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HomeMy WebLinkAbout2016-01517 - plumbing '` CITY OF ORONO * 2 0 1 6 - 0 1 5 1 7 * ` 2750 KELLEY PARKWAY DATE ISSUED: 1Z/OS/2016 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2695 PHEASANT RD PIN : 21-117-23-23-0012 LEGAL DESC : PHEASANT LAWN : LOT 008 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL COPISTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: ADDITIONAL FIXTURES:2 WATER CLOSETS,4 LAVATORY, 1 SHOWER, 1 BATHTUB VALUATION OF PLUMBING 9000 APPLICANT PLUMBING FIXTURE FEE 112.50 STATE SURCHARGE PLBG(VALUATION) 4.50 RIVERSIDE MECHANICAL TOTAL 117.00 12460 ZINRAN AVENUE SAVAGE,MN 55378- Payment(s) (952)894-7600 CHECK 6134 117.00 Minnesota State License#:plbg-PC644809,mech-MB650157 OW1�iER MARTIN&STEPHANIE SARANTOPOULOUS,ROBERT 2695 PHEASANT RD EXCELSIOR,MN 55331- AGREEMEIVT 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 deseribed and dces not grant permission for additional or related work which requires separate permiu. All provisions of iaws and ardinances 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 con rmance with the State Building Code.This permit may be revoked at i or due cause. �� -�._ '� � ��'J' � _C-���.� ���--�,e �S C:� / � � �� /� � Ap icant e tee 'gna re Date Issued By Signature Date . ` p City of Orono FOR CITY USE ONLY � � NO` P.O.Box 66 Date Received: 1`�. '�� ,�1 , 2750 Kelley Parkway ,,, y� � �� .. � Crystal Bay,MN 55323 Permit# '//���p ��O �,9,.� `�� (952)249-4600—Main Approved By: �� �r•t i�•" (952)249-4616—Fax Amount$: �� CITY OF ORONO- PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two wo�king days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners 'residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT(Check All That Apply) esidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New [�ditional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: 2�{c�Qs 1�'\PaSo�►-�-�- 1� 1� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Riv�.t'Sic�P .�r�'1�ec.�Contact Person: t��C� C7r�a.�e Address: �o����� �i r�f b-�--� � State Bond #: N����(�I �� City: ��cp� Zip: 55�'g Expiration Date: � (CI•�O�$ Phone: Cl�� - ���- ���� Alternate Phone: nsurance- Current: �,�CJ�-C� �c��`S Page 1 ' PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floor Floor TYPE 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 PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) � ` ��� x .0125 $ 1 � � . �� (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ L/� c7 � (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ �f / —� (�C� 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 th � ances of the City and the regulations of the State of Minnesota, and certifies that all stateme s mad on t ' ap ication are complete, true and correct. Applicant's Signature: Date: �z j �V� � Building Official/ Inspector: Date: Page 2 � /4 � � � DATE TIME � CITY OF ORONO CALLED IN �2-,�� INSPECTION �E ��5-� SCHEDULED l�-�i-/Jo � PERMIT NO COMPLET ADDRESS OWNER TE HO E NO�a`— ���— CONTRACTOR ' ��� � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FI AL ❑ S C FINAL Q ❑ POURED WALL ❑ PLUMBI G RI ❑ EXCAV/GRADING/FILLINO O ❑ FOUNDATION WATERPROOF ❑ PLUMB INAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT a ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL a OWNERICONTRACTOR TO MEET Y�OII:_YE8_NO � COMMEN • 4 ' f �"�, � . �/. �c�� � �. oc � ' , � �.r.�.�,. a -� � �!"� 'k1 O " � d �� �� �".� � .� "'�' °r��� 0 � f �l .. ��L_, ° � W ` 0C Q � � � �,�� \� t c G;.,ti ( 1.,..� � � L!'� t C.�✓ /�� I+'►{ /'��r` .. �--�a• � �J. �:,� � � L L �� 1 � � `�r�,^ � .� �' �l� � . J � f � p�VYORK SATiSFACTORY:PFiOCEED ❑PROJECT COMPLETE � O�CORRECT WORK 8 PROCEED �ISSUE CERTIFlCATE OF OCCUPVINCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. CaM for the next inspectfon 24 hours in advance. (g52) 249-4600 OwnerlContractor or�si�e: Inspector: j.-� �����" wni�e coPyn�.P��.FiN c.�.ry co�y�sn.Ha�. _ ` � �, ,; t � � i DATE TIME CITY OF ORONO CALLED IN �J ��� INSPECTION NOTICE �,/ ) SCHEDULED PERMIT NO. 1�r/' " C�—� '/ COMPLETED 7 , ADDRESS � �:� � � � , l l_l C`C.7Cr � Y`� rTi`Y' OWNER TELE�HONE NO. �%`=��" �����• , J CONTRACTOR _ '�/ L� .2 `1!�—CL���%� '' DESCRIPTION ;"� ��``i 1"\L } ���.�-J.� 4i ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL •�R�JMBING RI ❑ EXCAV/GRADING/FILLING "j ❑ FOUNDATION WATERPROOF ��b PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEET 11�U: @�YES_NO � COMMENTS: �"'i � 1,!•L. �ew�o��G - �w v - Pvc �.� j ���eD $- ��c�s���S �!/C �i� �/b . — � — S � a►.,r ��s� is �o �P� � — � o _ r.,+.�� "t • tJ,`!� e � u '� 6 l — Q 1X�4�C r �c�"�G � c /rl S� 1t��9 �' � � b� 9� �jve r/ W � � � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ��60RRECT W'ORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W 0 �CORRECT VYORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT O CORHECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OMmerlContractor on site: Inspector:� ..� - iM CopyAnspsetor's File C�nary CopylSite Notke � � ���� � � ,q TIME CITY OF ORONO CALLED IN L INSPECTiON TICE �``� SCHEDULED � - G- PERMfT NO. "� ��� / C ETED ADDRESS ��-� � / ,�l OWNER _ � � TELEP E NO/. � ��y �`� CONTRACTOR '�CG "��GGiI � / G /n • � DESCRIPTION �� ly ❑ FOOTING ❑ DE O-FINA ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING �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 _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERJCONTiiACTOR TO MEET YOU:_YES_NO � COMMENTS: � � t • (�l� �J�, l � ;n,c�, � C_ j O /� � ' �J� G � 'S�"'.t/� o � � V \ �� J W � Q � � (J 2 w W � W � J � ❑WORKSATISFACTORY:PROCEED `'����OJECTCOMPLEfE W ❑CORRECT WORK 6 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho�rs in advance. (g52) 249-46�� OwnerlContractor on site: Inspector: � Whits Copyllnspector's Ffle Canary CopylSite Notice