HomeMy WebLinkAbout2015-01036 - plumbing • CITY OF ORONO I< < 111.E 11.1. 1111111111 i i II
*
2750 KELLEY PARKWAY * 2 1 5 - 0 1 3 6
DATE ISSUED: 08/11 7/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2310 OLIVER HILL
PIN : 34-118-23-33-0075
LEGAL DESC : OLIVER HILL
: LOT 5 BLOCK 1
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 3 WATER CLOSETS, 1 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR
DRAINS, 1 LAUNDRY TRAY,
1 WASHER, 1 WATER HEATER
VALUATION OF PLUMBING 10000
APPLICANT PLUMBING FIXTURE FEE 125.00
JESSE TOUTGES LLC STATE SURCHARGE PLBG(VALUATION) 5.00
5260 CLAYTON DRIVE TOTAL 130.00
MAPLE PLAIN,MN 55359-
Payment(s)
(952)913-5856 CREDIT CARD 0938 130.00
OWNER
ALMSTEAD,DAVE&CHALEEN
415 NO. 1ST ST
#514
MINNEAPOLIS,MN 55401-
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.
p r
I po Sttis
C� s 17/ I�
Applican Permitee Signature Date Issued By Signature Date
FOR CITY USE ONLY
/ O�l City of Orono /
VO P.O.Box 66 Date Received/ /lam Permit# �i�!Jr�
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount S: •
((P299.705552.2:204:99-64646601
952)249-4600—Main
(952)249 4616—Fax
sF CITY OF ORONO—PLUMBING PERMIT C�kESHO��c. (All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.gov/CCLD/PDF/pe plum bplanrevapp.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)
E' 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: 2310 (9i Je o^ A (
Owner: a !) A/41 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
�� cite "e.5 --LE r Contact Person: ''� SJ` ��l �`t`' '
Contractor: s ScS� o —.�
Address: S2-6 Ci (Ay- .(4,•._Jr: State Bond#:
City: 44 it i.L,' Zip:S53ft Expiration Date:
Phone: SZ--9/„3--S'S=5 Alternate Phone:
❑ Insurance—Current:
1
f
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ) Floor Drains
Z
Lavatory r Sewer Ejector
Bathtub f Laundry Tray
Shower ) Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
i t� :t 4` m r ', ..,
= v:k„= v 4.,sow
0 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 $ 1.00
• Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
•
,•s �.� �.r<.>. .� yaJE< < '.a .. .. :., . ,_.,, �`,. .�r r��_:: ..,x,.... 4sDR .i .�i �.,��,�. .. ��'�w�� ��...
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract
price with a(Minimum Fee of$50.00)
'4/(9030 x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-hi 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.
p g
•v,.�` F...V4 414 ,n. tt °l .C 7? p 5
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: Date: 5S --1)--/S
3
7.°7 '---4.--------
DATE TIME \li
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 4,71i'1 'pis
PERMIT NO. 2O15-C)/ 03(o COMPLETED
ADDRESS 2___ l0. Ont Ve Hi 11
OWNER TELEPHONE NOR 5Z-43 t3--S2
CONTRACTOR 1.-PsS,P _ T 11a-` .
DESCRIPTION 11 rf
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL v
cr ❑
Q POURED WALL LUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
• 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
= ❑
F. 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
J ❑ DEMO-SITE 0 E IC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
0) COMMENTS:
6/.(.0 . (Jwd- PvC . ch yd -
o - b 4.? -( J e t' /s Ael212 45-
N.
CC
O - 2.E.oea ✓eK.t k), 1( ✓e. t Fro —
W
°C 6 cc v'f ,.es kte
Q
W OK
Goy ✓
W
cc
j
W>NWQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE 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 ext inspection 24 hours in advance. (952) 249-4600
Own ontractor on ' : e 5 s C
Inspector. _it"...
Al—
ite Copyllnspector's File Canary CopylSlte Notice
_G5
DATE TIM
CITY OF ORONO CALL IN
INSPECTION NOTIcA /�� SCHEDULED </;1//5 [J r i)
PERMIT NO._2-01 -J-0)«/COMPLETED 6666
ADDRESS -1-3 1 b b I 1 v >z `}4) 1
OWNER TELEPHONE NO. 9 7 n/3 -599)
CONTRACTOR iO A��.' . AA A•
DESCRIPTION T2)11 p 1 ()A
- .
...tU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL ti:PLUMBING FSI — 0 EXCAV/GRADING/FILLING
wl 0 FOUNDATION WATERPROOF
--=,,
PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
v 0 FINAL 0 W ER HOOK-UP 0 FOLLOW-UP
W ❑AS BUILT-SURVEY WER HOOK-UP 0 FOUNDATION/REMOVAL
, ❑ DEMO-SITE EPTIC INSTALL
IC Z OWNERICONTRACTOR TO MEET YOU: YES_NO
to COMMENTS:
Lu Q. A' - pvc -5CA 4a -
ifr . 'cam - for- r14.L. 4 Ga. /5'(
, 4. o/ ,
oO
z45 4.)ti,, h ie3 opo r Caaa-
n/�
Ytoc.j4e, pets .34 -* c/4..- 40"er E✓Q4,49
Q r a.7 v o.t t /Q ./a e �,
. I ei drC4e e��
G4/( 'cor re, 'tg,0sefa.., 411,.<rdiec, rie_#'ies.
W
R;
O
IQ 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
14 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V' BFORE COHERING 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.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnenContractor on site: 1 e-55e
Inspector: /1--,
CopyInapectoi's File Canary Copy/Site Notice
G --- .cA---
DATE Ti
CITY OF ORONO CALLED IN f I
INSPECTION NOTICE SCHEDULED T— .--1s 9.'OJL7
PERMIT NO. 9 )iS d PLETED
ADDRESS o! u` v- r l (
OWNER CfC-- TELEPHONE NO.&9? -96-
CONTRACTOR: -"')X/3 cJiS S'42.____-
DESCRIPTION Coact" V- /n L tA.Mied it t piptS
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ 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
I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
LAI ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: .
W •i i4tp✓ be/E 5 O h in.L.. -# L.L.
Q.cc
N.
cc
0 F, rt-.CX 1,p n'te •is,. Q W V r
ILI
Q wlmete r it r►af 1,N L.s!
2
i40#-- `6 Gv aav v. t. .e. 1-4.e-
IQ
Et
ku �MDRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
WRRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O IDCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector: 9 ,....-‘
9i(
White CopyAnepector's File Canary Copy/Site Notice
• TIME
CITY OF ORONO CALLED IN / — , - /
INSPECTION NQ3 K 61631,SCHEDULED / 6 1.,I
PERMIT NO. ���'�J !J^' l/ LETED j
ADDRESS c /6 (/6 / I(A, 1`�l
OWNERI TELEPHON`,/95;7- S0�3 a
CONTRACTOR / b 4 /
'
DESCRIPTION Pi
).-
LU ❑ FOOTING 0 DEMO;LL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
.4E 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
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ EPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
c0.) COMMENTS:
cc
W
Q.
Op
O
cc
O
W /
Z
Q
Z 64.e)./ i -ii,— 9-gir!-)A
LUEl WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. ' 49-4600
Owner/Contractor on site: I
Inspector. 1LC- •
White Copy/Inspector's File Canary CopylSlte Notice