HomeMy WebLinkAbout2016-01147 - plumbing CITY OF ORONO * 2 0 1 6 - 0 1 1 4 7 *
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� 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2016
. ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2040 SPATES AVE
PIN : 10-117-23-31-0090
LEGAL DESC : ORA PARK ON LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW:4 WATER CLOSETS,2 BATHTUBS, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 FLOOR DRAINS, 1 WASHER, I
WATER HEATER
VALUATION OF PLUMBING 24500
APPLICANT PLUMBING FIXTURE FEE 306.25
STATE SURCHARGE PLBG(VALUATION) 12.25
NORTH CENTRAL PLUMBING INC. MAIL-IN FEE 2.00
28177 146TH ST NW
ZIMMERMAN,MN 55398- TOTAL 320.50
(763)856-4832 Payment(s)
Minnesota State License#:plbg-PC644436 CREDIT CARD 7541 320.50
OWl�1ER
DAMMEN,SUSAN
2040 SPATES AVE
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 City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
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 nuil 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.
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Applicant Permitee Signature Date Issued By Signature Date
09/19/2016 12:31 7638564831 NORTHCENTRALPLUMBING PAGE 02/03
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1. You maY�PP�Y��n9 P���5►mail or in art ihe City o1�iMes. Appt"�w�l be
rev�e�d and a pertni#w�l f�i�sued within two v�rotking
2. PerrNt c,a�cls vv�!be sent by ted,�n rn��Rer a review is p�t�d. PERMIT'S ARE NOT VALlD
UNTlL YOU R,ECEIV�p PERMIT. NOT E6R�1 U C
�,�FD OrN THE JC)B SR'E,
�. P'ii,mt,i�pe�mils may be iss�,ed oIYLY to ticEnsea p1 bmg��urie�property vw�rs
resi�ng i�►kY�e dwal6ng.
4. When ar�y new oor�uc�ian or ren'rode�ng is ittvo4ved. separab��Pe�k m�t be obt�ir�ed.
5. AN wrxtc must be done in accor+darx�wift�State Ca�e uirema�ts.
6. Ali wark must t�inspec�ed and air t�ed befiore it is co . Catl(952)z49-4600.
�?�4A8 hour notice r+equired)
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�R�iderltial ❑Commerc.iatl(App�riv81 R�q ired) (Bsckdaw llevice:�AVB �1�]
0 Additional Rep�irs �{R�c�e
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"Y�u will rre�d_o+r��gpro �and may need CUP.{P r Orono Gty Code, Cha�78,Artld�Ny
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l'YPE Flobr �1oor E �toor Floor
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l.a�►a�orY Serwsr
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7. (�N7RACT PRIGE "is 1.25%of cnntr�ct pride - a(Mlnimum Fee of�.OQ)
� x.0125 $ `�'`"� ��
t tr�c�pri�) {minimum�50.00)
2. STA,7'�SURCHARGE
, X.naos s /�. ��
(oo{�trac�prrCe)
�. PQSTAGE 8�.HAND�,ING(ONy on Mail-In App1' tl�ns) $�2A8 �,,�D�
�� �/�
4,. tffl"AI..PER�F FEE(Add Lines#-3�l�ov�) � , �J" lJ - ---
* CONTF7ACT PRFCE ar JOB COSY means fhe ac�u�l �stimated doNar amaur�t dtiargecf for' 1he
pennitbed work induding mat�als, ta6or, pro�fit,and otfi�er ed�, tt is i#�e amourrt fia be�d�a
�e cx�stomer far ttte woric done. !f any material, �quiP labar or insta�twrts are fumf�hed by the
oWner, te�ant or any other party, the reasonabte maricet aF such itgms must be added ba me
�ted oost or contract price for psrmit f�ee purposes. n the event that there is a dispul� dn the
at�ount of the job cost, the City m2ty �requ�t the suFam' of a signed ac� of the �2d tx�rttrac#,
.��t�T:�*�r � ;,�"Y -r•.;'�6..'_„ -• �-
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The underslgned heneby appfes to ttue City fvr issuan�e af Rlurnbing Permi�#, �qre�s to do aN wark in
s�trict aocorda►tce with tk►e ordinsntaas aF �te Gity �;nd the regulations of #he 5t�te af Minr�a, and
c�that all statements matie on this a�fica�on�co plete,true�nd com�t.
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,Applicant's Sigrrdtt�►r�: 1�te: ��"'�� ---—
8u�ding CYFficiaU fnspectar: Date:
Paga 2
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DATE TIME �
CITY OF ORONO LLED IN � _�
INSPECTION NOTICE SCHEDULED b
PERMIT NO. ����e ������ COMPLETED
ADDRESS �D��r��--� �p"�
OWNER TELEPHONE NO. ��' oSb �l �
CONTRACTOR /
� DESCRIPTION ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC AL �/e,c(�
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ P 1C INSTALL
? O'WNERICOKTRACTOR TO MEET YW: E$_NO
� COMMENTS:
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� �yVORKSATISFACTORIf:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT VMORK�PROCEED ❑ISSUE CERTIFICATE OF OCpJPANCY
0 ❑CORRECT WORK�LL FOR REINSPECTION TF.IdPORARY
V BEFORE CONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WfTHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPEC110N REQUIRED.CALL TO ARRAN(iE ACCESS.
Call for the next inspectfon 24 hours in advanoe. (952) 249-4600
Owr�erlContra��site:
Inspector: +
White CopyMspscto�'s Fil� C�nary CopyfBib Notfee
' \ �
� DATE TIME
CITY OF ORONO CALLED IN �
iNSPECTION OTI E SCHEDULED �_
PERMIT NO. UI� COMPLETED
ADDRESS Z C��� ��� ��
OWNER TELEP NE NO. �C�3�'�Zq - ��(�,�
COPfTRACTOR �����`
� DESCRIPTION
tN ❑ FOOTING ❑ DEMO.f+IiA ❑ SEPTIC FINAL
Q ❑ POURED WALL PLUMBIN ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECNANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNFAICOItTRACTOR TO MEET YW:_YES_NO
� COMMENTS:
� �W�� �UG � yU �
O �� (�..i- -�2 5 t" IS �D�� •�l9 -
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W �`�ORK SATISFACTORY:PROCEED O PROJECT COAAPLETE
W ���OORRECT WORK�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REdUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-48��
OwnerlCorrtractor on site:
Inspector: � / �--' �--
White Copylt�speotor's Fik C�nary CopylSib Hotla
� ` � � ,`
'�i' t �' DATE TIME V
CITY OF ORONO CALLED IN =____`/�r _� ��
INSPECTION NOTICE SCHEDULED ` ���� � '
PERMfT NO. �(���" ��I�� 7 COMPLETED
ADDRESS a� (�� �L�� ��%_�C"� 7� � S �--��'�
OWNER TELEPHONE NO. ��3 �J�'�1�3G
CONTRACTOR / V� [ 1% �J`Yl�� �C tryi/
� DESCRIPTION �� /C�"��/� `- ��� �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF �PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ P INSTALL
2 OWNERlCONTMCTOR TO MEET YOU:!�_NO �
� COMMENTS:T/��L�� � /S l?v,�� .r�
� � ,��c�r�S 4�e Sc� -E S��l� -
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� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑CORRECT NfORK d PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOFi ❑CITATION ISSUED
❑INSPECTION REUUIREO.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlCorrtractor on site:
Inspecto ` �
Whits Copyflnspector's Ffle Canary CopylStts Notke