HomeMy WebLinkAbout2013-00189 - plumbing � •
CITY OF ORONO * Z 0 1 3 - PJ 0 1 8 9 *
2750 KELLEY PARKWAY DATE ISSUED: 03/21/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDR�SS : 1354 REST POINT CIR
PIN : 07-117-23-32-0062
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,AND(1)SHOWER
VALUATION OF PLUMBING 5500
APPLICANT PLUMBING FIXTURE FEE 68.75
JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 2.75
720 PONTIAC PLACE
MENDOTA HEIGHTS,MN 55120- TOTAL 71.50
(651)365-8680 PAID WITH CC# 7157
OWNER
AMANDA HEIEN,DENNIS WALSH&
1354 REST POINT CIR
MOIJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City ap rovals,and the
State Building Code. This permit is for only the work d�cribed 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / � �/O�-/ /��'
Applicant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• 03/26/2013 21:44 6519948701 JANECKYPLUMBING PAGE 01
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'? � (952)7A9-46oD—Main
(952)249-461b—F9X
ci� a� oRo�vo-r�,vMrBuv�t��rr
(Atl Commercial Penmits Must be App�roved by the State Prior to City Approval)
ht :!/ .dli.�oan. vICC D/PD la b lan�re a . f
G�I�t�L.iI�d�A'�pN
l. You may apply for plumbing permits by n�ail or in pers�n at the Gity offices. Applications wili be
reviewed and a peimit will bc issued within twa warking days.
2. Pem�it cacd�will be seot by rctum mail after.a review is completsd• PERMITS ARE NQT
VALID UNTTL YQU R�CENE A,PERMI'Y'. W� ST T EG
p�RTMIIT CARD iS P03'TED Ol�i THE JbB sITE•
3. �lumbing pecmits may be issued ONLY to licensed pimnbing corrtractors and W p�vpErty owne.�s
t�eaid'mg it]tkwe dweliit�g.
4. When any new cons�reructian or ranodeling is invoived,�separ�ate buil.ding permit must be
obtsined.
5. A11 work must be don�e in aceordance witt�Sta�e Code requirements.
6, Atl work must bc itlspectcd and air tested befqre it is covered. Call(952)249-4600.
(244$hOur ndtice roqaired)
7"YP��F PERN�IT
Chee�l���1."rizsd�c l: � `
�dential ❑Commcrcial(Approval Required)
❑NCw ❑Additim�al (]1Zc�airs �Iace
0 1ta Accessory Structure7
'"Yau will n and may need�P.(�er Orono City Code,Chaproer 78,Article IV)
Job Si��'+D�vner I�tforcz�atiatr.
Site Add.ress: � �j �'� ra� ` �l�"`�
Owner: �/l�� �� MaSling Address: � f.�6l��•�
city: C��U ✓�� -- Zip:
Home Ph.one: � , _ Atternate Phone:
Coniiiractor I�orm�ti:on:
t . �X� � Cantact Person: �I�'1f?C� ��'�
Contrac drJ �` l
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�ad��: '�.�������r►�,� S��Bo�d#: m � ��� �� �
City: ��LQlJ1�- S Zip.�-��OExpirativn D�xe: �`�M �� - ��
P�one�� �54� ��J Alternate Phone: ��� �u� ����
[� ��nsurance—Cut�ren#: �U�''�
1
+ 03%20/2613 21:44 6519948701 JANECKYPLUMBING PAGE 62
FIJCT'[JRE �SMT 1- 2 OTFiE�t FIX'I LlRE BSM7' 1.' 2 OT'I�R
TYPE FL FL TYPE FL FL
Water Clcset FlOor TJrains
Lavatory � Sewer Ejector
Bathtub � Laundry Tray
Shower J washer
!
Kitchen Sink R'��''H��
Disposal Water Softe�er
Dishwasher w���
Sillcocks Miscelianoous
�
❑ Ycs,t�is sedion applies
The replaccment of only onc Residcn'al fixtur�_a2_a�vlimix that meets ail three of the�'atlowring
requirem.enfis: '
1. �n rr,qu�'re modification to electrical or gas servtce.
2. Hes a tota of$500.00 or less; in the oaRt of the fxtuce or applianc�:and
3, is improved,installcd or replacEd by the hoittcov�mer ot liCcnsed plwnbing contractor.
Skip next sec�ion,if this applies; Cost af Penmit $15.00
S�te 5urchaor$e $5.00
Mail-In�ee(�f Applicable) �_ Z.OQ
Total Permi�t�ee $
(Pern�it F'ces Continaed On Nezt Pag�)
2
< 03�26/2613 21:44 6519948701 JANECKYPLUMBING PAGE 63
If abov�does not apply;follow guideline�belarw:
�. �pNTR�1�"r rRiC& •is 1.25%of oontract price with a(1►Tnimum Fee af�50.U0)
��� x.01.255+ -'" ����
(coet�c pnce) [mioinaam 550.0�
Z. STA�I�HAR� � ,7�.]J
x.ODOS T
(conaact Orice)
3. ppSTAGE&HANDLTNG(Only on Mail-in A,pplications) �_. 2.�._. -
4. T�TAL PT'.RMi'['FFE(Add[.ines 1-3 Above) � `r.�
• • CpNTRACi'PRICE or JOB COST means the actual or estimaud dollar arxioum cha�8ed for the
permitted wa�rk including materials,labor,pmfit,and othe►'fixed c�. it is the emount to be charged
to the cl,stomer For she work done. Tf any material,equipmeet, labor or instailations are furnished by
the o�wn,ea�.tes►ant or any oth�p�rty,the reasonsble market value of such itcmis must be added to the
estimated cost or cor�tracx price for permit foe purposes. In tbe event that thece is a dispute on the
amount of the job cost, lhe City may request the subm�qs�an of a signed copY of thc aetual eontracc•
The undersigned h�raby applies to the Gity for igsuan�e of a Plwmbing P�rmit, e�rees to do aIl
work ir� strict a�ccordance with the ocdinances of the City and the regul�tinns of the State of
Mi�txiesota, attd csrtifieS that �1� statements made on this application are complete, true and
c�rrect
� � • �-�- �
Applicant's Signa �a�:
_ , .. I �. -
3
�� � � DATE TIME ✓
CITY OF ORONO CALIED IN �� .-�3��
INSPECTION N TIC SCHEDULED � �
PERMIT NO. ���COMPLE o .
ADDRESS �
OWNER ELEPHONE NO.
CONTRACTO
>; DESCRIPTION G� U
�
� ❑ FOOTING ❑ PLUMBIN IN L ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHA ICA I ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED Cl PROJECT COMPLEfE
/ ��.
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP Of1DER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's Fiie Canary CopylSite Notice