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HomeMy WebLinkAbout2011-01092 - plumbing . � CITY OF ORONO PERMIT NO.: 2011-01092 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/20/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2100 SUGARWOOD DR PIN : 34-118-23-21-0020 LEGAL DESC : SUGAR WOODS : LOT 001 BLOCK 004 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WET BAR VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 0.50 720 PONTIAC PLACE MENDOTA HEIGHTS,MN 55120- MAIL-IN FEE 2.00 (651)365-8680 MISC FEE 0.00 TOTAL 52.50 PAID WITH CC# 6128 OWNER CASE,CHRIS&CARRIE 2100 SUGARWOOD DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This percnit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conforrr►ance with the State Building Code.This permit may be revoked at any time for due caus . CZ�(,,t�C-� �i' l! �'/ D//� Applicant Permitee Signat Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 69/20/2011 02:15 6519948761 JANECKYPLUMBING PAGE 01 , •• , . , • . .......�•. :i�,O1�B.Y. . .;. .: . o�' '�►4. po�ro��o ;����� , � ,�i�� ��l�.d-1 7d� z�so���y r��y . � ,. ��J .� ,. . .. . � . . � Qpaml.F3av.MN45323 ,A�p�dB�r .`-:�•�• ..•�:. �S. : . (95Z)219r7600,Mnia • ' (952)2a9.a61h–Fax CI.'.I'X OF ORONO—PLUIVIBING PE�:�].VIIT (A1L Commercial T�ermits Muat be.A,pproved by tlie St�te Prior to Ciiy Approvat) "m F 'Cr INF� x'ION �� � • ' �, . � .. • • 1. You may app1Y for plumbi�g pormit9 by mail or i��erson$t the City offtces. Applications will be reviewed s�td a permit wiU bc issued within iwo working dsys. 2. Pectnit cards will be se.rrt by t+odu�n mail ai�er a t+eviea►is cotnpleted. PBRMITS ARE NOT VALID UN�,YOU RECEIVE A PER11��', �►ORK MUST NA7'RT+:rnv rn�rrr_r"Tp� 3. Ptumbing pe�mits may be issued ONLY to liceaged plum.bing contractors and to properry ovvners residing in tb�e dwelling. 4� �'�'y nevu cons�uction or remvdel�aB is involved,a separate buiiding permit must be oblsined, 5. All wark must be done ia acoQrdsnce with State Co�requiremems. 6. All work must be inspocted and air tcsted before it is covered, Call(952)249-AG�00. (Z4-48 honr aotice requiredj : :` ;. .. ; . .. .,:..� � � � � aF � � � . . .. , .. .. �.,. �:: �.� � . . . . . . . � :�.�'YP� :�:P�R1VII'x . . .. � , . . � � . � • ��k�Rll�. �.�. � � �� � .:� . ; , � .. (�Residen�a) ❑Commercial(APP���9w � ❑New ❑AdditioTal ❑�i� ��� ❑ Tn Aocessory Structure7 +You will netd orio�annrmr.�aed may need�(Per Otono Ciry Code,Cheptot 78,Article IV) :J6�i:Si��i!�O!�er'I�o�iion: . � � � . s��Aa���: a2l DU �u� ?►�,�x�d �d'c`r� —r �W118T. rns'�/���/ ��5� M81�,lI�t�C�T635. �° ✓v ��j�1lG�GfJ�l6L�� r —._�.��_ c�ri: �'eT�2v z�p: Home Pha�� ?���� c� Alternate�'hone; ��oatrai��Ia�'�,�:. � . � � � . . COntractorc.J I � � � �'��-t'�►'!�contact re�rson: c�� U/" Z�d¢!�,cG �� U Aaa�ess: �� ���B�,d#: `� 5' lv � y� City: ��9l,�r�-� �� �pSS/�xpiratio�Date: ���L �( I Pb�one: ��5�� Q a'�z Alrernate Phone: �r � 'v'�1�� ,(�� �Ir�surance—Cut�rent: 1 69/26/2011 02:15 6519948?01 JA�IECKYPLUMBING PAGE 92 FlXTURF HSMT 1 2 0'THER FDZT[TRE BSMT i 2 O�. 1'YPE FL F,[.. 'I'X�'E k"� PL Water Closet Floor Drains L,avatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kixhen 5ink Water�ea�er Disposal Rrater Sott�ner Dishwesher Wet Bar Silicocks Miscellaneous ❑ Xcs,�is soction applies The replacctnent af mly enc$�ia[fndl�re ar an��r,,�that meets all three ot'rhe following requireme�nts: 1. �require modi$cation to electracal or gaa service. 2. H,as a��o£5500.00 or leas;excl ieQ tl�e c�st of the fixaue or appliance:and 3. Is i�apmve�insta.11ed or rsplaced by the.homoownet oz liaensed plumbing contracEor. Skip next section,if this agplies; Cost of Permit S 15.00 State Surchetgv S__ 5.00 Mail-In�ee¢f Applicable) S 2.0� Total Permie Fee S (Per�mit Feee Continoed On Ne�tt Pa,�e) 2 09/20/2611 02:15 6519948761 JANECKYPLUMBING PAGE 03 If above does not sEtply;follow guidelines below: 1. ���ttIC'� 'is 1.259�6 of oontracc price with a(Minio�um Fee of S50A0) �� x.OI25� �(a+�Ptice) (minnnom 5�.11� 2. �'ATE SII1tG7�ARGE x,0005 S (�r�) 3. POSTAGE&HANDI.�iG(Oniy on Mail-In App6cations) � .0 A. TOTAL��flT FEE(Add Lines 1-3 Above) $ � "` CONTRACT i�CE or JOS CO3T means tbe actual ao� estimabed dollar acnount charged for tfxe p�mitoed wo�ic includin�g�natarials,labar,profrt,and other�ixed costs. It is tbe amrnmt to be cher�cd bn the ca�tnrner for t1+e worlc done. If suy material, �uipmcat,labor a installatians are£wmishod by the awner,tenant o�any other party,the reasonable markec valuo of such items must be added to the estimated oost or oonsract prioe for pezmit �ee purposes. In the eve�t that there is a diapute on the amount of the job cos�,�e City may request the submission of a signed copy of the actusl cont�act, '�ue uudersigt�ed h�ereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in atrict accordance with the vrdiniances of the City and the regulations af the 5tabe of Minnesota, and oertifies that all statements made vn this applicataon are c,oznplete, true aad correct, � � �- a�-�� Applicant's Si�ture; � Date: �,. ��. a� g� . � �� � � P��� �� . 3 (� � � 1 ��� D E TIME ✓ CITY OF ORONO CALLED IN �/a �� INSPECTION NOTICE SCHEDULED �o ;� PERMIT NO. �"��I—b����—C MPLETED ADDRESS � � OWNER TEL NE NO. - � 7 CONTRACTOR >; DESCRIPTION — � � ❑ FOOTING ❑ PLUMBING FINA EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVA� Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � (�n. Q < �� �� c' 0 � w � Q � z W � W � � � �.WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ IIJSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site Inspector. White Copyllnspector's File Canary CopylSite Notice � �� DATE TIME �/ � , CITY OF ORONO CALLED IN ' f INSPECTION N TICE SCHEDULED � - �/i�.' .�z PERMIT NO. � COMPLETED ADDRESS ��� � ��'����� OWNER TELEPHONE NO � � ����j CONTRACTOR � �����` � ����`J �; DESCRIPTION / ` �-m��� �� W ❑ FOOTING ❑ PLU�BING FINAL ' ❑ EXCAV/GRADINGlFILLING �� ❑ POURED WALL ❑ ME¢HANICAL RI ❑ LAKESHORE/WETLANDS J ❑ FRAMING ❑ MHCHANICAL 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 J ❑ PLUMBING RI ❑ SEP/T�I INAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � w a � J � �i9.-E'2 . �, � � o � O , Q � / �' T�.� � � G-�S' .�rtitt t ► !.�-'f` ✓�i��e-�eS' Z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (95Z� Z49-4600 OwnerlContractor on site: Inspector. ' � � White Copyllnspector's File Canary CopylSite Notice _ '�-- ' � �/j� p J T�,� �i � DATE _ TIME �EITY OF ORONO / �"�CALLED IN �C � � �� INSPECTION NQTIC , SCHEDULED �1 /� .� L%C; PERMIT NO. � �� �� f-/lf�OMPLETED _ ADDRESS -��l C� ��� cS �_ t��C'L ��Z �.c.�(�'r�✓S ��' OWNER TELEPHONE NO. L'��� � �t'������3 CONTRACTOR �''c f��--%�cZ-�Le- r��.�r,y_. "-1 y � DESCRIPTION ��`���t �"�'"1�! f� �� /������ �� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPL4INT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEP I INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: YES_NO � COMMENTS:—� � W a � J O >. � O � W � Q � Z W � W k j d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY � CJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR `J CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor on site Inspector. White Copyllnspector's File Canary Copy/Site Notice