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HomeMy WebLinkAbout2015-00764 - plumbing , , ' CITY OF ORONO * 2 0 1 5 - 0 0 7 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2015 ORONO, MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDRESS : 25 BROWN RD S PIN : 03-117-23-21-0001 LEGAL DESC : LJNPLATTED 03 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES (1)WATERCLOSET (1)LAVATORY (1)BATHTUB (1)SHOWER VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 STATE SURCHARGE PLBG(VALUATION) 2.50 JANECKY PLUMBING INC. MAIL-IN FEE 2.00 720 PONTIAC PLACE MENDOTA HEIGHTS,MN 55120- TOTAL 67.00 (651)365-8680 Payment(s) CREDIT CARD 1943 67.00 OWNER OTTO&JOLLY NANDA, MICHAEL 25 BROWN RD S LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. D �� �P /l S l,� Applicant Permitee Signature Date Issue Signature Date p6/14/2015 22:26 6519948701 JANECKYPLUMBING PAGE 01 FO1t+G'iTY US'�OI�tY C11�'D�OCO00 ���/� P,O,�lox 66 Dnie�kcaelved; , . '�armrt� --_ ti./ 2750 Kellcy Parkway CrygCol Bay�MN 55323 hpp1,'E�ved By: '__.�:4ntdiurt$.y,,,� (95Z)2A9-4b00—Main .� �. (952)249-4616—F�: y� �� CITX UF aRONO�-PLUMBING PEI711�T�T r'�k s�ao��' (l�tl Cozx�mercial�'ermits Must be A��proved hy thc State Prior to City A.pprovai) htt :!/www.dli.n�tn. ov/CCLD/PDF/ c �umb Ia�nrevA , di' Cx�T�3E�tA.�. TI�TF�C7�.'Z'Z�fiT 1, You may�pply for plumbing permits by r�ail or in person at tbe City offices_ Applicatians will be reviewed and a pertnit wi11 be issued w-ithin two wc�rking days. 2, Perntit c�rds wil!be sent by return mail after a review is campleted. P`ERMTTS AR.F.NOT V�A�.,iJ�LTNTfL YOU REC�iVE A�'�itMTT. WORK MUST NOT�EGIN L TIL TH� �ERMI�,IS OSTED�HE 30B STTE- 3. Plumbing permits may be issued ONLY to lacensEd plu�bing conttactors atnd t�property owne�s resxding in the dwellin�. 4, When a�ay new constructian or remodclin�is invoived,a separate Uuildin�gerrzait must be obtaincd. � 5. Atl�vork must be drn�e in accordance with StaUe Code irequirements, 6, All work must he inspected and air tested before it as covered. Ca11(�52)249-4600. (24-d8 hour notiee required) TY�`���' PE�'T' Ck�'��ck�.11 T�t� l ' , �R,esidential ❑CommerciAl(Approval Requi�red) ❑New [�Additional ❑Repairs �'neplace ❑ In Accessory Structure7 *Xou well necd._p�Cior aanroval ai�d may need CLTP.{Pcr Orono City Code,Chapter 78,Article ZV) �nb Szt�I�h+�rt�'In�Eornaation: Site Address: �� ���c ��G�h �G�� �l�'���� � Mailin Address: �� `�� '�OL(�'1 �� Owner. � City; ���'C� Zip: Home Fhone r� � � I S�� � Altemate Phone: COS1ttaCtoT Ififbl'Srl�t�btl: �'}-a�te (�v��'i�t ��r-`'�`�,� �1�/�� ���� Contract , � � Contact rcrsan. Addre��� ��'��i�� ���� State Bond#: f�G�� 1/� --- c��:m��� 1`�� � �i .r`.�� Expiration Date: r�-�`��I � !C�O- Fhone�--"�� ��� ���� 111ternate Phone� __ ❑ Insurance—Cunrerlt: /�1 (�u-�f _. _— 1 , , ,06/14/2015 22: 26 6519948701 JANECKYPLUMBING PAGE 02 FIXTYJRE BSMC 1 2 QTHER FiXTURF �SM]" l 2 QTH�R ,1,�� �, TypF FL �'L Water Closet � Floar Drains �.avatory p 5ewer Ejector 1 $A��� � Laundry Tray Shower � Washer Kitchen S�nk Water fIeater ���ppsa� Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous +fk << v � , � -: � . .... . ��a�, �� � , (� � ��' r i, r �, � ;�t S a r7,rvj!�.������kC.���._ ,� f,; � .�. �.ui� .L ..._� _. '� ��:....� � Yes,this section applies 1fie replacement of only a�►c Residential re or�, liance that meets a11 tl�ree of the following requirements: 1. e noc requi�re modi�cation to electrical or gas serwice. 2. I-Ias a ta cosC of$500.00 or less;exclu ' the cost of the fixture as appliance� and 3, Ts improved, �nstalled or replaced hy the homeov,mer or licensed plumbing eo�ntracCor. Skip next�section,if this appiies; Cost of Permit $ 15.,09 SWte Surcharge $ 5.00 Mail-In Fee(�£A,pplicable) $ 2.0� Totwl Pewmit Fec �� (Permit Fecs Cant��ued Qn]\Text Pagc) 2 • � �6/14/2015 22: 26 6519948701 JANECKYPLUMBING PAGE 03 Tf above does not appiy;follow guidelines below: 1, O T PRIC� * is 1.25%of contract price with a(Miniz�um Fee of$50.00) �� � x.0125$ � �" `� (contraec price} (minimum SSO.Oc1) 2. STA,7'E SURCI�►RGE ��(j�i � �� x.0005 � (contract price) 3, POSTAG�&HANDLING(Onty on Mail-In�lpplications) �_„�2��4 _ `-� l '� 4. TO'a'AL PERI�TT�EE(Add T�ines 1-3,A.bnve) $ ■ k CONT�ZAC1" PRICE ur JOB COST me�ns the acttiial ar estimated dollar amount charged for the pe�rnitbed worl� including materials,labor, profit,and o#her�ixed costs, rt is the amouni,to be ch�rg�d to the customer for tl�e wcrrk done. Tf any materi�l, equipment, labor or installalions a�e fvrnished by the owner, tenant or any other party, the rea,5onable rr�arket value o�'such items must be adc3ed ta thc estimated cost or contra�t price £or permit fee purposes, Jn the cvent tt�at there is a dispute on tk�e amount of the job cost, the City nnay request the submission of a signed copy of the actuai eontract, Tk�e undersig,ncd k�ereby applies t� the City 'For issuance of a Plumbiz�g Perntit, agree� to do all work in srxict accordance with the otdinances of the City and the regulations of the State of IvCinnesot�, and aertifies lhat all statements made on this application are cnznplete, tnie an.d correct. ( � .1- A licant's Si ature: �� �,��"l�'��Z•G Dat�; `{" ��� ' � AP � / / 3 C�%JCJ� DATE TIME � C� CITY OF ORONO CALLED IN INSPECTION N I � , �,�� SCHEDULED --zz� �ERMIT N�. C�M�LETE� ADDRESS ��7 �'�'1 16:( i =' � l ��— OWNER TELEPHON O. ��S �S ` � CONTRACTOR � � DESCRIPTION ly ❑ FOOTING ❑ EMO-FINAL ❑ SEPTIC FINAL k Q ❑ POURED WALL UMBING RI ❑ EXCAV/GRADING/FI�LING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRA YOU: YES_NO � COMMENTS: � W a � � O �. � O � W � Q � � 2 W � w � j d ' W ORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ,/ Call for the next inspection 2 ours in adv " �j 249-46�0 OwnerlContractor on site: ' Inspector_ White Copyllnspector's File Canary CopylSfte Notke � � V �% "i- / TIME CITY OF ORONO CALLED IN �` �S INSPECTION NOTICE SCHEDULED �%-� � PERMIT NO���S' COMPLETED � ADDRESS �'-'1�S ��.�G�(�'�'�--� / C __S OWNER TEL E NO. CONTRACTO '�-yt-e- J " � � DESCRIPTION / //� , 4� ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL Q ❑ 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 kJ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEP IC INSTALL � OWNERfCONTRACTOR TO MEET YiOU:�ES_NO c�., COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � � � W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2 hours in a . (952) 249-46�0 OwnedContractor on site: " Inspector: White Copyllnspector's Ffle Ce ary CopyfSfte Notke