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HomeMy WebLinkAbout2016-01556 - plumbing CITY OF ORONO I l* 20 il60i556 * 2750 KELLEY PARKWAY DATE ISSUED: 12/20/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 460 ORCHARD PARK RD PIN : 32-118-23-23-0012 LEGAL DESC : ORCHARD FARMS : LOT 2 BLOCK 1 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER VALUATION OF PLUMBING 18000 • APPLICANT PLUMBING FIXTURE FEE 225.00 STATE SURCHARGE PLBG(VALUATION) 9.00 MANATEE PLUMBING TOTAL 234.00 11525 199TH CIRCLE Payment(s) SILVER LAKE,MN 55381- CHECK 9200 234.00 (612)756-1172 Minnesota State License#:plbg-005923PM,mech-MB005101 OWNER MULHERAN,PATRICK&MELISSA 4128 HALLGREN LA EXCELSIOR,MN 55331- 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. i2e-I /54 / a-6/ Applicant Permitde Signature Date Issued By Si ature Date • . .041 oCity of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: A-gyp,M:2 2750 Kelley Parkway Permit# A°/0-0/`S g� Crystal Bay, MN 55323 G` (952)249-4600-Main `'kEsHoO• (952)249-4616-Fax Approved By: Amount$: /c CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT(Check All That Apply) ,Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] gNew ❑ Additional ❑ Repairs ❑ Replace El In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site /Owner Information: Site Address: LoO C icnc<.r d FoorK I), Owner: (Y\v U vr Mailing Address: City: it O V\ O Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: M "\a' ! \ ri I Contact Person: -DO L), D \ Address: 1 a O 8 ((c h 5� State Bond #: a City: Yo S ) Expiration Date: Phone: H c a '- 5 (9 " 1 a Alternate Phone: ❑ Insurance— Current: Fe aAK` 1Y Page 1 { - 00:::NG. '>1X OR:ES, tS1 RAN,$TAL MO:M4 a FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE 11 Floor Floor Water Closet 1 1 3 Floor Drains 1 Lavatory LI Sewer Ejector Bathtub a. Laundry Tray Shower j �.- Washer Kitchen Sink I Water Heater J Disposal Water Softener Dishwasher ) Wet Bar Sillcocks o Miscellaneous 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) /8 ;600 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. v ' rI* r: k �.: ® iJ 1 M ,Et 1 L CATI m , MEMENt F 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. � `'� ^ l Applicant's Signature: m-'� cJ Date: � a ° Building Official/ Inspector: Date: Page 2 DATE TIME CITY OF ORONO CALLED IN /01 — ) INSPECTION NOTICE SCHEDULED /T -�a /h 3,.3 0 PERMIT NO. 2D/ . --01555 OMPLETED ADDRESS 0 /' i/ - 5 OWNER TELEPHONE NOfiy7 - //7v1--) CONTRACTOR . 10t), EDESCRIPTION /9I ,- `'' v ly ❑ FOOTING 0 DEMO IJ.L 0 SEPTIC FINAL x ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADINGIFILLING O 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ▪ ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATIOWREMOVAL ✓ ❑ DEMO-SITE Ell SEPTIC INSTALL TO MEET YOU:_YES_NO R COMMENTS ccus s"" ri II es/C---.. o. cc , f•-)41, tC/iC._. 4,,,..,,,,,L.,- do-d-e-4-r. N. o A ,' _. 4. - r�..— 48 i _....d/ati:.,1 gx 0.40,--.....A_, W - I�.t..J e."v!it/ 11..../ AO' ,2, ri, illilliRK SATISFACTORY:PROCEED 0 PROJECT COMPLETE VIC._ W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY Q 0 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 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal for the next hopection 24 hours In advance. (952) 249-4600 Inspector:OwneriCoschsotor on site: W1'10 4, Whits CopyIMmeefoIs FIM Canary CopySSIts Nolle __,----— 6' b._ 2 — 9 1 DATE TIME CITY OF ORONO CALLED IN / - —/7 IN.SPECTN`Ny���1O1,1ICE ji�� SCHEDULED I - 10-f 7 a: PERMIT N 1 l / -(// -' COMPLETED ADDRESS L/) U u 4 ialkac iL OWNER �¢TELEP E NO. T 2-75c `//7?- CONTRACTOR 'i/tI 4, `----<-- �OC.3 DESCRIPTION JO/ b 11'- 0 FOOTING 1❑ DEMO-FINAL 0 SEPTIC FINAL 4.Q ❑ POURED WALL rLUMBING RI 0 EXCAV/GRADING/FILLING 0 0 FOUNDATION WATERPROOF ❑ LUMBING FINAL ElTREE REMOVAL 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS I, 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU: NO R COMMENTS: ire'' ac km 0wV — 4.65 �' � j k S ��/lt� -1-e 1 /10 '‘47- 0 W O: Q 2 W / !C. 144 K SATISFACTORY:PROCEED 0 PROJECT COMPLETE W ❑ RECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY Q 0 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. Caul for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector: <--a-1-4,-- "It- White Copy/Inspector's File Canary Copy/Site Notice DATE TIME (\/ CITY OF ORONO CALLED IN % 7-- /),,L7 INSPECTION NOTICE` S�C. HEDULED -7- / 3 -I 7 // : B� PERMIT NO. - C(0_°135( MPLETED ADDRESS 4T�C (rck&cL 760(4 OWNER ,/] ,, ,TELEPH . NO. 2.`' 5� �- 7 CONTRACTOR y v�- � � `, EDESCRIPTION el YJ W ❑ FOOTING ❑ DEMO-FI 0 SEPTIC FINAL ✓ ❑ POURED WALL 0 PLUMBIN RI 0 EXCAV/GRADING/FILLING V 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL O Z ❑ 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 0 FOLLOW-UP LAI ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 TR ▪ OWNERICONACTOR TO MEET YOU:_YES_NO COMMENTS: Q.CC o ,0 n ‘,.,,eta....--71e,,e-- /'►Ga,f c f N. 0 /1 " 1,,/G e "�/ r o C /v 1,/4 i 43 W cc Q W Z W CC W 0 WORK SATISFACTORY'.PROCEED 0 PROJECT COMPLETE CC CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY IL O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY t 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 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. /'Q/��. L ' White Copyllnspector's Flle Canary Copy/Site Notice