HomeMy WebLinkAbout2018-00430 - plumbing CITY OF ORONO I I 111 i I It � I,','
* 2018 - 00430 *
2750 KELLEY PARKWAY DATE ISSUED: 04/09/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1729 NORTH FARM RD
PIN : 27-118-23-44-0018
LEGAL DESC : THE FARM AT LONG LAKE
: LOT 000 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: (1)WATER HEATER
VALUATION OF PLUMBING 2000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.00
CITY VIEW PLUMBING&HEATING TOTAL 51.00
1880-B WAYZATA BLVD W
P.O.BOX 150 Payment(s)
LONG LAKE,MN 55356 CHECK 37778 51.00
(952)473-8793
Minnesota State License#:plbg-MB005208
OWNER
FIELD,MR.&MRS.BENJAMIN
1729 NORTH FARM RD
LONG LAKE,MN 55356-
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
nded for a period of 180 days at any time after work has commenced.
The • : icant is responsib - or assurin required inspections are
requested conformance w h the Stat B 'Iding Code.This permit may be
revoked at• time for ecause.
�'' /Pier— y 1 i 9 1/7
ice"Pe itee Signature �ate Issue y Signature Date
vpN City of Orono FOR CITY USE ONLY
0 P.O. Box 66 Date Received: </-9-/S'
Crys2750 Kelley Parkway Permit# �O(S-DO'-/3U
A � Crystal Bay MN 55323 ' � p
yF �� (952)2413911 0—Main Approved By: /,YG�
�4kESHORb (952)249-4616—Fax /
Amount$: $.5 eV
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.qov/CCLD/PDF/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)
`L1 Residential ❑ Commercial (Approval Required) [Backflow Device: ElAVB ❑PVB]
❑ New ❑ Additional ❑ Repairs -AiReplace
❑ In Accessory Structure?
*you will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
6 I
Site Address: 1 �� � fZiii/1
Owner: 46e4A -lfc.1A Mailing Address: I Ig/ J) 614\ eAlitil ZA
City: ton3 tde_, Zip: 456(e
Home Phone: `( 5 LI 3-3 - )-.9-1(11 Alternate Phone:
Contractor Information:
Contractor:C if--- Y I 0 r( Gtvvto, ,Contact Person: 5+e..k ( t°(4
Address:I'10'& W&51U''.'1(/6 State Bond #: PG 61/11-1< `
City: 1 V La�(e Zip: 6635& Expiration Date: Iv/3(
/1i
Phone: 9.0 - q73— J Alternate Phone:
Insurance - Current: Ye-5
Page 1
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater I
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
lra °� .�'.� ° v _
._.<>,..e,...v.....a,.: ,.xo...oF: .,✓ca�.-atm,.,aa.sa..s. .. ,.z.. , ......v, v . 5 i. ....�. ., „ '° i a. ..,+a .. w..e..,._.um_.s„ #P' . � ..
1. CONTRACT PRICE * is 1.25% of contractco" price with a (Minimum Fee of$50.00)
���!'V x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE �y,c�J )
L.
(/)'LJ v �/ 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 ade on this application re complete, true and correct.
Applicant's Signature: Date:
4 It
Building Official/ Inspector: Date:
Page 2
V.
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED 4--//-/? /I=,'?,O
PERMIT NO.a'OI i' OO�� COMPLETJD
ADDRESS /-7ezq /v0(A-1, l l✓vt I�o
OWNERTELEPHONE NO.95-07--`7173-M3
CONTRACTOR CJ 7 vI e-l-k.)
DESCRIPTION eb;
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE )LUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE �❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ElFINAL 0 WATER HOOK-UP 0 FOLLOW-UP
IQ ❑ AS BUILT-SURVEY El SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE ElSEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES NO
cc* COMMENTS:
cc
Q. W4ice✓ /{"Ado✓ r61101.
o - ex&s-/&15 1/464"a L 1,4 ce t/6,4- •yrs
CC " c ICI4 `#t# f V$ /ibde-
o 64.5 Ao i4 tic.#- 1prOvf dev
W
CC
Q
— /4/1 idd✓--- e!)010/ete
W
Z 14••.t ‘IPItaild .
IQ0 WORK SATISFACTORY:PROCEED CT COMPLETE
W 0 CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector:(?/AA-
White Copy/Inspector's File Canary Copy/Site Notice