HomeMy WebLinkAbout2016-00995 - plumbing CITY OF ORONO
2750 KELLEY PARKWAY * 2016 - 00995 *
DATE
016 - 00995 *DATE ISSUED: 08/18/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 470 ORCHARD PARK RD
PIN : T0-001-66-00-0000
LEGAL DESC : ORCHARD FARMS
: LOT 1 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW:4 WATER CLOSETS,5 LAVATORY, 1 BATHTUB,3 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,4
SILCOCKS,4 FLOOR DRAINS,
1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 MISCELLANEOUS
VALUATION OF PLUMBING 34556
APPLICANT PLUMBING FIXTURE FEE 431.95
FREEDOM MECHANICAL STATE SURCHARGE PLBG(VALUATION) 17.28
8382 172ND AVE SE TOTAL 449.23
BECKER,MN 55308-
Payment(s)
(612)363-6190 CHECK 7332 449.23
Minnesota State License#:mech-004042PM,plbg-PC642836
OWNER
JONATHAN NORRIS/CATHERINE MORRISON
2080 WEBBER HILLS 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
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
Cit of Orono FOR CITY ONL
OHO P.O Box 66 Date Received:2750 $'/ �f// ,Crystal
Kelley Parkway Permit# b g-! S
Crystal Bay, MN 55323 l
q �c` (952)249-4600—Main
Approved By:
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kesrio4 (952)249-4616—Fax pp
Amount$:
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]
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: TZ) (Deck cvz ck Paia k 0
Owner: NoP_`(Zl Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: i � tJC�(`f� rqEchan(ea/Contact Person: Pe4e
Address: 833a /7d/, State Bond #: P� (c�7 c� e 3
City: 212, Zip: SS-308 Expiration Date:
Phone: C4 t --,363- L (9° Alternate Phone:
❑ Insurance— Current:
Page 1
PLUMBING FIXTURES BEING INSTALLED Nabilit
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Il 3 Floor Drains I GLize07..3
Lavatory ( LI Sewer Ejector
Bathtub [ Laundry Tray f
Shower 3 Washer 1
Kitchen Sink 1 Water Heater
Disposal 1 Water Softener
Dishwasher I Wet Bar
Sillcocks I Miscellaneous t
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) ---
3L� 5-3-6, �a x .0125 $ L/3 f 1 9
(contract price) (minimum $50.00)
2. STATE SURCHARGE
/ 7 -x .0005 $
?
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ /
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ /—A/9'
* 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.
PLUMBING PERMIT APPLICATION AGREEMENT
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.
Signature: / G/
Applicant'sg Date: 8— i 8 _ /(t%
Building Official/ Inspector: Date:
Page 2
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DATE TIME
CIINSY OFPECTION
ORION NO CALLED LI =- '�4' !' `
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OWNER TELEPHONE NO. tsP- 7 P ? Lf t/5I
CONTRACTOR Freedrri mvp.
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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
❑ DEMO-SITE PTIC INSTALL
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y COMMENTS:
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✓ 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.
CaN for xt Inspection 24 hours in advance. (952) 249-4600
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White CopylInapectora FII• Canary Copy/Site NOM*
CITY OF ORONO CALLED IN DATE/74. TIME
INSPECTION N )TICESCHEDULED 7—1 17 /: vo
PERMIT NO. �til f 77,COMPLETED /
ADDRESS (/-77 0 6N 7E
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OWNER _ _TEL P ONE N,t____, 7d VVS/
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CONTRACTOE�,
DESCRIPTION ei L % d____
W ❑ FOOTING 0 DEMO-FINRL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING 0 EXCAV/GRADING/FILLING
O 0 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 ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.t ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
tu) COMMENTS:
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O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI
❑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: /n--,--4. a
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White Copyllnspector's File Canary Copy/Site Notice