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HomeMy WebLinkAbout2013-00113 - plumbing �" � CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 3 - 0 0 1 1 3 * DATE ISSUED: 02/19/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1870 SIXTH AVE N PIN : 27-118-23-42-0022 LEGAL DESC : WOLSFELD LAKE COMPANY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 (952)445-4803 TOTAL 22.00 Minnesota State License#:057209PM PAID WITH CC# 5244 OWNER HERNANDEZ,PHILLIP&MARY 1870 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT 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 described and does not grant permission for additional or related wark which requires separate permits. All provisions of laws and ordinances 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��t��[��� � �� � �3 a i/ i Applicant erm�ee Signature Date ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 02/19/2013 12:45 9524966064 APPLIANCE CONNECTION PAGE 02/04 � � - . City qf Oron�o ����Y o+ o p.o.B � ��,�r�� �# a�13-aa r3 2�su ey�r ,�,�ea sy: ,�,o�a s: �a. � � � " G7�'am1 aY,NIId 55323 , ' � (952)2 600 � ' OF 4RON0=PLUMB�NG PERM�T , (Alt C ' pecmia musc be a�rm�ed by�he suildiuig O;�,oisll w]nsyocoo�r) E INFO O�T ]. You may apply fn� liunbing pe�mits by ma�il or in person at the City offices. AppGcat�oas rvi�l be re�i,ewed and a ' will be issued within two worldng days. z. �ernpit cards will b sent by ret�an mail afta a review is compltted. PE�NA7'S ARE NOT VAI,�D UNTIL,Y U RECEIVE A PERMIT. vVORIC MUST NOT BEGXN�X.'�'� PERMIT CARD POS ONi T .TOB S 3. Plumbiipig pennits be issued ONLY to licensed plianbiag ca�sctors sad to pro�erty owners resxdittg ia the dw ing. ' 4. When aay neryv co 'o�n or zem,odeliung is involved,a separate building pamit must be . obtaimed_ - 5. A,11 work must be e in accordance with State Code r�uiteme�s. ..� �`�'_�' ' �`- AIl vvot�ml�6e and air tested bzfo�i�e�is�oi►eired, ca11'(�sz)�'ds-a60o_ � �� �'� '�, (24-48 Etoar noti reqaired) � �'YPE OF PERNIIT �'�'►. r e�'i s e �.:��t,w � ��, c,'��: �� ���g -- Check All That A i. �_�„:� � '� ��.I��� . Y � ,�� �� � -- - --- �, ; „ ry:,� L ' . c \n �,; , en�al � _� }❑ mmer'etetl(A�pcoval Rec�u�red) _. + _ _ '.._ ... Q N [] ddir4iou�ak- ;.�: .,�Rop�rs , p�Replace "i 4 , ,��: �� �,i:c , .i.:.,4 ,, -(�• nr: I ❑ ccessory Stru . . .__"_.... . ___._._.._.. .�r . ; ; ��'` �, and may;��a_ �r o►�ono c��y coae,ct�a��8,nreoie nr� 7ob Si /,, er� 'on: ,, ,. � �:;, -�., . .. ,�: �r,,� �� . J7 VIt. Vt' 1 � � -' . P �,. .�i 1 L i�t l�'� SiteA t..� ��, s�� ,,.. D < . ,, . ,�:: , ;i;-�`:� ' j�,s; . , . � � , �i ...t A� I_.. ... .... ..� � f '' '1; . � � . ..._... .�.. . ... .... .. . . _ �_. __. ...__ �` . . � �. .� l� � .��. . � T ^ i "� . `�� . ,. Owile , _ ; . _ .. _ ,� �i��u4,�,�ddress: . ._ , . � ��_.��,�;r����x� :'�,: , :i , Cl�: `' ;a:a�� ., + , ,a• Zl}y:i`' .�. .. ;��.r:n�r �r, , , - � . ,���� ,� c a �Home �o�ex,:-� _. � .. ,�'��ate P'�o�e: . �3: �-=; '� :�° ,,, Con f �r Tnformation: � - -- - . _—--_____.__. . .- - - ---_. � : �. i,�, , ;,.:.i✓;, ;. �,�y, , '._V.�� �4C:..�_ a I t '4 i:_.�.`O�{3�Si���vl�$OII; A�e :��:�9, � Ila��Gorm�wt�ons���"$o�.d#: � , ' 12� 0 .. n �ivd. ,.. City�.� � S11�k0���l�p•�on Date: �"� .:f , � i ,' -cr,;,�ur1 `�t, c'�.:r a�tin t..:,r��.. . . ,,,.;, ��#ltert�ate,�ome: , r.� � , �y� .� _ _. _.- _.. ._ . _ .. _ .. ..., ,`p: r e��� :1+��� �.�._ ? s . � .0_ .�1$uI'u1Ce-Current: _ ... , .._., _i1- . . .... ,_ __. _, ( , � . Y f � � � � � �3�e.6.. ir�rYl,�.,,��i' � ' , .. .' ..y .�,.�,� .... ,> � ,' ... ... _ _... :. ,.. _,.... . ._ , . . _ .---. _ _ _,. __. _..___ _ � ,f�E,n ; � �1 ��, . �r, , , . . _ , , • �� '�.; ,..„.�.!;;_ . ..,.,.. ^ � - _ . Iv . __ . .. . ,_ .__, _ _._ ':i ` , 62/19/2613 12:45 524960064 I APPLIANCE CONNECTION PAGE 03/04 , � . i ,'.,:,::.:.`= :-;; p�.��.j(����J�;.,��7,�;y�{.' ,.. ... ::J:. V+.f'� '��iic/W+:1]V;�� � ••��{• n. �`�: �w�.:.;{ .'J (1�... ..V " ,:R -r.`ii 4:4.;�4K,a4,�"+S.` :;�,,.s;M1;y;`.`j•;.^, ..�.�f� DS1Yll ,l 2 0��]lill A'Mf.l.Vl�D YSlvil � Z �.1i11iA FL kI, TYPE FL �. ater Cioset Floor Draias I �a� Sewe�'�jector i ; ! athtub LawndrY'I�aY 1 ! hower qt�� "tc�e�n Siak { water Heater isposat ! Wate�Softener _—. , - � _ - �,. Tn�. -,� - � ���- .1� �,�. ishwasher Wet Bai� i�lcocks Miscellaaeous ..._ __ _._ __�_..__ _ ^ _,_ � '. . - ... '..Ie1 .. . . .-. ... ..4"i� "�� .. . I, ^1\. ',.� L. 1 � � , .�_ _.___ _ ..:,�.:.....::.:.,. _ _ _... �,_ ,...;:.. .�C��. • �•;'.�.:,... .�. :.. -�.•.� . µ��,� �, �T +:�G � ti.;`; •ri'n"..�:.�� ; .yy�.,. • . .... •. �.'v..:�. •.��'::'.Ati�ii:� �"� ' � '��...,. v5,1�.'��:�j..'`���.`'�'.���i: • ....':. � .�>4."�� ...)`4 '•... 1r�,�1 � .. �'�. .. . ' , �^�,�� ��.�P�,�� A L x, .��':r� .r, ,, .�„ ,. .r.t ,'r^' t;y�,KAe:, .�;+,'�'�v�',,'r.G• ,`•.:.a'�.�rt::i',wU: �„�,;. s�."�;, a�•:"S�,:i�':.rp.X`.M��w:..a,^�j'.',�',t}:'• `.T:'T; . •.i .,,>• " t;,k, '"•a4� �, , %'f �1_;i,.��':• ''`' .a�'. .s.y.. '�;. �. �.:; '+�';. � L ';'y. "•,; ,; ��,(:'r-':.� i:5��+-�:��i,a`rn, :% .1•% :.' •'Mu ..�.� ��M�.kv:��;.�•.� '�r� �t'A�•,.NMri� (t• .1hF..�.�i i�".7:'1�.� _- j�C9��f�3�G'�Oj1 �ICS _.. _ _ ... _ , _� _ _._. �..0_.. .._. � ,. — . � , repi�ment a�tosidenael ture or app'fance t�at'� e�s all�ree of tb�e fo[lrnxi�i�g requiieme�,�s_._ , } _ �_..._ ., . ,_. ,, .., ; es not requ�re mod�ficaazioni to electrt�or . 'ce. - , __ .._ _--, -- S�Se� � 2. Hasj a tMal eost of$500.00 ox less;excludin�tb�e cost of t,�e ftxlure or app]iaace:anid , ,3: Is�i - �nscaliedo� laced the. _ . . _— � �"� ` r��.__ � bY ho�oowner on c�a�sed conuac�i: - -- . , ; �:,. � r��ct se�ti ifthis applies; _..�ost of,Penmit ---5= ._,=15.00-_ � � State�Surc�harge $ 5.00 _ __;-_____ __._. _ ._-M[a�,t-1n�'ee,(If,A.�iicst,�e) - -. $-� -_z_oo __ ::; � Total Pernait Fee �`�p _ ...._,. _-- --. _. ._ __ __. __.� $ ermit Continnad On Next Pago) � __ . �...�_ . _ _ _. _.._. . . _ . . '� . . ' , �' • _, � .._ .�e,-,; ii:.j�SC'C:kY.,+.11 z. . . 2 . .__. t� kcmtt�fz r '. . i�'�-. � i�, , �� .� . .; r , .. ., , �a, _s n��, ,� _ , +^ � .ica� , _ ._ ' 02�19/2013 12:45 9 4969964 APPLIANCE CONNECTION PAGE 04/04 I s , �- I i i . i � � j , . Yf above es apply;fo114w gwidelutes below: � � . C CE •is I.ZS%of cu�tract pdce wi�h a(Mlnlmam Fee of 5�0.00). t . . � x.01255 � ' tmoaacc a;o�) � - (miaumum sso.00) � GE *s Add the Stau Bldg Code Div.SuQcharge(11�iaimwn Fee ofSs.00) . , . • ' � x.0005 3 ' �• (�1�)' (�s s.00) � . PO AG 8t NDLING(Only on Mai1-la A,pplications) S 2.00 � � � �T AL RIY�IT FEE(Add Liines 1-3 Abovc) S � � � . . . 0 2�'19l��1? ':': �t_. 9 R�or JOB COST m�aas the;�acpual-��;;dallar-�a�ao�rot cb�g,ed for thePA�E H=1,'�4 ��$m�ia�s,labor Pmfrt,auod othez fixed aosc�..It is ihe amount to'be cha�ged to er for the wa�[kk d�c. If an�r mata�ial,ecluiPme�t,laba or iwslal�abops are fiani.qhhed by the er, or a�ryr otlu�p,a�ty�tbie reaso�able�rket value of such items must be addcd to the or trac�price for permit fee purposes. In t5e Cvent that there is a dispute on the � �, t � ,;o the City may requesc�e.sab�nission of a si�ned cvpy of"cbe actu�l�oatracc. rr�:�, . . J'�i� 'S..:AR�,.�' . . '. � . - :....... . . .. .» �. ..... .. .... . � .�. �.'..� . . . .�. •, '■ ** ST TE SYJRCHARGE is.0005 of the oonuaet price tmder SI,000,000 or SS.00–whichcv�a is ( :- v�aa4 over 51,000,000 catl the Buildiag�cpartmau at(95�249-4600 fo�the price. _, .. _ - -- —.._. ��..e) ..�... .7; ,. . The imd ' hereby applies m the City for issusuce af a Plumbivag�erm�it, agrces to do all work in ` '" -w�th the�ordi�ces of�he CiRy and the regutataori�s°o�'rb�e Sia�kbf 1VXinaes certifies t�at all stateme�ts made on this application are comple�te, tnle a�d correct.. �_ ,.. _ �.._ , �:L'C; � � , ... ;f. . .. 1 . � y ( . I. �.h � ` � Jl�. � 3 O T:'t; ._ .,:: Applicant's S , . ,. � a. �. I - _ � _ : . . i'� :': . ' ' 1 ]c, . �;,: c,.� .. ` 10 _'�i. t�t, ,. h; ��ci�;yyf13�1. � . .� _ .�.. . ,. . .lt �.4.1 , . .. i�;. . . ,�� . , ,�. .��,oStUCait•�; ..� � � 4� .. . �� . _ - � ��c� . �� . .� ��:•x, te:r� , . \ . . , f. , �t._ _ n ., n• ,� , . ���i: ,. �;os�. .. . ,., �.: ��st. . .. , _c, ., _ . ,, �;y . , . . P�r. ... .: ... .. ��. . „ . , ,. ..� :. .' ._ , :. .. . ' ,. !.,^., :1:... . . �� �'',; ,L. t�' . y i % • s. , . r�A� l ,.r�;. � i . '. �a.. �:Fe�.. 3 ; ' �,s. � . �.� • � c':li�r;:. 't�' t:ii.t1' :i:' � :(_ . x]., .yiF;; ! � i� t,i �,'ic� � ..i:. � '. _ � ��. . ., .. ..._ / ... .. �., _ ' , ♦ , . r I . � . .. ,,`���1� 11'. ;'r' �. �� ,..f . .. �Ai:u:'. . � . . . .. .el� .: .�I� .. � .1. , . Sl''- ��.C}.�li�. � �1�. � "rL. .. , :.�t. ,,, !� .ntl.'f . . ,u. . G11: '3�`-!. .S�l'� C.•l.�'�," ' ' , � ,. ' . ., . , ; ,_ � ,,�� F�3 ,r: � . �� a, �,;�r,:� :�. ,, • .. , ' � ' ;, ,. �4 � � . . . . ,'. , ' F._:�u.�_+��y , � ___ �a . . � .... _ _ <<. __ _,. _ , . DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEOULED PERMIT NO. elOL3 "�l/3 COMPLETED ��� ADDRESS /�T4 /5�� �Y-�. OWNER . TELEPHONE NO. CONTRACTOR 4/i�/<..�,�< <'o ndertro� � DESCRIPTION ��e'' l��t� r�iol. � ❑ FOOTING ,��UMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POUHED WALL ❑ MECHANICAL RI p LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 01NNERICONTRACTOR TO MEET Y�OU:_YES_NO � � COMMENTS:�QrrNst `io��Qtr 4�/�.� �` ' C�/l .�",or � Tl�IQL JIZS�GGfi�d�C � j O /� � � YlB14St G4ll !�I`{�!�w, tf7 �C.S ' S� W _ .7�I���.r�Q -rt �s/ � /l�tSDecLL�,.. � Q � � W � J O W� ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WIIL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOii INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a . (952 j 249-46 OvmerlContractor on site: Inspector: ��.,-, � White CopyAnapector's File Canary CopylSite Notics �/, DATE � TIME CITY OF ORONO CALLED IN � 8 a�� INSPECTION OTI E SCHEDULED ' �� PERMIT NO.����"'��� COMPLEfED ADDRESS f8 ��� Q� � OWNER TELEPHONE NO.������� 9S� CONTRACTO � DESCRIPTION �L� �� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FIWNG Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 ONfNERICONTAACTOR TO MEEf YOU:�YES_NO c�i, COMMENTS: � /y� /')'L� �1.�-C�C/ O � �_ �. o� O W � Q � W � W � � W O WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CARRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK CALL FOR REINSPECTION � TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN O STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in dvance. (g5 -46�� OwnerlCartractor on site: Inspector. White Copyllnspector's Ffle Canary CopyfSits Notice