBING 14000 APPLICANT PLUMBING FIXTURE FEE 175.00 NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.00 22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00 MN 55070- TOTAL 184.00 (763)753-3373 Payment(s) Minnesota State License#:plbg-PC642884 CHECK 19312 184.00 OWNER Atlas Homes 7082 EAST FISH LAKE RD MAPLE GROVE,MN 55311- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ty) Applicant Permitee Signature Date Issued By Si ature Date .. FOR CITY USE ONLY O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main Z ^ (952)249-4616—Fax CITY OF ORONO-PLUMBING PERMIT kESHv�� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.i!ov/CCLD/PDF/pe plumbplanrevapp df 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) ,Residential ❑Commercial(Approval Required) •New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need urior avoroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: "� (, N 0 V*1-,e�r, A t� Owner: 1 a S 1'►�mp�.�y�, Mailing Address: 0g2S 4- F�5k Pd. City: G;'►'D y-e. Zip: 53 I l Home Phone: '1 (a3 - �--(25-3'�3'� Alternate Phone: Contractor Information: -� Contractor: ''Contact Person: 16�-Ve-lrN J CUy-,Stil,, Address: 70-51 D Rwr. R .rr (3 1v-9 "tate Bond#: PC-Ly 219�A City: S-{, V:-ravv"as Zip: Expiration Date: Phone: 3=7 S 3 —3 3- Alternate Phone: l z-(, 19--7 03 ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower 1 } Washer Kitchen Sink Water Heater I Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous L PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excludine 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 PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) c) x.0125$ (co tract price) (minimum$50.00) 2. STATE SURCHARGE _ 00D x.0005 $ L C� (con act price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ q y . ■ * 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 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: 3 1 0—K vJ DATE TIME `ITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED PERMIT NO. ;'COMPLETED ADDRESS OWNER _ TELEPHONE NO. 2&3-- CONTRACTOR ht ' lo ,�j DESCRIPTION W ❑ FOOTING ❑ DE --�\ ❑ SEPTIC FINAL Q ❑ POURED WALL LUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF P METNC RN`AE__ ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION 2 ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: l�v�� eV-. it!G4r20 Q✓1 !;,e e, LAJ cc J o O � �S4s�-C✓ Gcr�c.r� �� 1licc�G�, �•�slter ave /1ybKe� 4/ ��°6 {irtt� /'JO�c•� rc�. W 2 Q - y e Ce' ham.,. s, ►� .c. s WGai��eaP Lcy 9�;,.1� — Qc J d LQ V-i4A'QRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Cr W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. I i PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED El STOP ORDER POSTED.CALL INSPECTOR 11 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on 47- White Copy/Inspector's File Canary Copy/Site Notice C .. DATE TIME `•, CITY OF ORONO CALLEDIN L INSPECTION NOTICE. // cHEDULED PERMIT NO. �o'13PLETED ADDRESS 1)j r) OWNER TELE HON`E/�� CONTRACTOR T�h a f 1 DESCRIPTION �'u 6a p/ un4I W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ VPTIC INSTALL ❑ FOUNDATION/REMOVAL OW N ER/CONTRACTOR TO MEET YOU:,a YES_NO COMMENTS:cc 5 �L a 4 . J O 0 W /� . Q / a v9WecP b4 Z �w�r- PVL sc-ti- o W ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE QC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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. (J52) 249-4600 Owner/Contractor on site: Inspector. White Copynnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONOALLED IN � INSPECTION NOTICE 10 SCHEDULED : PERMIT NO. O(rJ' - COMPLETED ADDRESS —7 40 OWNER TELEPHONE NO. Z Z�OaI'ZL� CONTRACTOR N j��,_� 1102k > DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �' UMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ 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 v ❑ DEMO-SITE ❑ EP IC INSTALL Z OWNEWCONTRACTOR TO MEET YOU: ES_NO COMMENTS: C LU AO- CC O- •, 0 e- `ism 41kcet' Iw cc ° j /moo r W Q 03 S�.e/ i/r•pttew �.�G i1G�a s�r42i�i. l' ®POu"o Q 1�O ie"'p a�/ Sc f edr" �0'I �ocd•✓ (�K7i 111.f�{ z (S> Pro V,&o-rre- ai! �et•t, 6 c4-.G —t— I<< l•s�o0�A cc S�'�✓ 7df GW ❑/WORK KSSATISFACTORY.PROCEED PROJECT COMPLETE ccW ,$69'HRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR LI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal ion 24 hours in advance. (952) 249-4600 Own Contracto it - ✓ `G Inspector. White Copylinspectoes File Canary Copy/Site Notice 5 DATE T CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 17-7f D l D �IYh PERMIT NO. ZZ I S --W(13 2—COMPLETED ADDRESS 37 b o r�{G%.vl OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO / y COMMENTS: 6 -r-0r 0 0 J 0 �0. �— 0 W Q 2 W W cc J d W ❑WORK SATISFACTORY:PROCEED ❑ OJECT COMPLETE cc ❑CORRECT WORK&PROCEED CEIIS UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION 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 a 2) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspectoes Fife Canary Copy/Site Notice