HomeMy WebLinkAbout2015-00152 - plumbing CITY OF ORONO * Z 0 1 5 - 0 PJ 1 5 2 *
"' 2750 KELLEY PARKWAY DATE ISSUED: 02/04/2015
• ORONO, MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 930 PARTENWOOD RD
pi� : 08-117-23-21-0007
LEGAL DESC : PARTENWOOD
: LOT 003 BLOCK OOl
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�I TYPE : FIXTURES-MULTIPLE
NOTE: 5 WATER CLOSETS,6 LAVATORY,2 BATHTUB,3 SHOWERS, I KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,4 SILCOCKS,3
FLOOR DRAINS, 1 WASHER, 1 WATER HEATER, 1 WET BAR, 1 LAUNDRY TUB
VALUATION OF PLUMBING 45000
APPLICANT PLUMBING FIXTURE FEE 562.50
STATE SURCHARGE PLBG(VALUATION) 22.50
B&D PLUMBING&HEATING INC. MAIL-IN FEE 2.00
4145 MACKENZIE CT NE TOTAL 587.00
ST MICHAEL, MN 55376-
(763)497-2290 Payment(s)
CREDIT CARD 8094 587.00
OWNER
MOORE, KIRK&PAM
27475 MAPLE RIDGE LANE
SHOREWOOD, MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commeneed.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. //�j'/
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Applicant Permitee Signature Date Issued By Signature Date
From:7634974263 02/04/2015 10:47 #514 P.002/004
. ros ca��v t?SE ONLY
O City of Orono
� �Q P.O.Box 66 Date Reccived: `�'tt �~ Pcrmit H �(' �=' : (�'�S�
2750 Kelley Parkw�ay
Crystal Bay,MN 55323 Approved By: Amount$: ' >� � �'�'
� (952)249-4600—Main
-a s (952)249-4616—Fax
y�' �` CITY OF ORONO—PLUMBING PERMIT
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GENERAL INFQRMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications wili be
reviewed and a permit wil(be issued within two working days.
2. Permit cards will be sent by retum 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 constraction 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 A1}That A 1 )
�Q Residential ❑Commercial(Approval Required)
i �
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior a��roval and may need CUP.(Per Orono City Code,Chapter 78,Article[V)
Job Site L Owner Information:
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SiteAddress: �"�7� L ��,11��w(.� � � �<-C>C�.Ct.
Owner: �L�f'Y1 ���j/C. Mailing Address:
City: ��UY1 �� Zip: �`-�� ��
Home Phone: !`7,�-���i �" ��`/� Alternate Phone:
Contractor lnformation:
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Contractor: (���-1��� -�- P%C_.. Contact Person: ��"�"="71�E 5+..^
Address: `���� �`�i!iG�,�Jn2tG(��,t��-� N� State Bond #: {��(��:�--��
City: �,(�.},.�C,I��C.�- Zip:(�f� Expiration Date:
Phone: ��-�'�-���-���� Altemate Phone: �(,P�-��7-�-b� O
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From:7634974263 02/04/2015 10:48 #514 P.003/004
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FIXTURE BSMT 1 2 OTHER FIXTURE $SMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet j � Floor Drains � �
Lavatory � � Sewer Ejector
Bathtub S Laundry Tray
Shower � � Washer I
Kitchen Sink Water Heater �
Disposal ` Water Softener
Dishwasher r Wet Bar `
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Sillcocks � Miscellaneous � ^ ��
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❑ Yes,this section applies
The replacement of only one Residentiai ftxture or appliance that meets all three of the following
requiremenu: ;
1. Does not require modification to electricai or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and i;
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this appiies; Cost of Permit $ 15.00
State Surcharge $ 5•OQ ��`'
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $ �:
(Permit Fees Contfnued On Next Page)
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From:7634974263 02/04/2015 10:46 #514 P.004/004
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lf above does not apply;follow guidelines below:
1. CONTRACT PRICE ' is 1.25%of contract price with a(Miaimum Fee of$50.00)
��tJ�D x.0125$ ���,cJ' �-/
(con act price) (minimum SSO.OIF)
2. STATE SURCHARGE
�� (�(?? x.0005 $ ��.�C�
(convact price}
3. POSTAGE&HANDLING(Only on Mail-1n Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S � U t. �/�
• ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,proftt,and other fixed costs. It is the amount to be charged
to the customer for the work done. lf any material,equipment, labor or installations aze furnished by
the owner,tenant or any other parry,the reasonable market value of such items must be added to the '
estimated cost or contract price for permit fee purposes. Tn 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 con�ract.
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The undersigned hereby applies to the City for issuance of a Flumbing Permit, agrees to do all
work in svict accordance with the ordinances of the City and the regutations of the State of
Minnesota, and certifies that alI statements made on this application are complete, true and
correct.
Applicant's Signature: �. Date:�-� � �
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CITY OF ORONO CALLED IN y
INSPECTION T CE r SCHEDULED (Z t c c,
PERMIT NO. ����l S�COMPLETED
ADDRESS � �-r'�n��
OWNER TELEPHONE NO.�12 32� �333
CONTRACTOR ����
� DESCRIPTION l�`" `� �� �
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� ❑ FOOTiNG O PLUMBING FINAL EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J �,PLUMBING RI �.�j • ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET Y�OU:_YES_NO
v�i COMMENTS:
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�y��KSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑ RECT Y1bRK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL REfURN O CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe nex inspection 2a hours in advance. (952) 249-4600
ctor on site:
Inspector:
White Copyllnspector's Flle Canary CopylSite Notfee
� DATE TIME�
C�CITY OF ORONO � CALLED IN
INSPECTION NO E ZSCHEDULED `' � . UO
PERMIT NO. �t5 COMPLETED
ADDRESS ��O ��.�t-/�-���I� L,�-�1C� —
OWNER TELEPH E NO. a �z"D rd 3 j
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CONTRACTOR
� DESCRIPTION ����/�' !�-~--�
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Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. �
Call for the next inspection 24 hou in a ance. 5 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN '
INSPECTION O C SCHEDULED '� --�1-�--=
PERMIT NO � � �O LETED
ADDRESS �f� (�g��
OWNER LEPHONE N�� g �
CONTRACTOR �
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� DESCRIPTION P` " ��
W ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL
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Q ❑ POURED WALL LUMBING RI EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF PLUMBING FINAL TREE REMOVAL
Z ❑ RADON SLAB ❑ ECHANICAL 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 OWNERICONTFiACTOR TO MEET YOU: NO �
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V BEFORECOMERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR Will RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advan 49-46��
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLEO IN g.Z�
INSPECTION NOTICE S HEDULED �
PERMIT NO. �� � S�� OMPLETED
ADDRESS � � �-�
OWNER �EPHO E N �—��� ��
CONTRACTOR �
� DESCRIPTION �
k� ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NOi
� COMMENTS: v�ONo - �s �to��.,y _
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� �69fiRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for xt inspection 24 hours in advance. (952) 249-46��
Owner tractor on site:
Inspector_ �"""
White CopyAnspector's Ffle Canary CopylSite Notice