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HomeMy WebLinkAbout2017-00187 - plumbing CITY OF ORONO * z 0 1 7 — 0 0 1 8 7 * . "'" 2750 KELLEY PARKWAY DATE ISSUED: 02/28/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1415 PARK DR PIN : 07-117-23-42-0042 LEGAL DESC : SAGA HILL REV[SED : LOT MB BLOCK 15 PERMIT TYPE : PLUMB(NG PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: ADDITIONAL FIXTURES: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 LAUNDRY TRAY, I WASHER VALUATION OF PLUMBING 14500 APPLICANT PLUMBING FIXTURE FEE 181.25 STATE SURCHARGE PLBG(VALUATION) 7.25 PRECISION PLUMBING&HEATING INC. 4124 MACKENZIE CT TOTAL 188.50 ST. MICHEAL, MN 55376 Payment(s) (763)497-7486 CREDIT CARD 1299 188.50 Minnesota State License#:plbg-PC643806,mech-MB004099 OWNER BRANTER, BRIAN 1415 PARK DR[VE MOUND, MN 55364- AGREEMEIYT AND SWORN STATEMENT '1'he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant perniission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this typc 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 l80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time afrer 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�any tim or due cause. �� ,��' ` 1'��:' ;--E.�� (���etf�sc � i ��i � �7 , A ica mitee Signature Date [ssued By Signature Date �Q� City of Orono FOR CITY USE ONLY „ O P.O. Box 66 Date Received: _ �� - r:,1,�"-�`7 2750 Kelley Parkway % � Crystal Bay, MN 55323 Permit#_ ,�.,���f � ` Y�j(� F c> (952)249-4600—Main �A'FESH04'� (952)249-4616—Fax Approved By:__ �'� Amount$: ( � . S�� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.qov/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 contracto�s 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 p 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: !'"�� � ��� � Owner: Mailing Address: City: (�(`ov�o Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: G`�L i v��-� ��.��1 .�`� Contact Person: (�/I��f��S Address: �'I(Z�I �'�l�cn�;e, C.L �,1 � State Bond #: ��(��{ �� City: ��- �� �L���� Zip: 553�� Expiration Date: �Z�3� ��� Phone: �G �- ��l �- 7� � � Alternate Phone: ❑ Insurance — Current: Page 1 � � �� � � PLUMBING FIXTURES BEING�INSTALLED"� � ����� ��r� � e �=�"`�s°�������- �-���� � � FIXTURE BSMT �sr 2ND pTHER FI�PE E BSMT Floor Floor OTHER � NpE Floor Floor Water Closet � Floor Drains Lavatory Sewer Ejector Bathtub ' Laundry Tray � Shower Washer � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous _ . ;�,: = ���° , `���'� ;����' .,�:�'��.���� �PERt�II� FEE CALCULATION � 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) 1�1 , J G�� x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� 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. 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 i�'application are complete, true and correct. Applicant's Signature: � � Date: (��"� � � � Building Official/ Inspector: Date: Page 2 ,.�-' �c . :�v "� � DATE TIME / � CALLEDIN i� cin oF oRONo INSPECTION�OTICE , ., SCHEDULED �" � I " � PERMIT NO� �� �'� COMPLETED ADDRESS � � �C2 t'� '�' � �` 1 OWNER TE�.EPHONE NO. �%�' ���7 � CONTRACTOR I-�'(? rs(�iG1/���((�-r��? � DESCRIPTION ��L.�,,Y1'� � r�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI`— NG R�y ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF G FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYYNER/CONTFUCTOR TO MEEf YOU:_YES_NO «� COMMENTS: W — J � ��z � �� � o `�'a �f� S T� �c�i -Ci �. � � � t� �� -ee.--c� , e.�/"t� W � �`� c.�.�-- � — S�l� �— I�cJ C�� �°��,�- C� , z � � � �� ��� �-e � �-- o �� ��, s ,�. ol�, W � J � RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT NfORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advanoe. (952) 249-4600 OwnerfContractor on,site: Inspector.� �� � White Copyllnspector's File Cenary CopylSHe Notfce �� V � �� �-���/' DATE TIME CITY OF ORONO CALLED IN ��— 1`� � l ==1����� INSPECTION N TICE_ SCHEDULED � PERMIT NO. `�� � I �����,E�nnP��e� ��--� � „�i�� .�_ - .;� �j; ;:��'���_,- ADDRESS l�-- OWNER ' ' EPHONE NO. � ✓ � �� � CONTRACTOR����'{- �wn �� � DESCRIPTION /�� ` "�C"""`c �al��� � ty ❑ FOOTING ❑ DEMO- I AL SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI EXCAV/GRADING/FILLING Q Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � ` -r`' �/'G o�,� j O � � � � � � OO � �'li�.��/b C—v✓'�'C l W � , Q � 2 � — ,r1 i�✓t J r�P� f /� � ,,,:� � j � RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOHARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILLRETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on si�e: Inspector. � �� � White Copyllnspector's File Canary CopylSife Notke