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. ��
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Ap icant e tee 'gna re Date Issued By Signature Date
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` 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
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�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
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� 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`— ���—
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� DESCRIPTION
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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
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINO PERMANENT
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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
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PERMIT NO. 1�r/' " C�—� '/ COMPLETED
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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
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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
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CITY OF ORONO CALLED IN L
INSPECTiON TICE �``� SCHEDULED � - G-
PERMfT NO. "� ��� / C ETED
ADDRESS ��-� � / ,�l
OWNER _ � � TELEP E NO/. � ��y �`�
CONTRACTOR '�CG "��GGiI
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� DESCRIPTION ��
ly ❑ FOOTING ❑ DE O-FINA ❑ SEPTIC FINAL
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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 OWNERJCONTiiACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
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❑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