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HomeMy WebLinkAbout2013-00144 - plumbing CITY OF ORONO * 2 0 1 3 - 0 0 1 4 4 * _ '� 2750 KELLEY PARKWAY DATE ISSUED: 03/04/2013 " ORONO,MN 55356- 952)249-4600 FAX: (952) 249-4616 ADDRESS : 145 SMITH AVE PIN : 02-117-23-21-0019 LEGAL DESC : ORONO ORCHARDS : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 ST FLOOR: 1 WC,2 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 PREFERRED PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 2.50 6400 HIGH POINT TRAIL PRIOR LAKE,MN 55372- TOTAL 65.00 (952)447-5761 PAID WITH CC# 7189 OWNER GHERARDI,LORI 2985 WATERTOWN RD WAYZATA,MN 55391- . AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Buiiding Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.l'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. — 1" v�l. V Y�. � � l l Applicant Permitee Signature Date Issued By i ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. Mar041311:37a Preferred Plum ing, Inc. 952-447-5764 p.2 c • FOIi C1TY i3SE ONiLY �0�'�� City of rono O .�'�� P.O.Dox I � Date Received: Permic# •,R,,., '111S 2750 Keil Purl�way � '�,'7.;,;C � Crystal Bu ,MN 55323 Approved By: Amount$: ��, ����, . ,�' \i ,���;�,;j.�� (A52)249- 6U0-Main , s,�ran�� (952)249 616�Fax �� �� CITY OF (JRONO—PLUMBING PERMIT (All.Commerci 1 Permits Must be Approved by the State Arior to City Approval) � ��5.&t t.1/���y-a�=:61be.�$a.==o��/�;�'�,�)/�'��! � 9�a��s l�rsrcm��a �s . zc�4' GBNERAL INFOR TION 1. You may apply r plumbing permits by mail or in person at the City offices. Appiications wiU be reviewed and a rmil will be issued within two working days. 2. Permit cards wil be sent by return mail after u review is completed. PERMITS ARE NOT VAL[D UNTIL OU RECEIVE A P�RMIT. WORK MUS7'NOT BEG1N UNTIL THE PERMIT CA 1S POS'd'ED ON T �G JOB SITE. 3. Plumbing permi may be issued ONLY to licensed plumfiing contractors and to property owners residing jn the d elli�g. „ ,�, ,,� ,.,.,.,_ 4. �,W n an w ns�uction or remodeling is involved,a sepazate buildin� ermit must be „ ,�._ �.r,.�, Y�Fur,, .nr ;r�. : n_,_�7w��F;� obfaine�: � I5. All work musc b do�e m accordance with State Code requirements. 6. AIf work must b ins�ected and air tested before it is covered. Call(952)249-4600. (24-48 hour no cc required) , _.__ _. _ _—_�t___----�--_r - :�: ��� '� `:,>.�<> TYPE OF PERMIT �. ',�;. , , ;�� r; . Check All That A (',� ,,, . ,, , � � ,.: � ,, - �,_�r� :;��� ���. � ., ResiclEntial ,', Commercial(Approval Required) _ — - - ! . . . .. .. - �-nf;��,� � ,.,o, ,,. New A�c�itional . i ,� ❑�Repairs ` " [❑eplace � ._ ..:n� �,��1�::.��,� '..:'[ � . .�,1''i: c §_� �� �': , � ,t , 1 I:� �o �vill`�e d� r� r a � '._.� ;.:�. ._.. .: ._ :: _._ _ _ . . __._. .. u -- 1 -�-Ar.�esso � t��t�c re.-,- roval nnd may need Ci f�.(Fer.Orono City Code,Chapte�78,Arti.cle IV) Jqb�5ite/'Oi�vnet9nf t'rr�ation: � � T" ,,=�,; ;' . � ;� � , >� ���' .. �, ., ,.. . . ,.., , ,� , .�v��,ri.ir�_ .� � ��.��n:; e L . �� ' ' `� + Site Addre�s, �';� 'SYl�ilt�'1 'I�IV,e'', ,, �`` - _ ,,: ..' I . ____.. ._.. O er:' �►.��I � , X�CC�1 . i;�, ,D� �Ma►i'in�"Atltiress: . 2���5 Wa��r�Wn�n,,Rd , � , ;il ;�i� , n,: O�ro��,,, � �: , ,,� ,,�.� �n � , ... �,. . . 5��3�6�� �,: C tY= .��...�, . - zip: � ' �5 1 i,� ri� rr� t' i . 1 �� .�I t �,)�. C , .�I'�.. Horne P�tane:� �1�'tt;� �'�70�-4��g,.:,u , i�� ,�A�t�rnate Phone: -�Gr,c; . � � ,-� �a,>Q:, ,,,E�: � .. - �raEtor-��fer-�ti n: _. _ __ __._ __ - ---. _ _ __ ...__.__ ._._ ._ .___._ , '' '` - ..i ��. Prefe ed Plumbing,JRG'.:= tia� '� :�. `, , �, Da�.�.lough C ntractor: - - . _ _ Conta�C Person: �� .�.:.,�,:�a g400 High� �o��t�r��i� � ,,� ;�� ,,,, , PC6457�9 ���dress: State Bond #: , _, �v": Pri L�ke ' S5s�2 -; <�,:;:�;. 12/3�713 (�ity: Lip: Expiration Date: , t �'�` �(�� � 4.,4�-57 ..,a , ( )—.4 9249 Pi�one -.:. = '�a`'� � . Alt��r►atc'Phoi�e: ��� ` ��- -- -_ __ _ __ ___ _ ----_. 9306754 �c, �;i� �:� �c �,;, ai� Insurance—Current: .. _ ..._.__ . _ _ __...0 _... .8 :�. .,-. . . . �:., ...._,���. . ., ��� � � , y �,. � r . -��a4 � . .� �_' � yt'�:: ;�c _�:�:�. � --� . . � ,�: , , ,,., � .., Mar041311:37a Preferred Plum I ing, Inc. 952-447-5764 p,3 , � i I a . � ..,.::.: ... ,. ...:..;,:.. � -:::.:;:>:r ;; ;«,::::.::.::::..::.::::.� :�.;:;:,:;..:�.�;..;,:::::::>:,�:,...,... _...............:..< .. ...:::,:.,,. ,, �; , ;. . ;.: , . . , . :.:,,:,:, .. ,.;, .: .. . ..;� :� ;;;:-;�.;�,.,. ,,,;,::r,;.s::�,-::-:;: ,..,.. .,.,,:..:.,., „ ,.. ,�;,:.., . ...;.,...,, B :. .C`.�:.� :........ �. . .......�. . � . :sr�t:�:.�ii;:;:��:�:.'�';r�.'�f .....:�......�...,...,.:�:..... ....,. �... .�... - - , -. . ; c �:i � ;.: :� ., FI TURE BSMT 1 2 O�I'HER FIXTURE BSMT I 2 OTHER � PL FL ' TYPE FL PL W ier Closet ,� Floor Drains La atory 2 Sewer Ejector Ba tub ,� Laundry Tcay Shpwer �� Washer Kitchen Sin.k � Water�Ieater - _. - ,,. �^_ -, - - , Di�posal ' ,� ~ water Softener ' I Dishwasher ,� Wet Bar � Si llcocks M iscellaneous _ � ,j _. . � _ � -- ,, _ _. ._ - 1_ ..;.�---- - _ I. - . . _ _ . ....,. . .... ,,•.,;::::�::,:j,:::.:•,:.;:.,:,.,�:;.:;:-: _ ...........:... ,..:,.:.. . ,.,:;:> �.::, .:,,,::•...,.;:.: ,. ,. „ ,.........�.�. ., i...,;;_�.r,'..;<:�;:;::::....r � .., � . .,.., r:' :i% .: r.:.�., .:.,,<....,......:.. ..::..........:..,,._� .,...,,.,., .,. �i. ;�r':!;'i':%�i; . .: ...,,,.. ....�. � . .,.; : :7i � ..:.. ., .. ,�, � .... . ... . ';� -�;:....:::i�::. '.%'... :.:..:. . ...., ;::�............ ..:. . � , . ��.. .. .. r. ;Vd:;Y..;'::.:c�:::i, ,;.,. ,�..... ..:..... ... ....�., ,., . ... �12���',F��.C1�T;r��A�'�O ,�.: ,:.. .. ,,. _... . ... .... ., .. . . ,. ... � 'r,:. r.c �:,.�'<;;:,,;i . ..,_. ,r�:...:............:...:,....., , ..........:.. ,,: .�,.,. ..�..:... ->,..:..,... r... .. .................. <:.-.,.,...;,;:. �, ';�;., ._ , ...., , r • .. . , .,.. ........... . . ..... ,......r,:.:. �::.; .. . . .... ..,..,. -re...... ..... ..t.., ... . . ..., ..., . ..... ....,..,.,:,.,.. a . ........ ..... . r' .,.., ...,.. . i r ,�:.:..�:... . �� . ....,..,... ............. ... r. . , ,..: .,.. ._ ..,...r,:.,e,,,..�..:.., 7!;'r J.. f.:� _ 7� vy '�� .1 ,.��i;,.. .:t ! ':?:• %� :i'.r� �� rG','• `� ;'1'-` ,.�. ''�' ,�', �r :� �� ,E�. ��'� ``�',��">;':}�r;'�����`:'�';.�:',���!=�:�>`;:;`>::::';:s. .•, ,::.:,: �f � ,;;�..... . ,:;;.<s: � . .,.,.; ,,,�; . �;Ji�. ... �.:�::::�}:%.�-'�;��� ['1 ��... � �,..j.,:� :�.t:�.���.. �j-� �.�.,....,.:f+ / t rJ:�.:'.:....�r�._r.�i:.::::�...:'���::.......:.:...: �:.;.�.., ..../'l�.. .�. �.�.. . . . :.. . . .... . ....... .���. . . ... .-.....r. .....�./.. ..._�". .. _ . . ..� ..... .._... . .... . . . .... .. . .�. .. . _ [] Yes,this section applies � � � _ _.. ._. , _. __. _ , _ .._ - Thc replacement of only nc I�iesidential frxture or anpliance that meets all three of the fo(lowin� F requirsmen : .., _._____ ._ _.�._ __ __ , _ _ r '� :. _ _l. . Does not c uire:modiftcation to electrical or gas service. . -.- __.; ._ .. . ---. __; '•� 2. Has a totai ost Qf�500.00 or less;excludme the coSCof the fixture or appliance:and 3._ .[s imp�ove inst�alled or replaced by fihe.6omeowner or ticensed plumbing cc�ntracto�_ __ :� Skip next s ction,�f this applies; Cost of Pe�mit $ 1 SAO , y __ .Statia Sui�char�e $ 5.00 - Mail-In Fee(IfApplicable) __ $ 2.00 _._ _._ _ . _.___ _ _ _ Total Permit Fee S I (Permit Fees Continue On�1ext Page) � � �� � �� . , �'', _ � � � �r, .., . � „� : ., Z ��. . „ ,... ... ... .... . � �•.. , � �,. � , , . � . . . , Mar041311:37a ; Preferred Plumbing, Inc.l � 952-447-5764 p.4 . i ( ` � ........:.... :. ,r.l.f'.�" r':{•: � ..f. � ,�+y� ':i::''fv�'::'::�:'i�:�.�:::':�:.�i'r:'ri:'l�..i'.r ..:::'i:�l.�`� :.......` 1 �t������ x� :.::'.. .:�'� � �'�J%� �j>. .f% :.l�t.r.�,��p.r...:. !R •ifi;:';:^';:; =+f:;�.'� ,����'' ��1+:!'.l'O�LJfS1;.� •�l'!1 �`•. �:4'J �`�' 'J�l'!�`�.� r ....r....,:, . :.�:.,;:. .. -:��,.,<.��: � . .<...,. ; .... ....�.,.�... ;. . ��+ ,. . �,.�.din;.�r.,<.::r.r.,:.:.,•,�5a:::�.::.:..,,..,J.�::.....i..: ,N?�"�7�' .�,.�... rl,�:r:>:":.y .. ,. �, .. .. . . _ ..,.....�. �,,..... :�.,... ....:. .:. . ...:..:.... ��:r:f.. .;:;..::.: . � .�:�.;,.... ...,... .... . :I,`.'>:.:,,.!:;r.•..,.... �::.�.:�::.;, If above does not apply;follow guidelines below: ' � 1. CONTRAG'T P ICE *is 1.25%of contract price with a(Miniraum Fee of$50.00) 5,000.00 x.o�2s � 62.50 � (contmct pricc) (minimnm Sa0.00) 2. STATE SURC ARGE rj,OOO.00 2. 'JrO I � x.0005 $ (contract pricc) 3. POSTAGE&HANDLING(O �ly on ail-I Applications) $ 2.00 � � � I ��. '� ' � � � 65.00 4. TOTAL PERMIT F��(Add Lines If3 Above) $ '��l.;r„� ��-• ,,.-,--„ -�,-..r(...r. �. ,.,�, .._ �.,-„-, �..,. „ -.,._�`.�-.--_---c•�./. �„ �' ■ * CONTItACT' �i�[CE or J08 COST means the actual or estimated dolJar amount chazged for the � pennitted work including materials,labor,profit,and other fixed costs. [t is the amount to be churged to the customer for the work done. If any material, equipment, labor or instailations are furnished by the awner,tenant or any other parry, the reasonable market vatue of such items must be added to the estimated cost or contxacl price for p it fee purposes. In the eveni ths►t there is a dispute on the amounk of the job cost, the City may equest the submission of a signed copy of the actual contract. � , . :,:,:..:::,,:::; ,..:.:...,:.... ,...:.:....:.::.�. ::,::,:,._....:. ,. .. ,. .. :.,�:.:i,. . . :�:�.:i':!I C� ...... .:...:.:�:'.:".......�..... .��:.. T..�� .._ : ' . . ;... . .i.. ....J . ... .: � . . ,..;� �.. . .. : ..:... . ..... . .:.�:... /„ r' � �.,�a' .,:-:, ��,. r� �Ph� Ii�' �<`,:,� LT:�AT . ., . :<. ; �.�!'B ,.E (3 ;���,�E� l�: r.... , ..... ;;;.:_::;...,;..,:.,,,.::.. . . . ..:. , , ; ; , .. .... lV�° ?`;:::<;`` . ....._ . ......�.... ..f. . . � . . . i The undersigned hereby applies to the�City for issuance of a Plumbing Permit, agrees to,do atl work in strict accordance with the or inances of the City and the regulations of the State of M�nnesota, and ceRi�es that all stat ents made on this application are complete, true and � . _� _ . : . ... correct. � A licant's Si ature: � � Date: O3/O4/�3 PP � �^,�`....�-_,.�..W— ,r , _ ". .., . __ ��it�s''.t`%F+tlr' �`r�:'�; �.,;: �,.,, m;:' ,,. .. .. ',:�; _... ... .. ... .. . .....:>:t:���"�`r�....... ... . , , .:�: . , ''�;,: .. , , ;�;; , _ � ,,,, . �,, . � , . ,, ,�i ,.! , , i i . � . I �.. :u , ,. ��, _ , , � � ' , � tt:��. �w� . � � .. � � � _.. I ; ���. . �-0; „ . . . . ; ; , ,. ,; ,. . r! ; �t` . „ ..:� � � � i.. � 3 . ' , ��,:�. .,. _ � , � , . _ � ^ � C� g�TE TIME � CITY OF ORONO CALLED IN " �L^�3 INSPECTION NOTICE �[ SCHEDULED —(���L� 3'3 � PERMIT NO.��r�Q�� 7 OMPLETED� ADDRESS � � OWNER TE EPy�NO. �a ��J Z CONTRACTOR � >; DESCRIPTION ` � � FOOTING ❑ PLUMBIN IN L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHAN I ❑ LAKESHORENVETLANDS � ❑ 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � 1 , � � p ��sf� ���Q � f�7�' � �- 1 J�� O � W � Q � Z W � W � � d W��V@R}�SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice