HomeMy WebLinkAbout2015-01215 - plumbing , CITY OF ORONO * 2 0 1 5 — PJ 1 2 1 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/2U2015
` ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 559 PARK LA
PIN : 06-117-23-41-0044
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 006
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 5 WATER CLOSETS,7 LAVATORY,3 BATHTUBS,3 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,
2 SILLCOCKS, 1 FLOOR DRAIN, 1 LALJNDRY TUB,2 WASHERS, 1 WATER HEATER, 1 WET BAR
VALUATION OF PLUMBING 22788
APPLICANT PLUMBING FIXTURE FEE 284.85
NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 1139
22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00
MN 55070- TOTAL 298.24
(763)753-3373 Payment(s)
Minnesota State License#:plbg-PC642884 CHECK 19679 298.24
OWNER
O'DONNELL,TIMOTHY&JOAN
559 PARK LA
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified hereia This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.1'his permit may be n ,„
revoked at any time for due cause. _ , �/j��
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Applicant Permitee Signature Date Issued By Signatu Date
FOR CITY USE ONLY
/�� City of Orono / � • ��
� N P.O.Box 66 Date Received:��i-�-1+� Permit# � �
� 0 2750 Kelley Parkway � /���
f �� Crystal Bay,MN 55323 Approved By: � Amount$:_��� "�x �
� ` � (952)249-4600—Main r—
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�F ��' CITY OF ORONO-PLUMBING PERMIT
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�kE.S f+�'�% (All Commercial Permits Must be Approved by the State Prior to City Approval)
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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 UNTTL 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 wark 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 A I )
�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior approval and may need C l:P.(Per Orono Ciry Code,Chapter 78,Article IV)
Job Site/Owner Information:
SiteAddress: �5� �C�.rk La►�-�.
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: _�1 u.��lo.►�r, ,�c, Contact Person: l�-e.���,•���„�_�
Z-L Sq o R..�,.-... R.v�, ,r�
Address: � t s� �'�J �./ State Bond #: I' C �..��I�L- � �`�
City: �'�. ���^^'�� 1 Zip:��1�xpiration Date: � �-�3 I r I �
Phone: 1 l, � -'� ��, �,�, l3 Alternate Phone: ln �Z-- �, 1� -'� 0��
❑ Insurance-Current:
1
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FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTF�R
TYPE FL FL TYPE FL FL
Water Closet I 2 2 Floor Drains I
Lavatory 2 � Sewer Ejector
Bathtub I , Laundry Tray '
Shower � Washer �
Kitchen Sink ` Water Heater
Disposal Water Softener
Dishwasher Wet Baz �
Sillcocks Miscellaneous
?�,�:
. _
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❑ 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;excludine 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 $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Nezt Page)
2
f
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
Z2� � � • 0(7 x.0125$ Z�� .� �/
(contract price) (minimum$50.00)
2. STATE SURCHARGE
'�.�.�1 g � � 0 O X.000s $ � � • ��
(con act price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Z� Q ,2�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
permitted work including materials, labor,profit,and other fixed costs. It is the amount to be chazged
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.
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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: � — �� -1 S
3
( J� � DATE TIMB�
�CITIf OF ORONO — GALLED IN
INSPECTION NOTICE SCHEDULED a �
PERMIT NO. 2��5 �JZLS COMPLETED
ADDRESS
OWNER TELEPHO E NO.��� '7—�9�7�
CONTRACTOR � ���- ���1�
� DESCRIPTION �!�-e-��i���
tt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �.�UMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ E IC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTORTO�U:�ES_NO
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W�YGRKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
�vO CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
a INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: �--
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DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED
PERMITNO.�/��jZ�-S COMPLETED
ADDRESS �S ���L�,�� /¢
OWNER TELEPHONE NO. 3 ��
CONTRACTOR ' � L�
� DESCRIPTION �
lN ❑ FOOTING ❑ MO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q
O ❑ FOUNDATION WATERPROOF ❑ P MBING 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
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2 OWNERlCONTRACTOR TO MEET YOU: YES_NO
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� BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection hours in advance. 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
� -� " E TIME
CITY OF ORONO CALLED IN �^��
INSPECTION N T C SCHEDULED �
PERMIT NO. � � � � c MPLETED
ADDRESS
OWNER LEPH O. 1' ?�
CONTRACTOR �
� DESCRIPTION �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL
❑ PLUMBING RI EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF �LUMBING 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
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2 OWNERlCONTRACTOR TO MEET YOU�ES_NO
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W� ❑WORKSATISFACTORY:PROCEED Ct�.��,.,� r'� ! ❑ PROJECTCOMPLETE
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�ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Lcrlfii! �,
� ❑CORRECT WORK,CALL FOR REINSP�CTION l�i� TEMPORARY
� BEFORE CObERING JS �'p K��� PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O 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. (g52) 249-46��
OwnerlContractor on site:
Inspector.� / �.--
( .
White Copy/Inspector's File Canary CopylSite Notice
� �� �
� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED �(�
PERMIT NO. o��5 COMPLETED
ADDRESS � � �lC ���--
OWNER TELEPH E O. �- ��^3��
CONTRACTOR l,�
� DESCRIPTION �`7Lr � /" lG�!'7'!�
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ����-
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINGUuS�
Q ❑ FOUNDATION WATERPROOF �LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J ❑ WATER HOOK-UP ❑ FOLLOW-UP
W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ S IC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:�ES_NO
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W� ❑WORK SATISFACTORY:PROCEED �tECT COMPLEfE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
or the nex i ion 24 hours in advance. (g52) 249-46��
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Inspector.
White Copyllnspector's File Canary CopylSite Notice