HomeMy WebLinkAbout2013 - 00881 - plumbing CITY OF ORONO III I IIIIIII !jflj1JIJI11 II
* 203 - 0088 *
2750 KELLEY PARKWAY DATE ISSUED: 08/28/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2185 WEBBER HILLS RD
PIN : 03-117-23-34-0002
LEGAL DESC : WEBBER HILLS
: LOT 005 BLOCK 001
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
•
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
LEGACY MECH SERVICES STATE SURCHARGE PLBG(<$500) 5.00
114 THOMAS CIRCLE#106
MONTICELLO,MN 55362 MAIL-IN FEE 2.00
(763)314-0877 MISC FEE 0.00
TOTAL 22.00
OWNER
GERMUNDSEN, MARGARET
2185 WEBBER HILLS RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for
sr due cause.
Applicant Permitee Signature Date Issued By Sr ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
FOR CITY USE ONLY
W�j City of Orono
YO P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
-2.:
(952)249-4616—Fax
c,`~ CITY OF ORONO—PLUMBING PERMIT
`-1kESHD4c` (All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
I. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
Residential El Commercial(Approval Required)
El New ❑ Additional ❑ Repairs 4 Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: ��
Site Address: ✓ Wb h zl � ilt../tt-5fI�C.�
Owner r afx-e-4-- GertW1A---nActegAlidress:
City: 0 r0)1'6 Zip: 56367 I
Home Phone: (1J 2 'I 7 1 Alternate Phone: (P t 2/ 17 2 52 5L/
Contractor Information:
Contractor: 1 M e c `
i c-v‘ Person: i.'ty\`(
2
Address: 1I''f' bm i`I State Bond#: eG(v4��1 7 5
Cit e"t to On�6Zi 5�-Ex iration Date: ��t0—'.e'116,.Iy, I /3
City: P• P
Phone: I � �i l it ` 7 Alternate Phone:
❑ Insurance—Current: _6')II
1
;!PtumitwoomEs BEING INSTALLED
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
'-i f-:-:,-,:-.41,,-;!.. ':::'",':',4,k,1:4!'x45 $b1�9 s',, .
is ,'r,:ii)r ''.I^l l Arm tA�'
Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $ 1J
(Permit Fees Continued On Next Page)
2
�� C<7✓ ' ATE TIME
CITY OF ORONO CALLED IN
INSPECTIONNOTICE
SCHEDULED ��fj/��/� c/7
PERMIT NO; /3"1-/" COMPE
ADDRESS 02/0 ��-
OWNER ;.A L ' PHONE NO. a �7;0
CONTRACT.LS . A #01
DESCRIPTION �V�� ' ICI1114d.
114 t.0
LU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
El TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE LI SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
.."1 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
LtJ ❑ DEMO-FINAL ❑ SEPTIC INSTALL LI HARD COVER REMOVAL
v CIPLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNERICONTRACTOR TO MEET YOU:_YES_NO
oy COMMENTS:
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WCC ❑WORK SATISFACTORY:PROCEED
COMPLETE
W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 173 bi&c,
White Copy/Inspector's File Canary Copy/Site Notice