Loading...
HomeMy WebLinkAbout2015-00422 - plumbing CITY OF ORONO II I II I I I 111 1111111 I I I I I I I I I II 11 I,III • 2750 KELLEY PARKWAY * DANE ISSUED: 04/13/2015 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 450 OLD LONG LAKE RD PIN : 36-118-23-34-0014 LEGAL DESC : SUMMIT STATION : LOT 007 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: KITCHEN SINK AND DISHWASHER VALUATION OF PLUMBING 1300 • APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.65 PPS PLUMBING LLC TOTAL 50.65 985 CENTURY AVE N Payment(s) MAPLEWOOD,MN 55109- CREDIT CARD 7625 50.65 (612)868-7278 OWNER POLICINSKI,CHRISTOPHER&ANNE 450 OLD LONG LAKE RD 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 revgkcd at any time d - cause _ 1 �3 5 • •plicant Permit `tgn •. e Iss d By Signature Date FOR CITY USE ONLY 0 A i� City of Orono �VP.O.Box 66 Date Received:= Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount I: (952)249-4600-Main (952)249-4616-Fax c`� CITY OF ORONO—PLUMBING PERMIT 4,tEsHoc' (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.iov/CCLD/PDF/pe p1umbplanrevapp.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) ►:1 Residential ❑ Commercial(Approval Required) ❑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: 21` 5 0(c Owner: z_t-t_,./- Mailing Address: 4573 e7" bDcd Lka City: Dfr'-'15 Zip: Home Phone: Alternate Phone: 6 c3 Contractor Information: Contractor: * k . f ' Contact Person: Address: • S C- el V State Bond#: — (' ( '5(5-Lc J City: - Zip: / l Expiration Date: t Z/3 1/i 5� Phone: (1z C?6R I-2%TX Alternate Phone: 4 Insurance—Current: 1 g-1-. 44wria FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink O Water Heater Disposal Water Softener Dishwasher l Wet Bar Sillcocks ( Miscellaneous V14010,Mit,,44041klopiliar. : fi ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 • .44, $ dt'a. ® » If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) e7 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 2 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. 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. dillk Applicant's Signature: ille Date: �3 3 L/IN CITY OF ORONO CALLED IN DATE TIME y INSPECTION I�OT! 7-7 SCHEDULED 3//3/15 q.30PERMIT NO. ��� -00 4 Z2 COMPLETED ADDRESS 14 5 0 01 01'1 f�1!0 1d OWNER TELEPHONE NO. I Z CONTRACTOR CIPS LU'VIb DESCRIPTION P l'uu1 n b [rn Atz, W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL PLUMB I 0 EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF LUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT • 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE PTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES YES_NO COMMENTS: a cc A cc VW.4tet. O � W W W CC O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE • ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. LI PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED-CALL TO ARRANGE ACCESS. Call for the next inspect" 24 hou i " . • ce. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice 6.'72 DATE TINE / CITY OF ORONO CALLED IN ��1/// INSPECTION NOTICE SCHEDULED ►O 5 .. Ct r41-r-Y1 PERMIT N e. ©►S-C°4-2-2MPLETED Lt 2d ADDR -7,--' S CD dl_E) t� OWNER TELEPHONE NO. �Q I Z-SS(r7� CONTRACTOR PTS- PPt DESCRIPTION a LA-ink- 6 , (vtiP' I W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 11. • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL ✓ ❑ DEMO-SITE ❑ TIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:OYES NO y COMMENTS: cc IQ Q. ' --‘ ree2 0 N. 1410(/k' Au�/Gte 0 4. vZ W W Ct J IQ0 WORK SATISFACTORY:PROCEED ROJECT COMPLETE W 0 CORRECT WORK&PROCEED ❑1 E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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: Inspector. 9 , ,..... Ire- White Copyllnspector's File Canary Copy/Site Notice