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HomeMy WebLinkAbout2015-00280 - plumbing CITY OF ORONO I '1i I 1 H � I I I f 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 2 8 0 * DATE ISSUED: 03/09/2015 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1389 ORONO LA PIN : 02-117-23-34-0005 LEGAL DESC : HOMES ON BROWNS BAY : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL • CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: W ATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER 1 FLOOR DRAINS VALUATION OF PLUMBING 4300 APPLICANT PLUMBING FIXTURE FEE 53.75 FRANK MOTZKO PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.15 4201 ZARTHAN TOTAL 55.90 MN 55416- Payment(s) (952)929-6048 CHECK 17826 55.90 OWNER MACMILLAN,SALLY&CAM 1389 ORONO LA WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ?�+ 01‘ C;;it -Sipo •• pp cant Permitee tgnature Date Issued By Signature Date -0 20 -=O0 2c -N. FOR CITY USE ONLY 5-5—:?0 4 City of Orono O P.O.Box 66 Date Received: Permit# f n lc, �0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: A` (952)249-4606—Main A >• (952)249-4616—Fax es C` CITY OF ORONO-PLUMBING PERMIT `�kESHO4' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn.'ov/CCLD/PDF/ e s lumb lanreva s .sdf 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) ANew ❑Additional zraRepairs 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: /35519 004Q0&)0 A A) Owner: g#Lc-`/ Mailing Address: City: C%?- o Zip: Ls / Home Phone: S/o?-94C, -ASSv Alternate Phone: Contractor Information: Contractor: J,-ivve- /22Tzity P X' Contact Person: 40� ��-z.i.,-,D Address: r2°/ 24erd Are-- State Bond #: City: LnrJZS 2.� Zip:- 5Y/0 Expiration Date: Phone: 5 -929-40 el 8 Alternate Phone: ❑ Insurance-Current: 1 L _ .., s i'' m,,I `�a , '�. - °�,-O*Ck�, � B t_�,. W�Gi*8e ��Hm d,q. t m FIXTURE BSMT 1 s r 2ND OTHER FIXTURE BSMT l s r 2 OTHER TYPE FL FL TYPE FL FL Water Closet 31;24, Floor Drains Lavatory 3 zt-A Sewer Ejector Bathtub ( 3+e-t Laundry Tray Shower t 3 ck.b Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous v4//./r-- wa%w26 A)C 3.14 eq -44 -TY S1 P'p/42 C z>07/3 2)A ,4/3 A nz S ;# -`r-�, e -41;�x s ° � "` 7.7:1 „e' ❑ 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 it y 11 C=, If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) /j2cae- x.0125 $ X3. 75 (contract price) (minimum$50.00) 2. STATE SURCHARGE - x.0005 $ .2 // (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. ' 't9ri v,k s B :1:4 d 9f i i;''',0','w7 6/q i Y[E 9 6/2 6" C. t;:.-:q6:4'itYiFi x}E aAX ei: �i 4.0 v 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: \7),A..04:1d� Date: />i,4 3 �1`Y 1 CITY OF ORONO CALLED IN ��TE� `y ') INSPECTIOp-t j `CE SCHEDULED .1 kOi‘S 1 i%3 PERMIT NO.r�) COMPLETED ADDRESS I a —1 lir j� r k�yyrr OWNER TELEPHONE.Ng.q --9�—�'"� CONTRACTOR fC0 � 4 2 kC c Sk.,.. n ut___ DESCRIPTION iP tis-t-4-‘6- W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT "4C• 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP K▪I ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 HARD COVER REMOVAL v ,-- DEMO-SITE 0 SEPTIC INSTALL El FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a. R_ m sic & L .acr o 0 kJ V - PP C . _. _X• - Vie,® cc 4:50c4 fz- ii- C Lsti dee.n. Q - Vet ad li c s«sf i Var[t fAr4 , ,f - 12 W - 640,4 -640,4 -#0( Q, 4cC .ct✓moo✓ fa rem c clov cc• ,10/05 i a Ara. 2• 4 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneiContractor on site: Inspector. 9 n.--' it-- White Copy/inspector's File Canary Copy/Site Notice �5Y---k— DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ,fi SCHEDULED 72271):1,5 /(): &) PERMIT2c L NO S- " 00 " COMPLETED ADDRESS / 89 Or z i- OWNER TELEPHONE N .7 a V"4, CONTRACTOR 1-r / �, 'or o EDESCRIPTION I/11aI 1// uaJ p((,,,nb W 0 FOOTING 0 DEMO-FINAL Tl! Q ii 0 SEPTIC FINAL • El POURED WALL 0 PLUMBING RI om/ 0 EXCAV/GRADING/FILLING C 0 FOUNDATION WATERPROOF BIG- NFtNojkf�L/ 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 1 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 0 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 v 0 DEMO-SITE 0 IC INSTALL Z WN • OERlCONTRACTOR TO MEET YOU: YES_NO to COMMENTS: NJ Q. 1 / CC 0� c 0 W CC Q W CC 41 0 WORK SATISFACTORY:PROCEED C SSIJ ECT COMPLETE W 0 CORRECT WORK 3 PROCEED I E CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (7 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. o PHOTO TAKEN INSPECTOR WILL RETURN 0 ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for the next Inspection 24 . in , - 9; ) 249-4600 OwneriContrector on site: / ice, -,, ;,., Inspector: White Copyfnspsctor's FIN Canary••. , Notice