HomeMy WebLinkAbout2018-00174 - plumbing CITY OF ORONO 1 1 1 1 1�1 1 11 1 1 I I 1 1 (1 1
2750 KELLEY PARKWAY DATE ISSUED: 02/20/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 125 BAYSIDE TR
PIN : 06-117-23-22-0029
LEGAL DESC : BAYVIEW FARMS 2ND ADDN
: LOT 4 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR
VALUATION OF PLUMBING 15455
APPLICANT PLUMBING FIXTURE FEE 193.19
STATE SURCHARGE PLBG(VALUATION) 7.73
DIVERSIFIED PLUMBING&HEATING TOTAL 200.92
POBOX91
CHASKA,MN 55318- Payment(s)
(952)448-0756 CHECK 10773 200.92
Minnesota State License#:plbg-71354924
OWNER
MERRITT,BRENT&TONI
18309 TYLER STREET
ELK RIVER,MN 55330-
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 wi the State Building Code.This permit may be
r4 ed ny time Kr due cl e.
n \K (1A1/0\ Re ,
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Applicant Perm—e Signature Date Issued By ature Date
A
\pN City of Orono FOR CITY SEQI .Y/ i
Po. Box 66 Date Received: � o�(�
} 2750 Kelley Parkway 1_ /41)r -7
1 Crystal Bay, MN 55323 /
Permit# �/l/
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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 mustbe 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) [Backflow Device: ❑ AVB ❑PVB]
® New H Additional I I Repairs ❑ Replace
n In Accessory Structure?
*you will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
Site Address: 125 BAYSIDE TRAIL
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ui VERSIFIED PLUMBING Contact Person: COLLIN KING
Address: PO BOX 91 State Bond #: Pr7Rti9
City: CHASKA Zip: 55318 Expiration Date: 12/31/2019
Phone: 952-448-0756 Alternate Phone: i52-334-2/94
❑X Insurance — Current: FEDERATED
Page 1
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE 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
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
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.
':-.,'-OCUMBING.-z,PARMITARPILAWONAGREEMENT
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:
Building Official/ Inspector: Date:
Page 2
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE / / SCHEDULED 477'477-/$ / 1 O 0
PERMIT NO.vZO/Z -0/ 7`7 OMPLETED f �
ADDRESS / 1 �``� `1 / ,� cel
OWNER �TELEPHONE NO.9c - 33/-2 y
CONTRACT R J/JCJ.�l i-t EOE P 107 060l/i A--
>. DESCRIPTION Pib75' file
L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
❑
Q POURED WALL ) LUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
C 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v) COMMENTS:
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W -W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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O CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
CI INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. (p/r"'
White Copy/Inspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO NOTICE r I SCHEDULED .TjgEM 313 0
PERMIT NSC (� COMPLETED
ADDRESS 2S B CI-k{SiC -'2 1 fel
OWNER TELEPHONE NO. 1'9)7
CONTRACTOR 1Z.9 j l Pti Pt- Ci 'DU-Sr-N-1'
DESCRIPTION
W Is ❑ FOOTING ■ a LOB- .e 0 SEPTIC FINAL
4..0. ❑ POURED WALL MBING - 0 EXCAV/GRADING/FILLING
(#3 ❑ 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 ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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c.) COMMENTS:
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C 1 BEFORE COVERING PERMANENT
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 in advance. (952) 249-4600
OwnerlContracto f .
Inspector. Y
White Copylinspector's File Canary CopylSite Notice