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
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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