HomeMy WebLinkAbout2013-00218 - plumbing , CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 3 - P1 0 2 1 8 *
DATE ISSUED: 04/03/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 495 OXFORD RD
PIN : OS-117-23-41-0011
LEGAL DESC : STIELOWS ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: (5)WATER CLOSETS,(8)LAVATORIES,(1)BATHTUB,(3)SHOWERS,(2)KITCHEN SINKS,(3)D[SPOSALS,
(2)DISHWASHERS,(6)SILLCOCKS,(5)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,
(1)WATER SOFTENER,AND(1)WET BAR
VALUATION OF PLUMBING 48340
APPLICANT PLUMBING FIXTURE FEE 60425
SPRING PLUMBING LLC STATE SURCHARGE PLBG (VALUATION) 24.17
11473 KENYON COURT
BLAINE, MN 55449- MAIL-IN FEE 2.00
(763)614-7963 TOTAL 630.42 /
Minnesota State License#: 066807 PM PAID WITH CC# 3580
OWNER
SAMPLE,MIKE&ANNE
1449 BAY RIDGE RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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.
��' �2a-t�e_�� � 3 � l3 � � l [�.-i � �l � l f�
Applicant Permitee Signature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
04/02/13 04 : 20PM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 2
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F R 1'rY L�E ON�Y
��� City 0��COriO Aete Recaiv'� �� Pennit� °ZD!3 — U o��
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(951)249-46U0—Main
(9sz)za9-46t5—�x
y�* c,� CITY QF URpNO-PLIJMBING P�+RMIT
�'�K�swo��' (All Commercial Permits Muat be Appro�ed by the State Prior ta City Approval)
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GENERAL iNF'QRMATION
1. You may apply£or plumbing perzttit5 by mail or in person at tha City off"Gces. Applicationa wiA be
roviewed and a permit will be issued within two warking daya.
2. Perrr►it carda will be sent by return mail after a review is completed. FERMiT5 AR�NQT
VALID UNTiL YOU RECENE A P�RMIT, wnRx n�1tT�T NQT S�CT�t UNTTL THE
I T
3. Plumbing permits may be issued ONLY to licensed plumbing cantractors and to property orvnera
residing in the dwelling.
4. When any new canstruction ar remodeling is itivolved,a eeparate building permit muat be
obtain�d,
S, All work must be dane in aaoordence with 5tate Cnde requirements.
6, All work must be inspaoted and air tested before it i�CWa'ed. Call(9S2)249-4600,
(Z4-48 hour aatice requircd)
TYPE OF P�,RMIT
Check All That A 1
❑Residential ❑Commercial(Approval Required)
�New ❑Additional []Repairs ❑Replace
❑ In Acc�sory Structure?
*You will nced nrlor a�vYil and may need�.(Per Orono City Code,Chapter 78,Article 1V}
Job Site/�vner Information:
Site Addxess: -1 � � �����, ,�'-^�`
Owner:�l vY��.�d��,� M�iling Address:
City: �ip:
Home Phone. Alternate Phone�
Contractar Information:
Cantractor: S � ' 1�R"r��OntaCt Person: �lY�� , G�.�GVti.
Address; � � (;� State Bond#; 1 �..� �����
City: Zip:��Expiration Date: 1 �� �
Phan�: ��� '� �� ' 7�(p?J A.lternate Phone:
'�.. insurance-Current;
1
04/02/13 04 :20PM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 3
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PLUAitBING F�XTURE5 HBINt�INSTAI.LEl�
17IXTUKE BSMT 1 2 OTiiER �E1URE BSMT 1� � QTHER
'!'1lPB Fi. FI.
Water Ctosat Floor Drain� �
Lavatory � � 5ewerfijeator
Bathtub ��`T�y
s�� Washer
Y{itc6eu Sink Watar Heater F
I
Dispoaal � water SoRe�nex I
Dishwasher Wot Bar �
Sillco�cs / _ Miscallanoous
�p
PERMIT k'E�CALCULA'1'IOIJ(S}
HASED OFF-2�4Z STATE STATUE
❑ Y�,rhie s«x�on appuas
The t�eplacemettt of on�y one tbat mea�all three of the following
raquirements:
1. p�*equire modi�fc�ation to electrical or gas aervice,
2, Has a�g�of SS00.00 or less;�xcludina the coat of the�ixturo or sppliance:ead
3. Is imptoved,instsllod or replaced by tbe homeowner a�licensed ptumbing co�tracror.
Skip next eocdon,if t}eis appliee; Caet of Permit S 15•00
Stato Surcharge S 5.�
Mail-in Fee(if Applicable) $ 2.00
Tot�l Permit Fee S
(Permit Feee Cootipued On N�t pa�e)
2
04/02/13 04 :20PM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 4
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r�ur�,c�;cv�aTTo s -ro�s ov,�x ssoo.00
if abo�e does not apply;follow guidelis►es helow:
1, 'is 1.25°�b of aoatract price wit6 a(Mlnima�m Fee��30.00)
1� 34( D. b0 x.oa�sa (,o�K. �5�
c�p�} �mimpmssaoo�
2. tRTA'TE SURCHAB� (,��.�L7 x,OU05 $ � '1 ' { �
(co�ot Price)
3. P03TAG�&HAN�LINC3(Only on Mail-In Appliqttions) $ Z.00
4. TOTAI,PERNIIT FEE(Add Linat 1-3 Abovo) � �B �' `
■ • CONTRACf PRICE or J0� CO5'T meens the satual or estimsud dollar amount charged ;For the
permitted work is�cluding materiAls,labor,prafit,and other fjxod cosis. lt is the atoount�o bv ch�ZBed
b the customet for the wotk done. If any material,equipmeat,labor a�ittstallations are fumished by
the owner,bepant or am other patty,tho reaso�eble market value of suah items must be addeci to the
eatimated cost or oonbact prioe for permit fee purpoaes. It�t1�e avent that thea'a is a dispute on the
�mount of the job ooet,the Ciry may cequert tl�e submiesion of a signed copy of the rctual conttsck
P'Li3MBING PELtMIT ApPLICATIO�I�AGRETMBNT
The unde�rssigned hereby Bpplia9 to the City for issuance of a Plumbir�g Permit, agrees to do all
work in strict accordance with the ordinances of the Gity and the r�gulations of tbe 5tate of
1Vlinnesota, end c.�rtifies that all statements mado on this applicarion �re complete, true snd
correct,
A licant's Signature: Gt�-�/� Date: —r /
PA
3
dv� TE TIME ✓
CITY OF ORONO CALLED IN S-�
INSPECTION N��1ICE����� SCHEDULED � _s�
PERMIT NO.a -1 — COMPLETED
ADDRESS `������° /�
OWNER TELEPHONE NO.?�� Z�� D7�S
CONTRACTOR 5�3��� ,-- S[�r!f1; ��
>; DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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GW/�RR'SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �C�TATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor o site-
Inspector. �J /`-7 �
White Copyilnspector's File Canary CopylSite Notice
� DATE TIME ` /
V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED l`-l7'l3 07% 80
PERMIT NO. aQ��`0O '2�� COMPLETED
ADDRESS 7g5 ��� �
OWNER TELEPHONE NO. 7�J� Z�� D��S
CONTRACTOR ����' U �'
>: DESCRIPTION v �
� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �'S �� / A / TIME V
�ITY OF ORONO CALLED IN // l--�
INSPECTION NOTICE SCHEDULED _�'�
PERMIT NO. �-�C�!J`��'��� COMPLETED
ADDRESS '7�t" �, '�Xr�i`;l'����
OWNER TELEPH NE NQ. �? -
CONTRACTOR �� ��
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� DESCRIPTION ' � '
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
= O DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
v�i COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED d�OJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. _ G �
White Copyllnspector's File Canary CopylSite Notice