HomeMy WebLinkAbout2017-01540 - plumbing ` � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 5 4 0 *
DATE ISSUED: 1U2U2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1448 PARK DR
PIN : 07-117-23-43-0027
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATER HEATER,(1)WATER SOFTENER,(1)ITON FILTER
VALUATION OF PLUMBING 8100
APPLICANT PLUMBING FIXTURE FEE 101.25
STATE SURCHARGE PLBG(VALUATION) 4.05
BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00
5718 INTERNATIONAL PKWY
NEW HOPE,MN 55428- TOTAL 107.30
(612)23&9709 Payment(s)
Minnesota State License#:plbg-PC643703,mech-MB004722 CREDIT CARD 3853 107.30
OWNER
ERICKSON,DAVID&LAREL
1448 PARK DR
MOUND,MN 55364
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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 requ'ved inspections are
requested in confortnance with the State Building Code.This permit may be
revoked at any time for due cause. �
�iL GiJ G l�-i l
Applicant Permitee Signature Date Issued By S' ture Date
11/20/2017 MON 15: 09 FAx Ark MdndgOmOnt �002/OOa
�� ` ,�� � '� ���'DZ
� ��05
City of Orano FOR ClTY USE ONLY
�NO P.o_Bax sg Date Receiv�d:
2750 Kelley Pa►kway permit#
Crystal Bay,MN 55323
�'p �� (952)249-4600—Maln �p���y.
'� s P (952)249-4616—Fax
Amount$;
CITY OF OROidQ—PLUMBING PERMIT
(All Commerclal Permits Must be Approved by the State Prlor to City Approval)
httn://www.dli.mn.saov/CCLD/PDF/ue �lumbnlanrevanp.adf
GENERAL 1NFORMATION
1. You may apply for plumb�ng permit5 by mail pr in person at the City o�ices. Applications will be
reviewed and a permit wlll be issued wlthtn two working days.
2. Permit cards will be sent by retum mail after a review is oompleted. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
posrEo or�TH�_,�QB SITE•
3. Plumhing permits may be Issued ONLY to Ilcensed plumbing contractors and to property awners
residing in the dwelling.
4. When any new constructian or rembdeling Is Ihvolved,a sepawate bullding permlt must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be InspeCted and afr tested before It is Covered. Call(952)249-4600.
(24�8 hou�notice requlred)
7YPE OF PERMIT(Check All That Apply)
p� ReSidential ❑ Cammerdal(Approval Requlred) [Backflow Dcvice:❑AVB ❑PVB]
/�
❑ New �Additional ❑Repairs �Replace
❑ In Accessary Structure7
"You will need �rior aoororal and may need CUP. (Per Orono Clty Code, Chapter 78,Article IV)
Job Slte/Owner Information:
Site Address: ���� 't"�`�' f-� �+
Owner:����S��f M�1'���-I�ailing Address: ���� P� ���
City; �I�D l�� Z;p: ��J3�A�1
Home Phone: ��- ��'2��',�� Afternate Phone: �5�.: Z-��;���
Contractar Information:
Contractor; �1�V�l�n._��-VUC�.�1� Y`� on 1�eraon: ��1'�. W�� ���V�
Address: S�� CVr�vVtOl�'a/�w� ���State Bond#: ����-'f.���
City: ��.�.� �(�, Zip;S �{Z-� �xpiretion Date: ��-" ��"��"
Phone: � ��-�Z-��"��'�� �1lternate Phone:
❑ Insurance—Current: �,�W�.dl�
Page 1
11/20/2017 MON 15: 09 FAx Az'k Kdndgement f�003/OOd
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„� ,r,"�d�;'�' r'r'a:il, :�, `;+ �,� �.� ;1�' . '•L i,;:,^.',: 'i; .sG:'M'•.,�;, ,
d.
FIXTURE BSMT 1s 2 OTN�R FI?(TURE BSMT 1ST 2N0 OTHEF�
TYPE Floor Floor TYPE Fbvr Floor
Water Closet FlOor Dralns
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Fleater �
Disposal Water Soitener �
Dishwesh�r Wet Bar
Si��cocks Mfscellaneous � '�� ' ,�
',51�,� i�A.��'1:�. ,�pF 1'l.0 i�, )r ` '� �'71.• �� /1M�� " ��� ,A11 r'.�,i�„����:;.:,�.n'7 ���i •�\iN "r"y , i;�•.j'
�.�� �,i r�i;1 K1 G� �"f i ti�r T � i I��S}`t•� �ji•' t' f� ��'Y�" �f
�, ..,>��` •�, �2 T� + 1� �• :,, 'J,,,,,'. .'y'!. „��' ,
.•r;
1. CONTRACT PRIC� "fs 1.�5�0 of contract price with a(Mlnlmum Fee of i50.00)
'���V x ,0125 $� �� , • CJ��
(contract price) (rni�imum$50.00)
2. STATE SIJRCHAR(3E
�1�,,,�,� x .0005 $ �° �`�
(contract price)
3. POSTAGE �HANDLINO(anly on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ L Q� . �JV
" CONTRACT PRICE or JOB COST me�ns the actual or estlmated dolla� amount charged for the
permltted work Inciuding mate�ials, I�bar, profd, 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 fumlahed by the
owner, tenani or any other party, the reasonable m�rket 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 �ob cost, the Clty may request the submission of a signed copy of the actual contract.
j4j�.t•yv,� i•1•.���'� r�d��'tt���Z� '"11!4' Yrj' 1 f �, '�'�•'���1'�ql�� �� 1�'�I•`.Iry� '• �'),';
,,,,�s.o;;,:�,:',: ; ��:Y�, � ,@R I: ,I�! �� -+P��F��E T��:�; r,•�, ;� .;,�,�
.� u.,r �,;:,r",•'��;'�' .,�; :�w.••.�•.�
The underslgned hereby applies to the City fo�issuance of a Plumbing Permit, s�grees to do all work In
strict accordance with the ordinances of the City and the regulatlons of the State of Mlnnesota, and
certi�ies that alf statements made on this appllcatlon are complete, true and correct,
� ` � t 1�/r�-
Applioant's Signature: Date:
Building O�cial/Inspector: Date:
Page 2
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�/7'6�.S4P� COMPLEfED '��' �3P'
ADDRESS �'�g D��k �� '
OWNER TELEPHONE NO.
CONTRACTOR <=•�- � ��^� �/������
j DESCRIPTION `✓�-'—ll�• /'�d� •���rt -�i/�✓ �itsd+[�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC�NSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
v�i COMMENTS:
W L�
a I��r �lTi/`. - �.'�C�St'L T G r's5 �rl�
o ^ ,F 1?4�%Lt✓4L c�� �L< </Q rL�i.I S '
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�O
Q � �rON, ���/�C✓ - 4��' GerD [7�'O�/��Del
� T—T'
� /( �t,br� a.�ee��s �b�al� �
� •
� � �/.�:c� �'i�
W �WORK SATISFACTORY:PFiOCEED �/�ECT COMPLETE
� ❑CORRECT WORK 3 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑(bRRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECO�VERIN(i PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATtON ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaU forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: ���"�
White Copydnspector's File Canary CopylSite Nodcs