HomeMy WebLinkAbout2014-01056 - plumbing , CITY OF ORONO
` 2750 KELLEY PARKWAY * � 0 1 4 - 0 1 0 5 6 *
` DATE ISSUED: 09/18/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1135 PINE VIEW DR
PIN : 28-118-23-42-0008
LEGAL DESC : PINE VIEW
: LOT 2 BLOCK 1
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS,(6)LAVATORIES,(3)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(I)
DISPOSAL,(1)DISHWASHER,(4)SILLCOCKS,(1)FLOOR DRAIN,(2)LAiJNDRY TRAYS,(2)WASHERS,(1)WATER HEATER,(1)WATEI
SOFTENER(1)WET BAR
VALUATION OF PLUMBING 22000
APPL,ICANT PLUMBING FIXTURE FEE 275.00
STATE SURCHARGE PLBG(VALUATION) 11.00
GRUPA MECHANICAL CONTRACTORS INC. TOTAL 286.00
12180 197TH COURT NW Payment(s)
ELK RIVER,MN 55330 CREDIT CARD 5918 286.00
(763)441-5360
OWNER
VANYO,MICHAEL
6733 URBANDALE LN N
MAPLE GROVE,MN 55311-
AGREEMENT AND�WORN STATEMENT
The work for which this permit is i�sued shall be performed according to
the approved plans and specificatio�s,applicable City approvals,and the
State Building Code. This permit i for only the work described and does
not grant permission for additional pr related work which requires separate
permits. All provisions of laws andl,ordinances goveming this rype of work
shall be compied with whether or npt specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time aRer work has commenced.
The applicant is responsible for assuring all requir inspections aze
requested in conformance w' the State B � ode.This permit may be
revoked at a9� ' 'or e
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Applicant Permitee Signature Date Issue y Signature Date
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,� � FO CTT USE ONLY
« City of Orono ��� ���. Q�
` g-��O P.O.Box 66 Date Recei�e . Permit#
2750 Kelley Parkway /�,,
Crystal Bay,MN 55323 Approved By; , ' Amount$:��F'
(952)249-4600—Main
(952)249-4616—Fax
y��q , ��`�` CITY OF ORONO—PLUMBING PERMIT
kFSHa4 (All Commercial Permits Must be Approved by the State Prior to City Approval)
htt ://www.dli.mn. ovlCCLD/PDF/ e lumb lanreva . df
GENERAT�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 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 PER�VIIT
Check AIl Tha�Ap lyj
Residen�ial ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need arior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
'Job Site/�wner Inforrnation:
Site Address: I I 3 3 �i 1�� V��i,,J 17� .
Owner: Yh�►�� �• In�1LL1�W1S Mailing Address:
City: Cl-�.4SIC/� � vJ��n Zip:
Home Phone: 1� i z- .2 S( -g 7 sv Alternate Phone:
Contract Tnforrnation: '
Contractor: C��U�,R �rGN � Contact Person: ��.�MD �et�►P/4
Address: 12 i�O-l�tZ r'� Ct. State Bond#: �Cd�IN /39
City: ��iC �i v�'„L Zip:53`33t� Expiration Date: I 2•3 ) - � �
Phone: 74 3-'-�'�� ^s3�� Alternate Phone: � �Z- 71 S- � �30
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet j � 3 Floor Drains �
Lavatory � � y Sewer Ejector
Bathtub 3 Laundry Tray � `
Shower � � j Washer I �
Kitchen Sink � Water Heater �
Disposal � Water Softener I
Dishwasher � Wet Bar /
Sillcocks a � Miscellaneous
❑ 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 fixhue 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)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�i2z_ pDU , l90 x.0125$
(conVact price) (minimum$50.00)
2. STATE 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 own�r, 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.
,�
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 o this application are complete, true and
correct.
Applicant's Signature: Date: '� � l�
3
�1 �
1 E TIME
CI OF ORONO CALLED IN '' T_
INSPECTION OTICE SCHEDULED - �Ms.�_
PERMIT NO � 0/OS �COMPLETED ,
ADDRESS ll�S ���- !//L� G�(�/�l !�i
OWNER T LEPHONE NO�� "7 S�'S.�
CONTRACTOR e�
� DESCRIPTION r � U
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� ❑ FOOTING ❑ PLU G FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
W ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAHD COVER REMOVAL
v �PLUMBING RI u.�• ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspecior. �—
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CITY OF ORONO CALLED IN �- f �
INSPECTIOI�F'I�QT��jr��L�� SCHEDULED �Z.3��1 �—��"
PERMIT NO���`� � COMPLETED
ADDRESS I � � ���'���'�
OWNER TELEPHONE NO. �12-���5�O
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CONTRACTOR � r� L-=�t-`� ' �` �`�'
� DESCRIPTION �\ �' �-���
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
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
� �PLUMBING RI u.G. ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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����CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca next inspection 24 hours in advance. (952� 249-4600
Owne Contractor on site. ��4�'�-
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO iN ��` _ �
INSPECTION N TI� _O�DS�O SCHEDULED �_
PERMIT NO. P�ETE� ,��
ADDRESS �I� S �L� �v � � �-�l t�
OWNER TELEPHONE NO. �� -53 �
CONTRACTOR r �
> DESCRIPTION vU �/` - � �/�
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� ❑ FOOTING ❑ PLUMBIN AL ❑ EXCAV ADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES ORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
�,�, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v�PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 ' spection 24 hours in advance. (g52) 249-460�
Owne o tractor on site:
Inspector. �--
White Copyllnspector's File Canary Copy/Site Notice
1 DATE IME
`CITY OF ORON4 C LED IN
INSPECTION N4 CE SCHEDULED �� __Z��
PERMR NO. COMPLETED
ADDRESS �, � `'G�
OWNER TELEP NE NO���L.�7 I'�;Z
CONTRACTOR
� DESCRIPTION �/�1a� ����� -
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPRO PLUMBING FI AL ❑ 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
v ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTFiACTOR TO MEET YOU: YES_NO
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❑WORK SATISFACTORY:PFiOCEED PROJECT COMPLETE
W �CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERINCa PERMANENT
❑CORRECT UNSAFE CONDiT10N WRHIN HOURS. O PHOTO TAKEN
iNSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIi INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for he next inspection 24 hours in advance. (952) 249-46��
Ow �Mractor on
Inspec . �r`"
White Copyllnspector'a File Canary CopyfSke Notke