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HomeMy WebLinkAbout2017-01182 - plumbing CITY OF OR NO * 2017 - 01182 * 2750 KELLEY P AY DATE ISSUED: 09/22/2017 ORONO,MN 5 356- (952)249-4600 FAX: 52)2494616 ADDRESS : 425 OLD CRYSTAL BAY RD S PIN : 04-117-23-31-0001 LEGAL DESC : AUDITOR'S SUBD.NO.230 LOT 020 BLOCK 000 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (6)WATER CLOSETS,(8)LAVATORIES,(1)BATH,(5)SHOWERS,(1 KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(6) SILCOCKS,(3)FLOOR DRIANS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR VALUATION OF PLUMBING 28895 APPLICANT PLUMB G FIXTURE FEE 361.19 SPRING PLUMBING LLC STATES CHARGE PLBG(VALUATION) 14.45 11473 KENYON COURT MAIL- FEE 2.00 BLAINE,MN 55449- TOTAL 377.64 (763)614-7963 Payments) Minnesota State License#:plbg-PC643871 CHECK 10692 377.64 OWNER KVALSETH,JAHN&CHRISTINE 13650 ASHCROFT ROAD SAVAGE,MN 55378- 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. , 1 -7 Applicant Permitee Signature Date Tssuea By&nature Date DECEIVED �QNO City i P.OGoof Orono Q;p x 66 212017 Date ReceivedR QTY S)= ONLY i* i 2750 Kelley Parkway y Crystal Bay, MN 55323� , CITY Q� ORONO Permit# ell a��/ (952)249-4600—Main Approved By: krSHo (952) 249-4616—Fax Amount$: CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.gov/CCLD/PDF/pe plum bpianrevapp.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) Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] . 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 / Owner Information: Site Address: Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Q Contractor: y \- I U Yyl 1 /"­�ontact Person. Address: State Bond #: —1 City: T C Zip: Expiration Date. / 3 I 1 -7 Phone: -3 L— 711 6 '�> Alternate Phone: ❑ Insurance — Current: Page 1 4 PLUMBING FIXTURES BEING INSTALLED • FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet 3 Flo r Drains Lavatory Se r Ejector Bathtub ' Lau dry Tray Shower I Was er Kitchen Sink I Wat r Heater Disposal I Water Softener Dishwasher Wet Bar Sillcocks Lo Miscellaneous PERMITTEE CAL , ULATION 1. CONTRACT PRICE '"is 1.25% of contract pri with a (Minimum Fee of$50.00)Q 0 —") —x .0125 $ (0 (contract - I (contract price) (minimum $50.00) 2. STATE SURCHARGE d6 x .0005 $ ' I • L (contract price) 3. POSTAGE& HANDLING (Only on Mail-In App icabons) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ /- (0 -I CONTRACT PRICE or JOB COST means the actual I or estimated dollar amount charged for the permitted work including materials, labor, profit, and otherlfixed 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 marke 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 submis ion of a signed copy of the actual contract. PLUMBING PERMIT APPLIGA ION AGREEMENT The undersigned hereby applies to the City for issuance o 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: ! ( GI I` -7 Building Official/ Inspector: Date: Page 2 DATE TIMECITY CALL OF ORONO ED{N INSPECTIONME SCHEDULEDPERMIT NO. Cv_< PLETE � ADDRESS L ®I l OWNER TELEPHONEO. b - /9 CONTRACTOR DESCRIPTION b W ❑ FOOTING ❑ DEM -FINAL I ❑ SEPTIC FINAL Q ❑ POURED WALL Aff-QLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL .t ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: G• 1 f/ ' �� ��• ' w4 fl*A60L &,4 t� .de veal act of tae AIOAKSATISFACTORY.PROCEED ❑4PHOTTAIKEN COMPLETE W ❑CORRECT WORK&PROCEED ❑ TIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTK)N TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p INSPECTOR WILL RETURN p SSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours In advanc� (952) 249-4600 Owner/Contractor on site: '"Moo White CcrpyAnspector'e F�it, � Cmary pylSite Nodee INSPECTION NOTICE DATE Tly/ CITY OF OAG H'V-- CALLED-IN SCHEDULED a-'c (1,'Gf� PERMIT NO2 i1-O//6 Z COMPLETED ADDRESS i/Z5-- d//" C.ys✓.*/ A.(-Y Co 5- OWNER/CONTR. ❑SITE INSPECTION 0 MECHANICAL RI 0 REINSPECTION ❑CONC SLABS 0 MECHANICAL FINAL 0 FOLLOW-UP ❑ FOOTING 0 INSULATION 0 COMPLAINT ❑POURED WALL 0 RATED ASSEMBLY 0 FIREPLACE ❑ FOUND.DRAINAGE 0 BUILDING FINAL 0 SPRINKLER SYSTEM ❑FRAMING 0 SEPTIC INSTALL 0 ❑S '"' ❑SEPTIC FINAL 0 La UMBING RLQ ❑S&W HOOKUP 0 0 PLUMBING FINAL 0 GAS LINE MANOMETER 0 Q o COMMENTS: G4sT X-1-.0 t- 73- p4 p,rsfid, /244,rxrC2.0 �n0 h..sT ;/1 od�� Sc1c 4D Q J `��� Z- ` G`� - �K� , 4-e,YC/2 , w 1 s /� %L 5 GrG ' d�.is ��'— ,3'' e/1.,.2 • 3 L Z 0 au O/K- Cr,,- ,i-_ a etn _rig r� ,✓1-r,4-ye 04,4,e-- (Jr+�„-S - .. rr 4 ' 4.7 (.t/4.9 444-5 i .- /Ya e 0 s 5 _ /f P4 TE ;..- ,`rAfrt w4-< W61, 70.f-A04 mow/,,v (,v, C-3,/ Ars4- - cc Q Z w Z w w a cc FURTHER CORRECTIONS MAY BE REQUIRED 0 PERMIT FINALED ORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p RRECT WORK& PROCEED U 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 Me , West Inspection Services Inc. Owner/Contr. on - t-: Inspector: i 7