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HomeMy WebLinkAbout2016-01428 - plumbing CITY OF ORONO * 2750 KELLEY PARKWAY * 2 1 6 - 0 1 4 8 DATE ISSUED: 1 U14/22 016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 585 ORCHARD PARK RD PIN : 31-118-23-14-0001 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW FIXTURES:4 WATER CLOSETS,7 LAVATORY,3 BATHTUBS,2 SHOWERS, 1 KITCHEN SINK, I DISPOSAL, I DISHWASHER, 1 FLOOR DRAINS, I WASHER, I WATER HEATER VALUATION OF PLUMBING 18000 APPLICANT PLUMBING FIXTURE FEE 225.00 STATE SURCHARGE PLBG(VALUATION) 9.00 SUNDERLAND PLUMBING INC. 3009 82ND LANE NE TOTAL 234.00 BLAINE,MN 55449- Payment(s) (763)753-2845 CHECK 8236 234.00 Minnesota State License#:plbg-PC642869 OWNER THOMAS,DONALL&HENRIETA 585 ORCHARD PARK 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 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. 0/2 / p.A.ccisb /(e) App cant Permitee Signature D to Issued By Signature Date s ' pCity of Orono FOR CITY 1S�E ON�Y, 0 City Box 66 Date Received: I 2750 Kelley Parkway �� ) Crystal Bay, MN 55323 Permit# (" y (� 11K�� (952)249-4600-Main �\,4kt S„oat-- (952)249-4616-Fax Approved By: Amount$: (5314 . ©O CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http:l/www.dli.mn.dov/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) 2,1 Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] 4 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: 68 D bractca ?Cr-14-- Coa.e_ Owner: Ad- ,S hi c. Mailing Address: 9`/07 c,1-h ruare -}--, - .CD2. City: Tdi a 1/Le- Zip: La61-41-1 9 Home Phone: -q( .-- -18D- 2`i LiL/ Alternate Phone: Contractor Information: enc. Contractor: 3(,lr) d eer kGil c- 'l,(4, Oji,1N Contact Person: ` (,tO b J Pl ur n1D.,ray Conk-k c-►te- LI kersti •. Ct.CaUz19 Address: eZ l�� State Bond #: l) V3Z' 114.031-- City: /uI n.e_ Zip: . `"5-1-41-/ ''''t Expiration Date: I ) i 17-o113 Phone: q(03 - 73 - 28.446 Alternate Phone: VI Insurance - Current: - Cop.) a� 6(5-11'fi --e f) 1 e Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1ST 2N0 OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub /)j Laundry Tray Shower ` Washer Kitchen Sink I Water Heater 1 Disposal t Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$50.00) I S, 015U • x .0125 $ • (contract price) (minimum $50.00) 2. STATE SURCHARGE ota' °') x .0005 $ (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2 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. 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. Applicant's Signature: Date: i I') )'Zo Building Official/ Inspector: Date: Page 2 TIME •� \ DATE CITY F OR I NO CALLEDHEDL INSPECTION NOTICE SCHEDULED MGM PERMIT NO. JIQ c I l f -Li`tzxCOMPLETED ^/ ADDRESS C-, 0 �r ���`" f k N� OWNER TELEPHONE NO. `7(/ -3 CONTRACTOR r a-' I IA wri • DESCRIPTION 77/ U-11/1,h al1d /1 C�D((/'i' W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ▪ ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Q ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP - ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE ❑' PTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: cc R. O CC LU Ct Q Cc W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COHERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contractor on site: Inspector: White Copy/Inspector's Flle Canary CopylSffe Notice b2- 914.--I;ATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ,u SCHEDULED ) Z-1/l( 7�� PERMIT NO. 7 r)/(a 0/(/- COMPLETED ADDRESS c ) C)r C (r n cI ALA It f^ OWNER TELEPHONE- NO. 7(o3 Z2/ '5Zo CONTRACTOR - l P7hi rier I U/id 12/u-nl b EDESCRIPTION pi u.Vv` o P=1 /1//2- IN 0 FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL n ❑ POURED WALL )EPLUMBING RI 0 EXCAV/GRADING/FILLING 14 0 FOUNDATION WATERPROOF ❑ LUMBING FINAL ❑ TREE REMOVAL C Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS I, ❑ INSULATION ❑WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 S ER HOOK-UP 0 FOUNDATION/REMOVAL .1 ❑ DEMO-SITE 0 EPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:I YES_NO COMMENTS: W rri 1 L , ,d u L. kf3 to v - 1J vc S—A, 'o — O. CC Ca.(.=.- -be-5/6- �/S , ....a..1-5- OC O u. L,t/'(4 e r /,4 5 4,v e_ 114546, W R; Q W W CC CI144 WORK SATISFACTORY.PROCEED ❑PROJECT COMPLETE Ct W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. CaN for the next Inspection 4 hours in advance. (952) 249-4000 OwnedContractor on site: ac_, Inspector: 12 /ii... 1------ White CopyAnspector's FIN Canary CopylSMe Notice Sd— V- / 15.— /7 TIME CITY ORONO CALLED IN l� INSPECTION TI E „ell lice SCHEDULED 1-13-/ 7 c,2:36PERMIT NO. / R` COMPLETED � �[J ADDRESS 5 YlkA}t / �'.' "-�_-- OWNER cTPHA E NO.7�p3' 5h� CONTRACTOR v E,�.EY� 76/I DESCRIPTION 1 110If , 1 (0 IAA- W ❑ FOOTING 0 D -FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 P BING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL 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 IL ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO to COMMENTS: tu Q. — c��. c 4..4,14.. L,,,5 p L. . /,-,2 7/e.„ ri„,......., 0 N. CC 0 id V / I:t so r1- " iIQ .1 .t. a L- of gx4. ImIt 0/C----.21 SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN CI CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. Erc:44 r White Copy/Inspector's File Canary CopylSifs Notice — DATE TIME/ CITY OF ORONO CALLED IN INSPECTION /�� (/SCHEDULED -- 1 J%-O PERMIT NO. (J b MPL ED J I ADDRESS 5Z5 yid - ',- '� -' ?7 OWNER / "TELEPHeON C) Ar ft ^ – r ' a CONTRACTOR Qom— iDESCRIPTION ASD f I ....ty ❑ FOOTING 0 DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF yr PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL 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 W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL IS OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS:_ 14,04Y0 - AL3 M Mws ccO. CC - 1#452r- , `•(41€6 cb ►'4c6 4 r- A.T. a 14,4 - • O eibNSi,d Gre-cess a41-.a-k.- .7.Ir kg0f7t 641saof o 14. Gr L Q `r `ID w a !/ at. opreSs 4.0'e 6.4 k 8 ,LJ #,gif Z 4 1/e-r,,'4 ,0 AL,k rice.) noes moi,`Qr O �.7‘0,65' 2 'T jot.0- CO ✓ r „G..,-,;A, ! -7 c..../'4'4-7,'4.4; IQ Res4 D /f, OK - cd) / yrs a, 3 4W 0 WORKSATISFKCTOR PROCEED + 5 �'s ❑PROJECT COMPLETE et p!�RRECT 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. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. //0• Whi CopyInspector's File Canary CopylSf s Notice DATE TIME 1/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a7/6 - 40/442V COMPLETED 3 .a9./7 ADDRESS 5& o 4.00' Are K ,2 OWNER TELEPHONE NO. CONTRACTOR S''i de c Ts-co? • E DESCRIPTION //y • Cr• e.... W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL lc ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O 0 FOUNDATION WATERPROOF PyUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL 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 laj ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL .• ❑ DEMO-SITE 0 SEPTIC INSTALL IC 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: ` O. C'Or?ec6ta•eS ' Ii ,/'6Gr&eQD J o D 'reproa bcc. 4fhao 4esA d co 14. t •- CI 4. Car 6"'-i c,4irc —LAA) GAS 6.x</. Q ^ i 41%`"*c brs - 4- 5....4 40 'Z �� i 4' 3T! �,C tiJ0—•� s�n./J�l r> e_ GB i r 2G� 4— /Ate L i «A /14'4o/ j W 0 WORK SATISFACTORY:PROCEED ( OJECT COMPLETE W ORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN 1:1STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OMnerlContractor on site: Inspector - 1fr' ' White Copy/Inspector's File Canary CopylSite Notice