HomeMy WebLinkAbout2017-00152 - plumbing CITY OF ORONO I III VIII II INI1111111111111 All
2750 KELLEY PARKWAY * 20 1 7 - 0 0 1 5 2
DATE ISSUED: 02/21/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 500 OLD CRYSTAL BAY RD S
PIN : 04-111-23-42-0029
LEGAL DESC : CRYSTAL BAY RETREAT
: LOT I BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:5 WATER CLOETS,7 LAVATORY,2 BATHTUBS,3 SHOWERS, I KITCHEN SINK, 1 DISPOSAL, I
DISHWASHER,
2 SILLCOCKS, I FLOOR DRAIN, I WASHER, I WATER HEATER, 1 WET BAR
VALUATION OF PLUMBING 20000
APPLICANT 1 PLUMBING FIXTURE FEE 250.00
STATE SURCHARGE PLBG(VALUATION) 10.00
MIKE'S CUSTOM MECHANICAL INC MAIL-IN FEE 2.00
P.O.BOX 171
CHAMPLIN,MN 55316- TOTAL 262.00
(763)568-7148 Payment(s)
Minnesota State License#:plbg-PC6449 CREDIT CARD 1743 262.00
OWNER `
MERZ,BRIAN&KATIE
2412 BLACK LAKE RD
SPRING PARK,MN 55384-
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. Thi$permit is for only the work described and does
not grant permission for additional or related work Which requires separate
permits. All provisions or laws and ordinances gov ruing this type of work
shall be compied with whether or not specified here n.This permit will
expire and become null and void if construction au orized 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 afterwork has commenced.
The applicant is responsible for assuring all requireinspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. /}/n
illiCk, C(- (54 g 0 C-t-'—/ r /
Applicant Permitee Signature' Date Issued BySignature Date
Feb 17 ZEI17 1Z:@0:08 Via Fax —> 9522494616 %nage Page 004 Of BOO
City of Orono : FOI3
Ci\ P.O.BOX 66
. 2750 Kelley Parkway
Permit
• Crystal Bay4ON 55323
17"/ (952)249-4600-lvlain
\<::!:tot.slitt..-d (952)249-4515-FaxApprovedBy - '
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CITY OF ORONO- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.ciliSIRJEDEpi2krIapigLIreammatil
GENERAL INFORMAabN
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.
Z. Permit cards will be lsent 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 OISI THE OB SITE.
3. Plumbing permits my be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new consitruction 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. Cell(952)249-4600.
(2448 hour notice required)
TYPE OF::PERNillthepkAll:Thati
IS1. Residential I El Commercial (Approval Required) [Backflow Device:D AVB Q PV1.11
New El Additional DI Repairs fl Replace
fl In Accessory Structur ?
*You will need prior Opproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
:Job Site/Owrierlpforma4on.:::: :
komm•unaa‘leorrn,ainwau,—• •,—.
Site Address: .
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Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
LContractorlhformation: .
r
Contractor \kt4Contact Person: 41‘-UteLL-16,-
Address: State Bond #: Z
City: s4Liy\ ' Zip: (.e, Expiration Date:
Phone: 747.. 576-A-7( Ik Alternate Phone: GQ. /2- 1O- iiy
A Insurance-Current:
Page 1
Feb 17 2817 12:80:33 Via Fay( -> 9522494616 Vonage Page 005 Of 008
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—-
FIXTURE BSMT 18T 2Np -. .�:.,,,`_ _
OTHER FIXTURE BSMT 1s' 2"° OTHER
TYPE Floor Floor TYPE Floor Floor
.{.,_
Water Closet I ( 3 Floor Drains i
Lavatory 1 t rr Sewer Ejector
Bathtub 2- Laundry Tray
�
�.
Shower t I .. Washer a „ „
Kitchen Sink I i Water Heater )
Disposal, 11 Water Softener
Dishwasher Wet Bar 4
Siticocks 7— fMiscellaneous
1. CONTRACT PRICE is 1.25%of contract price with a(Minimum Fee of$50.00)
4 0 x .0125 $ ,, C
(contract price) (minimum $50.00)
2. STATE SURCHARGE
4,.. I ` �y V •x..0005 $ /(.
(contract price)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00
r
y x
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) . $ ~~ - ��
* CONTRACT PRICE or JbB COST means the actual or estimated dollar amount charged for the
permitted work including m terials, labor, profit, and other fixed costs. lt:is the amount to be charged to
the customer for the work one. 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.
s. d
..:, .....,'c., .ar.;<.;;,. ....-.>,��,,..::v,,ren.:: w. OR:— TOPIACi
€ *
The undersigned hereby aplies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the olydinances of the City and the regulations of the State of Minnesota, and
certifies that all statements.Made on this application, complete,true and correct.
Applicant's Signature:
r� '
PP 9 `� - '" ',i . Date: s7 ( - —, _..
Building Official/Inspector: Date: w .
Pogo 2
....(i._ I I ,
• TIME
CITY OF ORONO CALLED IN —I a 17
INSPECTION NOTICE SCHEDULED - —1 t —/ 7 30-6
PE17:RMIT NO. /�` bd 15�0 LET ( �,
ADDRESS SI-A--t CIS
OWNER _ TELEP ONE NQ
CONTRACTOR Mt / i, �
32 DESCRIPTION / ! b K- c;-'`
W 0 FOOTING 0 DEMO-F 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUM RI 0 EXCAV/GRADING/FILLING
C o FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.t ❑ DEMO-SITE 0 SEPTIC INSTALL
Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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o� RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED LIISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
El
O 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
OwnerlContractor on/ site:
Inspector. b F2 L,
White Copyllnspector's File Canary Copy/Site Notice
L DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED ?// 7/� 7
PERMIT
NO. ' 1�'/ 'CC/C" COMPLETED
ADDRESS f5(r. % CT ( JSftk ( 6,11 Pl
OWNER TELEPHONE NO. •
CONTRACTOR
DESCRIPTION I�t t,Lrr L (i'ii
W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
U. ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
42 42 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
14/ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 S PT INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: ES_NO
COMMENTSS:
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K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY -
C.l BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI 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
��ctor on sie:
Inspector. 6
White Copyllnspector's File Canary Copy/Site Notice
b —
DATE
TIM
CITY OF ORO CALLED IN rrff
INSPECTION 9 SCHEDULED .(0(c) d
PERMIT NO. 1 —u4-01
COMPLETED
d `
ADDRESS o erG itt• /
OWNER TELEPHONE NO.a)- - cd -4.?`�f
CONTRACTORS tom.-Zim
DESCRIPTION RkQ-('1 rQ
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
!ix ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
C 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP ElFOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ .--.❑ DEMO-SITE 0 SEPT C INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES/_NO
2 COMMENTS: "k ../ oI//'9 Ov, Sy-r/Gm
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W /
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WK SATISFACTORY`.PROCEED COMPLETE
W
aC O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
Q 0 CORRECT WO CALL FOR REINSP N TEMPORARY
C.1 BEFOREC G PERMANENT
O 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. (952) 249-4600
OwnerlContractor on site:
Inspector: "' Z_-
White Copy/Inspector%Fila Canary CopyISite Notice