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HomeMy WebLinkAbout2014-01413 - plumbing CITY OF ORONO HI I III 111 .1111 I III III II 2750 KELLEY PARKWAY * 20 1 4 - 0 1 1 3 DATE ISSUED: 12/11 0/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2327 OLIVE AVE PIN : 17-I17-23-44-0074 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 2 WATER CLOSETS.3 LAVATORY, 1 BATHTUB, I SHOWER. I KITCHEN SINK. 1 DISPOSAL, 1 DISHWASHER, I LAUNDRY TRAY VALUATION OF PLUMBING 4995 APPLICANT PLUMBING FIXTURE FEE 62.44 STATE SURCHARGE PLBG (VALUATION) 2.50 WESTONKA MECHANICAL INC 6501 COUNTY RD 15 TOTAL 64.94 MOUND, MN 55364 Payment(s) (952)472-4966 CHECK 34437 64.94 OWNER MCCURDY,JOSEPH& LAURA 2327 OLIVE AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may he revoked at any time for due cause. 71-0 -\/ 1 - 12 0 - 19 _ITS /)-7 / 0 / 1 Applicant Pe�+fnitee Signature Date pp g Issued By S. nature Date • FOR CITY USE ONLY City of Orono .O.Box Date Received: Permit# 275P0 Kelley66 Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax q �o CITY OF ORONO-PLUMBING PERMIT kEsHO (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/P.DF/pe plumbplanrevapp.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) 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: 2 3 2 7 1 v Owner:Jo rYh, C vl -cl x Mailing Address: -5z--ti' City: () P C h C J Zip: Home Phone: S'o7-2.C1-36 it) Alternate Phone: Contractor Information: Contractor: 1../..Lizon ) 1�'j tto h GO Contact Person: D +G k Mo e Address: LSO C State Bond #: City: Y40-in h d Zip: )41)/) Expiration Date: Phone: q52- '-}y Alternate Phone: ❑ Insurance-Current: 1 t, FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains Lavatory Sewer Ejector Bathtub 1 Laundry Tray Shower , Washer Kitchen Sink I Water Heater Disposal 1 Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous '€w a p. a x.,aanar 1; :: 7i 7 74 TP'4 ❑ 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 A � F� -rix �a d yy��, ti it If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) Y,9 t5. O-e x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 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. APPLICa:4,40 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. Applicant's Signature `rrnC /W' Date: j 2— (O i 3 • ((� T ..S5/1\% CITY OF ORONO CALLED IN a'c4 DATE I�IME INSPECTIONTIC SCHEDULED (a.•? 1 PERMIT NO. 'I -C i 41 3 COMPLETED ADDRESS 23 2-T b( i v-0 v-e. OWNER TELEPHONE` SNO.� — L( 1. uel gs CONTRACTOR V...1_.P Si-b--Lb r - e2L (/or ¢-hv lro, DESCRIPTION u ❑ FOOTING ❑ PLUMBING FINAL LIEXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT '"I ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ct CTORTOMEETYOU:_YES_NO o COMMENTS: 14• G Q. W 0 ki v Pvc scx, a — Jb * AZ1;- ?Se Z i /1'o rYeC - cc ° w i t l fie /rito ext5ttK1 )4&5 - 4' `' QSGA. 4d'40 lade r f, •n• 40443 e ;._ ) W �eDv( 0 e 1"L��r'J �., e9 apt SsL-e- cc j fIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC /❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Own ontractor on site v Z &# Inspector. - /sti -4- White Copyllnspector's File Canary Copy/Site Notice INSPECTION NOTICE DATE TIME CITY OF CALLED-IN SCHEDULED PERMIT NO. 0/ccF0//I 3 / COMPLET ADDRESS 023 22 A° '_ OWNER/CONTR. /--)/ - ❑SITE INSPECTION 0 MECHANIO 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 ❑ FR ING 0 SEPTIC INSTALL 0 0 S ATHING 0 SEPTIC FINAL 0 LUMBING RI 0 S&W HOOKUP 0 PLUMBING FINAL 0 GAS LINE MANOMETER 0 • CO MENTS: elPir W / ' 2 2 cc cc R cc W cc FURT CORRECTIONS MAY BE REQUIRED 0 PERMIT FINALED • ORK SATISFACTORY: PROCEED 0 PHOTO TAKEN ORRECT WORK& PROCEED 0 CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. 0 STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: 7 Inspector: V DATE TIME CITY OF ORONO CALLED IN INSPECTION NO�9E SCHEDULED PERMIT NO. �// `� pH; �ICOMPLETED Z Z:06 ADDRESS Z;Z�I 671111e) ,4--tic OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION Lai ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING H ❑ FOUNDATION WATERPROOF LUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 M CHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP IQ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL IC 2 OWNERICONTRACTOR TO MEET YOU: YES NO h COMMENTS: a; Q o /`'agout(,i-Mk 7t 1, L v'e 7 v I 44N. c u. Kt v7ct / 4/Y1/1 r kl-- W IX Q W W eC CI IQ 0 WORK SATISFACTORY:PROCEED OJECT COMPLETE 0 CORRECT WORK&PROCEED 0 ISSU ERTIFICATE OF OCCUPANCY tai O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection'urs in advance. (952) 249-4600 Owner/Contract site: / Inspector. ���.C/( t White Copyflnspector's File Canary Copy/Site Notice c--(2\ DATE��� DATE TIME \( CITY OF ORONO 11' CALLED IN INSPECTION OIC SCHEDULED 1 I 1‘ \7 I l ,c.A PERMIT NO. — COMPLETED ADDRESS 2, a-q 5 vu OWNER Ct(LIC& 1'YL^Ci,Lr(i TELEPHONE NO. 1 �� 3(.o (U CONTRACTOR 1 DESCRIPTION --(" l L—--) r1 `u' W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL �1-PLUMBING A1._. ❑ EXCAV/GRADING/FILLING QLi) 0 FOUNDATION WATERPROOF( ❑ PLUMBING FINS ❑ TREE REMOVAL • ❑ RADON SLAB MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ElFINAL ID WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES NO W COM—MIEN eek/ 14-4-0 e--03e -:-- ofdcc ,' I�.µie.- d, i'.2n-r Occ• 4 fie I W CC ZA4 i -/d4 /mak l/ ug.e ci w 1-0 csit-I-pa c•/%,- cc W ❑WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE IX ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY ` yORRECT WORK,CALL FOR REINSPECTION TEMPORARY / EFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 psjte: Inspector: 13 0 White Copylinspector's File Canary CopylSNe Notice -V-\' 1 i DATE TIME v CITY OF ORONO ` I CALLED IN / INSPECTION /( I OT CE �j SCHEDULED f j [C)' PERM 0.(10+ O 3 - COMPLETED- A�D44D��Rs� cC 21 -7* ()I I V(2_, NI& ' 01AN r ra ' TELEPHONE NOl� 300 `CONTRACTOR �1 0 (.L -� Lsa-- \/ DESCRtPTION `�'� f(��- � ` i / W , j $ ❑ FOOTING 0 DEMO- NAL 0 SEPTIC FINAL 2, a "1 s ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/ LL',r Q 0 FOUNDATION WATERPROOF ,COMBING FINAL 0 TREE REMOVA ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPEC •N Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Is ❑ 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 .1 ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO t0.) COMMENTS: - /%%,ne,n Q , c"n Oma 1 ec /- )/A�,o �J ccO IX - Ii"i/,s>vvp c� �a ry o7' 43';e -/ ��m ..R-j0-/7 O // ey,,/P bBPirr co,043,7teci W c. Q a "- /Pe.re.47Ger 7I> ,-,,,.. 97.61 1176-41c yr' oma' W /0/l,/,'IL'',., tiPN� s-71a 73 W WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW CORRECT WORK&PROCEED d ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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. ./" .-,e'Z...• White Copyllnspector's File Canary CopylSite Notice