HomeMy WebLinkAbout2016-00168 - plumbing ' CITY OF ORONO * Z 0 1 6 - PJ 0 1 6 8 *
2750 KELLEY PARKWAY DATE ISSUED: 02/16/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1380 BRIAR ST
PIN : 10-ll 7-23-31-0053
LEGAL DESC : MARKVILLE
: LOT 000 BLOCK 002
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�I TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:3 WATER CLOSETS,5 LAVATORIES,2 BATHTUBS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2
SILCOCKS,
1 FLOOR DRIAN, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 RADIANT HEAT
VALUATION OF PLUMBING 21000
APPLICANT PLUMBING FIXTURE FEE 262.50
STATE SURCHARGE PLBG(VALUATION) 10.50
MY PLUMBER INC MAIL-IN FEE 2.00
18948 RADFORD ST
MINNETONKA, MN 55345- TOTAL 275.00
(952)465-2031 Payment(s)
Minnesota State License#:plbg-9056985 CREDIT CARD 4951 275.00
OWNER
ZITZLOFF,JEFFREY&BRENDA
1380 BRIAR ST
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 construc[ion authorized is not
commenced within I80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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. �
� ��6_)
_ �
i� -� ° �C c� ��� ,-� ,� �� �� �� ���c ��� S(�
���, (�I C..�,� �� � � � /c�r /�-
Applicant Permitee Signature Date Issued By Signature Date
2/16/2016 9 : 11 AM FROM: 9524914307 TO: +19522494616 P. 2
;�,��.���! , City of Orono FOF2 CITY U5E ONLY
�.+� ', P.O. Box 66 Date Recefved: a`' '-' /(L� -/��
� 2750 Kelley Parkway r�
s��` � � Crystal Bay, MN 55323 Permit# �� �4�' - G(� ,-ji�
� - Y i�� (952)249-4600— Main A roved B �-� �
� °x..r `'` ' (952)249-4616—Fax pP � -_ �: ,
AI1l6Ullt$:� � � �� `
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
€��t :1,'��,w+�.r�&i.�n, awr����.€�1��F�r a� ,I��-a� i�a-tra��r�. _, df
GENERAL INFORMATION
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 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 Appiy}
X❑ Residential ❑ Commercial (Approval Required)
0 New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
'You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article I�
� Job Site / Owner Information: �
Site Address: 1380 Briar St
Owner: Zitsloff Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: My Plumber INC Contact Person: Mike
Address: 18948 Radford St State Bond #: 9056985 MB662972
City: Minnetonka Zip: 55345 Expiration Date: 10/21/16
Phone: 952.465.2031 Alternate Phone:
x❑ Insurance — Current: expires 6/2016
Page 1
2/16/2016 9 ; 11 AM FROM: 9524914307 T0 : +19522494616 P. 3
.
• , >: ;::
< ' >: . > P�.:t��11���E� �I�TI.�R�� ��11�.� li��T'�:.L:�Q ;
FIXTURE BSMT 1s� 2ND OTHER FIXTURE BSMT 1s� 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet 2 1 Floor Drains 1
Lavatory 3 2 Sewer Ejector
Bathtub 1 1 Laundry Tray 1
Shower Washer 1
Kitchen Sink 1 Water Heater 1
Disposal 1 Water Softener 1
Dishwasher 1 Wet Bar
Sillcocks 2 Miscellaneous 1 Ra iant H ating
:
; {����f��;��� �;��.���..����:�
1. CONTRACT PRICE ' is 1.25% of contract price with a (Minimum Fee of$50.00)
21,000 x .0125 $ 262.50
(contract price) (minimum $50.00)
2. STATE SURCHARGE
21,000 x .0005 $ 10.50
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 275.00
� CONTRACT PRICE or JOB COST means the actual or 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.
P�:GJ11�[�I�i� PER�IIT`,4PP�:i�}�T1C3t�A�R��:f1�[�NT
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.
.;���;p �f �,:� ���'�'.:s".�''�\ 2/15/2016
Applicant's Signature: ,,,�"'���,�,��w'.`��'`����� �'�f��,��.�'�'�� • Date:
�'',�p'
Building Official/ Inspector: Date:
Pag e 2
I
� �- , ,�
�� �-y�� DATE TI�
CITY OF ORONO CALLED IN
INSPECTION NOTICE � I �� SCHEDULED ��
PERMIT NO. �t lir-C COMPLETED
ADDRESS / .� ���i� ���Z �C�.�Z
OWNER TELEPHON� N��'�%��� ��'� �G�J�
CONTRACTOR y�}�}L�.�� La.Y-Y1[.�I T;�
� DESCRIPTION ��-'�.�-��'� � f�C�--�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL >{{�PLUMBING RI ❑ EXCAV/GRADING/FILLWG
y ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ $ PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
� '�'�`-�-E c�-�-- � !�e c.-rC�r � ' C' a'�
j �� � C�r?� c�7 L`¢- ,
O �
�
� /
� - - -�• � • � �� v ' � v�i �✓G/� - �
� S �a.:� �e� �s ��r�� "
Q -
� � l��t�� 1t�2�c u��e � �5����—
W
�
� l�/� � C p u� ✓
3
� �SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT V1fORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOPORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
for the next insp 'on 24 hours in advance. (952) 249-46��
O . � !
Inspector. � �
White CopyAnspector's File Canary CopylSite Notice
�� �
` DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI E SCHEDULED
PERMIT NO. v � ������COMPLETED
ADDRESS ���'�� �Y�/�/� ���
OWNER TELEPHONE NO. / � S Z�
CONTRACTOR
� DESCRIPTION
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI � ��r� ❑ EXCAV/GRADING/FIL I G
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � �'C,� ❑ 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
_
� ❑ DEMO-SITE ❑ TIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
v�, COM TS: �^ — '
�
�
� S � �,}—
J
� n �'�a � - � ►.� ,� a " s �a ,��
� Gtt✓' t, �J� /to��'[K�
W
�
Q
� � "�- COU��/
W
�
W
�
J
d
W SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � , -� / �C��
v,
White Copyllnspector's File Canary CopylSite Notice
C -a �� _
CITY OF ORONO CALLED IN �.�TE TI
INSPECTION NOTICE HEDULED —
PERMITNO. o�D!(o-��L7 OMPLETED _
ADDRESS �
OWNER T LEPHONE NO.�.LQ-�
CONTRACTOR 7'���7
� DESCRIPTION ��"W v �'�"`�
41 ❑ FOOTING ❑ DEMO- I L ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBI G 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 ONfNERICONTRACTOR TO MEET YOU:_YES_NO _
y COMMENTS:'�� � ��^ �liG� �— /S /I v�i-t• `
�
a
o .nw� � p�� ��� v — ._
� �. I�Jw't�✓ l,�e s G✓G /�.csk�+ �
� -/ � /�+3!c�.�� �b��L�/ �/G�rl�/ '
W -�
�
Q
2 6Qt,sb— lJ,� �
W
�
W
� l'�y r P�►c�- G� ��- `'� �v e/
�
W ❑VIPORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
�Gs��fj�RRECTr—WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�� -
OwnerlContractor on site:
Inspector. w
White Copyllnspector's Ffle Canary CopylSfte Notice
� ��- ✓
� DATE TIME
CITY OF ORONO CALLED IN r- ��
INSPECTION N �CHEDULED �S—/�o �
PERMIT NO. � U c P��eo-
ADDRESS
OWNER TE EPHONE NO. Sa' r7 �lI
CONTRACTOR
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO- A ❑ SEPTIC FINAL
Q ❑ POURED WALL PLUMBI I ❑ EXCAV/GRADING/FILLING
y ❑ 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
Z
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS: ��� /S �dl��kS �
a �'/�' �/'OaGb�- - oZ l�6 O/l L�a.lp� �ro.-c,S •1-DYl
j � �rOrr4C 4C�p55 flor G�� ,�4�j l(
O ,
� ✓'� b��?s- �,�Q�
0
�
� �cj-f d.�' �a�t! � �lQ�`�
Q
� �' ,��M,p✓c rc��-r v�.�6- Ga�vj'
2
W
�
W
�
j
� ❑WORKSATISFACTORY:PROCEED �iF OJECT COMPLEfE
\
4�pRRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WIIL REfURN
❑STOP OFOER POSTED.CALL INSPECTOR O CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector� i � '/Y
White Copyllnspector's File Canary CopylSite Notice