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HomeMy WebLinkAbout2011 - 01395 - plumbing • CITY OF ORONO PERMIT NO.: 2011-01395 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/03/2011 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1030 WILLOW VIEW DR PIN : 28-118-23-41-0012 LEGAL DESC : WILLOW VIEW : LOT 002 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WASHER AND(2)MISCELLANEOUS FIXTURES VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 0.75 720 PONTIAC PLACE MENDOTA HEIGHTS,MN 55120- TOTAL 50.75 (651)365-8680 PAID WITH CC# 6128 OWNER WALLANDER,RAPHAEL&LAURA 1030 WILLOW VIEW 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 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 due ca se. Ovtaii /1' 31 1/ //l l Applicant Permitee Signature Date Issu•d ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 11/03/2011 03: 24 6519948701 JANECKYPLUMBING PAGE 01 ,r- • ft F© SE ONLY" /36 � City of Orono / . 0 0\ P.O.gvx GG Date Receivod;: Permit fi , 2750 Kc1Uey:Parkway G, \ ,)? I k Crystal Say,MN55323 ApDsorredBy: '. Antmunt.t: '�✓ \ ' ; (952)249-4600—Main \ _ u (952)249,4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.m n Rov/CCLD/PDF/pe obi mbplanrevapp.pdf� GENERAL INFORZv[A'TIOIV 1• 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 MTJ NOT BEGIN UNTIL TUE PERMIT CARD IS POSTED ON THS 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. (2,4-48 hour notice required) T �O RMIT (Check All That Appl:y1 '5 Residential 0 Commercial(Approval Required) ❑New ❑Additional [I Repairs `Replace ❑ In Accessory Structure? *You will.vedprior annmal and may need CLIP, (Per Orono City Code,Chapter 78, Article IV) Job Site/Owner Information: " Site Address:. f °CC) W I 1/U� L1 t iu) tb r Owner: I2 W& L L' 4`/' Mailing Address: 1°3 0 II)/ /IUB!U6t.J/- City; ���b Zip: Home Phone: ( .-` I.-/ 40 C r 3 Alternate Phone: Contractor:triforniation: Contracto til P' Zip: Ho Person: D�� Address: e State Bond#: City: ill& 4 _/4/Yt ip; Expiration Date: Phone:LS/ L/S L/ 9 #17 Alternate Phone: -7S`C Insurance—Current: 1 11/03/2011 03:24 6519948701 JANECKYPLUMBING PAGE 02 I !Ya%i.ii IkX i,6! 3k-a,VBG '``?70f �x}11,6n 4:1t 4'" ''r .; .I Ali P {`n ra ;%s r r i i•!W,.`ia i.. :'./.; 1,4i i,: ,t,t,.l�i�sr 00 �S 4 ��lIN�,��IIJf„ .4x��' �,e(.'� l•.ra+,x.-yrt,,��,r„ �,,,�c.,:r..'h}�-4.� ,�.nllr�m�.w e.+ ,.:-rhn�k*1����:, �I�i��r��n"'!� �l�sf r. �rk�m�i ,u:,. FIXTURE BSMT 11. 2t1D OTHER FIXTLTRE BSMT lsr 2N1) OTHER TYPE FL. FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray rShower Washer J Kitchen Sink Water Heater + Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 0 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 5500.00 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) $ ZOO Total Permit Fee $ (Permit Fees Continued On Next Page) 2 11/03/2011 03: 24 6519948701 JANECKYPLUMBING PAGE 03 r If above does not apply;follow guidelines below: 1. CONTRACT PRICE s is 125%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum 550.00) 2. STATE SURCR.ARG.E � - �� x.0005 $ (connect price) 3. POSTAGE&.HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 5-0 ■ * CONTRACT PRICE or JOB COST means the actualor estimated dollar amount charged for the permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. if any material, equipment, labor or installations are furnished by the owner, tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. •AstA:tv,,., om.R 'o-lic�:� t��F '. r�"'?:,,o" M ���? m� .d„ru1 - ' I S I° _• , „. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. �, ' X41 - _ Applicant's Signature: ' ��✓� Date: �� l 3 ATE TIME CITY OF ORONO CALLED IN ` _' C ��r�� INSPECTION NQTJCE SCHEDULED 7 66 ie)-) PERMIT N U/1— �35 COMPLETED' ADDRESS /(l.0 I / OWNER TE P1-1811 NE NO.0 (-7-1- g7 7 CONTRACTOR• ��DESCRIPTION w 124 �� ❑ FOOTING ❑ PrUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS (1) CI FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: W C CC N A-f1 pc A--I--c„.S 0 cc 0 W cc W z W cc 0 W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W ..‘ 4QRRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si Inspector. 4 t S White Copy/Inspector's File Canary Copy/Site Notice