HomeMy WebLinkAbout2015-00452 - plumbing CITY OF ORONO * 2 0 1 5 - 0 0 4 5 z *
2750 KELLEY PARKWAY DATE ISSUED: 04/20/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADi:RESS : 1100 PINE VIEW DR
PIN : 28-118-23-42-0010
LEGAL DESC : P1NE VIEW
: LOT 4 BLOCK 1
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 5 WATER CLOSET,8 LAVATORY,3 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS,2
FLOOR DRAINS,
1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR
VALUATION OF PLUMBING 15000
APPLICANT PLUMBING FIXTURE FEE 187.50
STATE SURCHARGE PLBG(VALUATION) 7.50
JESSE TOUTGES LLC TOTAL 195.00
5260 CLAYTON DRIVE Payment(s)
MAPLE PLAIN,MN 55359- CREDIT CARD 0938 195.00
(952)913-5856
OWNER
WIGGINS,JASON&AMANDA
410 N 2ND ST
i1NIT 449
MINNEAPOLIS, MN 55401-
AGREEMENT AND SWORN STATEMENT
The work for which[his permi[is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. � ''
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Applicant ermite Signature Date [ssued By Signature Date
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t FOR CTTY USE ONLY
, �O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
` � (952)249-4616—Fax
yF �` CITY OF ORONO—PLUMBING PERMIT
• l�k�SHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
l. 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 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 A ply)
/�esidential ❑ Commercial(Approval Required)
�i
�New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �f/�(� �"i Vi� (/ i�W tN : �f ��
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: c �-s� / e.s �L� Contact Person: ;"�-�-=t � ���'%�S
�Z� Clc� �o� �.� � �
Address: �_ State Bond#:
City: /'�h0�� ✓��✓� Zip;.S5.3sc�(Expiration Date:
Phone: �S Z—� �� "��S (v Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER �
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains �
Lavatory � Sewer Ejector
Bathtub � Laundry Tray /
Shower � Washer I
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher � Wet Baz
Sillcocks � Miscellaneous
# f f
�.�. r ���, 2 �,i�:�� � ���� � .s 2 � x.:'�y� ``-�,� � �''::
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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;excludin¢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 $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
.
_ FEE CAT:.�CI�AfiI�N S ,�'7l'�BS O�R.$5�0.04 � . -,, ,. .
, If above does not apply; follow guidelines below:
' 1. CONTRACT PRICE * is 1.25%of contract price with a�vlinimum Fee of$50.00)
x.0125$
(conV ct rice) (minimum$50.00)
2. STAT�SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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 ar 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.
� :LI.�N��t':r'P�i�TI':�'P�.�L;A"�7Q�`1���E�T �
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: � `'� ''� �
3
�" - / DATE TIME �
CITIf OF ORONO CALLED IN `�-o�
INSPECTION NOTI SCHEDULED — J ��
PERMIT NO � � OWIpLEf D �.
ADDRESS �Id� �V�. ����P_ V`�
OWNER ELEPHONE NO.���"��� r
CONTRACTOR S�- 58 5
�; DESCRIPTION ' �
4~j ❑ FOOTING ❑ pEM - INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ l�LU G RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ f�LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ WIECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ �/ATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ $EWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ 3EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OYYNERICONTRACTOR TO MEEf Y�U:_.YES_NO
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W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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O O CORRECT YVORK,CALL FOR REtNSP'�CTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITiON WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIREO.CALL TO ARI�tANGE ACCESS.
Ca11 for the next inspeation 24 rs in a . (9 2) 249-4600
OwnerlContractor on site:
Inspector:
White CopyMnapector's File Canary Copy Notke
�� '.�/� DATE TIM�
CITY OF ORONO C� CALLED IN
INSPECTION OTICE SCHEDULED Z �
PERMIT NO. 5'� �� S2 COMPLETED
ADDRESS I l �� �i/�JrG�-)�►T�,.��l�fL -
OWNER TELEPHONE N�'�Z--� lr3`TS�r`�+,
CONTRACTOR ��S`� Tz�,i �-C�
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� DESCRIPTION �
W ❑ FOOTING ❑ DEMO-FINAL ��'��'''d�S�PT�NAL
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Q ❑ POURED WALL PLUMBING 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 ❑ COMPLA�NT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO ' YES_NO
� COMME TS:
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GW,�iK�ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
�v O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal " spection 24 hours in advaT(g52) 249-4600
Ownerl ntractoronsite: �QSSe
Inspector. ��.--
White Copyilnspector's File Canary CopylSite Notice
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� .-�-- DATE TIME
CITY OF ORONO CALLED IN C�- 5 — /5
INSPECTION N T CE SCHEDULED S�� �G•��
PERMIT NO. � CQMPLETED
ADDRESS U�/
OWNER TELEPHON� N������ 50 �
CONTRACTOR � d�
� DESCRIPTION �
ly ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTHACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑CORRECT VYORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATiON ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95 ) 249-46��
OwnerlContractor on site: "'
Inspector.
White Copyllnspector's File Canary CopyfSite Notice