HomeMy WebLinkAbout2015-00271 - plumbing . . .
CITY OF ORONO * z p� 1 5 - 0 0 z 7 1 *
2750 KELLEY PARKWAY DATE 1SSUED: 03/06/2015
ORONO, MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 2617 CASCO POINT RD
PIN : 20-117-23-24-0035
LEGAL DESC : WINSHIPS SUBD LOT 1 SPRING PK
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
COI�TSTRUCTION TYPE : FIXTURES- MULTIPLE
NO"I'E: 1 -WATER CLOSET
1 -LAVATORY
1 -SHOWER
ROUGH-IN ONLY FOR FUTURE BATH
VALUATION OF PLUMBING 4500
APPLICANT PLUMBING FIXTURE FEE 56.25
STATE SURCHARGE PLBG(VALUATION) 2.25
JANECKY PLUMBING INC. MAIL-IN FEE 2.00
720 PONTIAC PLACE
MENDOTA HEIGHTS,MN 55120- TOTAL 60.50
(651)365-8680 Payment(s)
CREDIT CARD 8022 60.50
OWNER
MARQUARDT, GARY&JOAN
2617 CASCO PT RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�._����� �G�..2 �d-Q�" -� l � l �5�
Applicant Permitee Signature Date Issu By Signature Date
FOR C1TY USE ONLY
��� City ofOruuu ����
1�.0.Box 66 Datc Rcccivcd; Pcrnui#
O 2750 Kcll�y i'arkway
C�y�lxl BNy>MN 55323 .`''�AprUvcil By: �_, tLnuunl`.$ ��
(9�2)249-4600�-:lilaiin
� (952j 2491}b16—k�ux
F
c.� CIT'Y QF 4RON0—pLC7MBYNG �EYZMYT
��krs����� (All Commercial Prrmits Must be Approved by the Stato Prior to City Approval)
1��_ :� ,�.��Vr ��. .�_.�, ;� �; ��-
GENEIZA.L T�tFOR.MA.TIQN , - - -
1_ Yuu rnay apply for plurnbing permits by mail or in perso�i at the City oflices. .+�,pplicatiot�s will be
reviewed and a permit will be isaued within two wqrking days_
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL1D UNTIL YOU �tEC�IVE�1 F�RMIT, WORK MUST NOT BECiN UNTII,THE
YE12M11'CANI)lS PUST�U ON'1'F!E J��3 S�T�.
3. Plunibing pc�rmits may b� issu�d ONLY co lic�nsed plumbing contractars and to property owners
rasiding in the dwelling.
4. Whei�v�y new construction vr remvdulin�is;nvulvecl,a separate building permit must Ue
obtained.
5. All work must be done in accordanco with 5i�tc:Cad�requirements.
6. All work must b�insp�c�i�d and air tested before it is covered. Call(95?)?44-46U0.
(24-48 hour notycc reqaired)
1 YY'E OF PERN�IT
(Checic All That A i )
Residential ❑Commercial(Approval Required)
❑ N�w dditional ❑ Repairs ❑Repl�ce
❑ In Accessory Structure?
*You will need prior approWal aild may need C:�:: .(Per Urono City Code,Chapter 7$;?�rcic141 V}
Jab Site/ Owner Tnformation:
Site Address: �/ � ��SCo �� �
Owner: Mail�ng Address: _
City: "Lip:
Ha���e Yhone: Alternate 1'hone:
Contractor Tnfor�nation:
Contractor: ��n�G�';� ��`��''h� Cantact Person:
Addre�s: ��� d r��� �- State l�ond #;
Cit � �� Zip: 5��� Expiration T�ate:
y:
Phone: �5/ ��S`7��9.�� Alternate Phone: --
❑ lnsur�.nce—Current: �
1
{ '; ` - ' ' r y '` �o��'�'�fR�1�k�P�����+�'����, , ��, it � �� ;` � 3 ,,', '
FrxTur�� asnnT i ? oT��� �rxruR�: �s�ir i z o'rr�r�
"I�YFL 1^'L FL 7'YP� FL [�L
VJater Closet � �'l�or Drains
Lavatory � Sewer Ejector
Bathtub Ldunclry 1'ray
Shower � Washer
Kitchen Siril: Waler He�ter
Disposal Wat�r Suftener
Disl�washer �et�ar
Sillcocks M�scel laneous
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1��������.���f���^Vi��,.���1����PU�� �..°,�4�1�^�n� a����^ ��' f�r'�k�. �_�'F '.��F'��A�S( ..� � �.���ii�n 1 �Oi��)•���� ��������f� �Il�INa�
❑ Yes,this si�ptic,n applies
1'ha r�placement of only one Resid�ntial fixcure or a lpl i�that mo�ts all chree of the following
requirements:
1, Dues nut require�nodification to el�crrical or gas se�•vice.
2_ CIas a tat st of$SUU_00 or less;exeludit.0 the cost pf the fixture or appliance; and
3. Is impruved, installed or replaced by kh�homeowner or licensed plun�bing convact�r.
Skip n�xt section,if t11is applies; Cost of Permit $ _I5.00
State Surcharge � �A�
Mail-ln�'ee(If Applicabli:) $ ?-��
Total Permit Fee �
(Permit Fees Cun�inued On.lVext Page)
2
i% v,r(.�h; V�„���1Xr �A!�I�M�� � s"� "� �'' �°�iY�1 �. ,�°��r�i%.'�a'"�t�����k�nh ���rV�.,IS
lf above doCs noc�pply: fulluw guidelines below:
1. CONrI'RA�CT PR[CE * is I.2S%of cantrset price with a�'Minitnun� Fee uf$SO.UU)
�c�� _....
x Al2S $
(� n �l priue) (rllinimu�u�50.00)
2. S"1"A"1'�SURCH R[:F.
x.0005 $
.� (cnntrtu:t pric:e) .,
3, POSTA��8c HANDLINC� (Only on Mai]-ln Applicacions) $ 2_00
�. TUTAL��YtN11T FEE(Add Lin�es 1-3 Above) $
■ * CONTRAC"f PIZIC�, or JOB COST mc:ans t'he actufll or estimated dollar �mount char�ed for the
P�.rmitted work includin�;maturials, Eabor,profit, and ot]�er hx�d custs, lt is the amow�t to b4 ch�rgeil
to t:he custome.r for the work done. lf'any n�at�rial, equipment, lal�or or installatior�s flre furnished by
th� ownzr, tena�it or any other party, the reasanable market valuc oF snch items must be addacl to rhe
estimated cost �r contract price for pernlit fee purposes, In the event that thar� is a dispute on the
amount of the job cost, th� City may request the submissidn of a signed eopy af khe aeCuAl eontxact.
�i Y � „P��,� ,�.r� �!7`�r:i, ti.l.��:���� L«'' tt ���� h � ;�fA�4.41iA1P�!F'"��ro ,�,:��0 t��1.'i�;� d��
The widersign�d hereby applies to the City for issuance of a Plurnbiag Perinit, abre�s ta do all
work in strict accordance with the ordina�tces af the City and the regulations �f lh� State of
11�Iitviesota, an�i certifies that al � tements made on this application are coinp(ele, irue and
COrrect.
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A licant°s Si nature: llate: � � �
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CITY OF ORONO CALLED IN �/p-7iS TI
INSPECTION NO I SCHEDULED �.� l - �
PERMIT NO. �S���co LETED
ADDRESS v7�7 �� /��
OWNER PHONE NO. �- �"�7'?�
CONTRACTOR �
� DESCRIPTION r
W ❑ FOOTING ❑ DEM -F AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑�BI G RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF MBING 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 ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� O CORRECT WORK&PROCEED ❑ I E CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanc 2) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
�`� � 2�f Z ✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �-1 f--�5 ` a
PERMIT NO. ZC��� '-�n��cOMPLETED
ADDR ESS 2-� l -I � � S r� p-f- �
OWNER TELEPHONE NO.�S�-45�`"qZq�
CONTRACTOR v a�e
� DESCRIPTION � �-�-►�-'J
ly ❑ FOOTING ❑ DEMO-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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
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o b� u 1�4s �•��to �
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlConVactor on site: ��'n
inspector. ` �
White Copyllnspector's File Canary CopylSite Notice