HomeMy WebLinkAbout2018-00287 - plumbing 111 I
CITY OF ORONO
* 2018 - 00287 *
2750 KELLEY PARKWAY DATE ISSUED: 03/16/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3286 NAVARRE LA
PIN : 17-117-23-44-0109
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(2)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER
VALUATION OF PLUMBING 12500
APPLICANT PLUMBING FIXTURE FEE 156.25
STATE SURCHARGE PLBG(VALUATION) 6.25
KAB PLUMBING LLC MAIL-IN FEE 2.00
20725 196TH AVE NW
BIG LAKE,MN 55309- TOTAL 164.50
(763)219-3599 Payment(s)
Minnesota State License#:plbg-690863 CREDIT CARD 0936 164.50
OWNER
ASHDOWN,GRACE MARIE&GLEN
3286 NAVARRE LA
WAYZATA,MN 55391-
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.
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Applicant Permitee Signature Date Issued ignature Date
Ivo • City of Orono 'FOR CITY USEONLY°;; ,
/: 0 , P.o.Box 66 Date„Received S.-004:
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2750 Kelley Parkway
A Crystal Bay,MN 55323 P`eitnit#: 1 '
y+" �. v (952)249-4600—Main
r + d `Approves By:
ti` w (952)249-4616—Fax
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C?r,5\('Y Amount$: , --- -7-717—, ,
CITY OF ORONO-•PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
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4 AT ON. . ;. .
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT B GIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(2448 hour notice required)
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residential Q Commercial(Approval Required) [Backflow Device:❑AVIS ❑Pv33]
New 0 Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job:Site-f-0iiirier Information:.
Site Address: 32-Sl D J\)cwacct Lan- , a. ! yrs, s e1
Owner:9ik ) CI0(f _A4-401.34), Mailing Address: ¶b , ta2aff_C.. . Lank
City: S7 "C ._ Zip: S 5 ? 1
Home Phone: Alternate Phone:
Cdntradorat formation:. ,_ ., , 1
Contractor: ,r )) pAoC*) 7) Contact Person: stun eat r
Address: 12-. 5 1J % . State Bond#: C-I 0 q O(03
City: \ L41 Zip: r,.. "30 9 Expiration Date: \R-) '3I 119
Phone: 3 - en 61" 5i 9 Alternate Phone:
'4 Insurance—Current: .
Page 1
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FIXTURE BSMT 191 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet , 2 Floor Drains
Lavatory k 7) Sewer Ejector
Bathtub Z. Laundry Tray 1
Shower r 1 Washer 1
Kitchen Sink \ Water Heater 1
Disposal 1 Water Softener
Dishwasher ' Wet Bar
Sil!cocks Miscellaneous
Fs� . _ ,-..!,—L,-2_.-__•
fir . � 1
� �A�x�.��., .�....:.�� .,. .,! 'a.�...i�_' r.i..Sf':r..m_a 3�_dr!l..f�_�.� �7,,T. 7-7-777.7----7-',,71-177� 11�� s i '] it � �..,.. 4 !.. yf � a -.4
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
150C) c)
x.0125 $ \ 5o• ' —
(contract price) (minimum$50,00)
2. STATE SURCHARGE I
\ t 60 6 x .0005 $___ LP . 2_5
(contract price)
3_ POSTAGE&HANDLING (Only on Mail-In Applications) $ --4:819-
4.
..019-4. TOTAL PERMIT FEE (Add Lines 1-8 Above) $ , lff7_ o 5 0
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.
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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 ade on this appli • complete, true and correct. c�
Applicant's Signature: Date: 3) 1 3 1 ) O
Building Official/Inspector. .. Date:
Page 2
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CITY OF ORONO CALLED IN �`% i
INSPECTION NQIII����-7 SCHEDULED AWN. C
PERMIT NO.pI(J AA
6(...1,9____)� / I, ' 16/' 16/ADDRESS 3 SiO g
OWNER /2, ?1/9
TELEPHONE NO.CONTRACTOR )<' 1 u
v _ ,�,,�DESCRIPTION Pi/ '\ v�"v
W ❑ FOOTING 0 DEMO- I L 0 SEPTIC FINAL
Q ❑ POURED WALL X PLUMB RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ 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
. ❑ DEMO-SITE 0 SEPTIC INSTALL
Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
cca. NI,L. �K Iy - 1000 v - 'tic- scd. 9d -
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5# a., ' es l S Ad l�e.•tc
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14,
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CC OK A Ce)44 hua-
IQ• WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
IX
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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
Owner/Contractor on site:
InsPec#oh-" 1r
/
(White Copy/Inspector's File Canary Copy/Site Notice