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HomeMy WebLinkAbout2015-00157 - plumbing + , CITY OF ORONO * z 0 1 5 - 0 0 1 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2015 ORONO, MN 55356- 952) 249-4600 FAX: 952) 249-4616 ADDRESS : 2696 ETHEL AVE p[(� : 20-117-23-24-0044 LEGAL DESC : REG. LAND SURVEY NO. 0115 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)KITCHEN SINK (1)D[SPOSAL (1)D[SHWASHER (1)WET BAR (1)EX"I'ERNAL WATER LINE VALUATION OF PLUMBING 2130 APPL[CANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.07 B & D PLUMBING&HEATING INC. MAIL-IN FEE 2.00 4145 MACKENZIE CT NE TOTAL 53.07 ST MICHAEL, MN 55376- (763)497-2290 Payment(s) CREDIT CARD 8094 53.07 OWNER KAUFFMANN, JANET 2696 ETHEL AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 'I�he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and [he Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of[he date of issuance,or if cons[ruction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for du�cause. � � / �C/ /�� Applicant Permitee Signature Date [ss By Signature Date ���,r l�Itl��i,i� I From:76349742G3 02/OG/20�5 08:25 #578 P.002/004 � 0�/@5/2815 15:13 9522494616 CITY OF ORONO PAGE 02/06 R U$E UNLY �O�T City of Orono ��� ����-j ��� �y^ P,O.Box 6b Date Rb�G PcTmit� ��� � l/ 27SO ICt11oy Perkway Cr}51�1 Bny,MN 55323 Approved By: Amount S; (952)249-1640—Main (952}249-A616—Fax ��' �� CITX UF ORONO—PLUMBI�VG�ERMTT rq�'�sxo'��' (All Commercisl Permits]V�ust bc Approved by t6e State Prior to City Approval) htt ://wwtv.dli.mn. ov/CCT.DIPDF/ e lamh [anreva . ct! GEN�RAL INFOR1v�.A,TION 1, You may apply for plumbing permits by mail or i,n person at the City offices, Applicatzons will be reviewed and a permii wi11 be issued wit�in two working days. 2. Permit cards wi,1i be sent by retum maiJ aiter a review is completed. PERMYTS�1RE NOT VAL1.D UNTIL YUU REG�IV��PFRMIT, ti'V012K MUST NQT BEG N UNTIL THE P,��tMIT CARD_CS POSTED. ON TH�_JOB SITE., �� 3. Pluzz�bing permits may be issued C1NI..X to licensed plwnbing contractors and to proptrty owners residing in the dweiting. 4. When any new construction ar rern�deliz►g is involved,a separaee buiiding permit must be obtained. 5. Alt wprk must be done in accordance v,Rtb 5tate Code requirerncnts. 6. All work mtut be inspected and air tested before it is covered. CaII(952}249-4600. (24-48 hour noilce required) TYPE OF P�RMIT Ckaeck All That A 1 �Residential ❑Commercial(Approval Required) [.�New ❑Additional ❑Repairs ❑Ftcplace ❑ In A.ccessory Structure? *You�i�1 need�rior anprov9l and may need CUP.(Per Orono City Code,Chapter 78,A�ticic IV) �ob Si�e/�w�aer Information: Site Addxess: �,?C� �i Cr �-F�,e r ���, i�;. Ouxaer:7«�n�1 ��;..��-r� ��� Mailing.Address: ��y(�. �i-b��i ��v e. �' . CitY� �'ti���-�2«��� �zp: v`� �',�j 1 kT�ozz�e Phonc:�L� l a�-)-���- C����3 Alterz�ate Phone: � Contractor Informa,tion: Contractar; �sD -Pi�r,b. �-�-t-<, r-A(C�- ContactPerson: I����j� 4-���r l,e_s `J Address: �il�{��'I���F�n2��> C-{-�;�_ State Bond#: �1 r��c�, c� 3 a I (.,� City: ��-, nl i�r�r-�e� Zip:S`���37� Expiration baiE: �/�//U Phone; ���7�;3� ��t���l-���-1 C Alterr�ate Phone: ��� 1�) <�a�S-C� 3 33 �a2o� E-l_� ❑ Insurancc—Cuxrent: �C�k C>�� C cl S," �_�'���J; (��J --.-� ' ��e�, , ����� �1�1�� � Y����s<«�� � � �a���-�: t � CuoS`1U ��i3'� ���r^��r�c' � � <; � (, � �j��� �� <�3 l�-�v;lc �%�r�.� . �, ; I From:7634974263 02/06/2015 08:25 #Sl8 P.003/004 � �2/05/2015 15:13 9522494616 CITV pF OROND PAGE 03/06 1 1.'�+L✓��,Y�I�`' l�'� �, i:: � EI.'l./.;iRYM l�;. .�(�i.'.'. ��. PIXTURE BSMT' 1 2 OTHER �IX'�URE BSMT I' 2 OTHER T�'P� FL FL TYP� PL FL Water Ci4set Floor Drains L�vatory Sewer Ejectar Bathtub Laundry Tray Shower VJasher Kitchcn Sink + WabEr Neater Aisposal � Water Softensr Dishwashcr � Wet Bar � Sillcocks Miscellaneous F�-t����i W.tit�. � i �n e�. Y.`;•h °(�t>• �rM'��w 6 y T� A� y v , ,t+ ; � _. .. .�.afi�w a i� 3e,1 ��r� �U��.y�,: . . `�� � a�1b ° ��,� �N'��+� ��!y y� ,C�r uya ��(��. `4++b,��,�c �i (,i,q�� �, „� ' . �.�'�n ��; Y���.,rii��iY� Y "421.1 , .V�r.r �J�� . `�1,C'r�'�4T�µ .�7���W=-���)����! �l ❑ 'Yes,this section applies The replacement af only one Residentia]fixtwe or_aDaliance that mee��ai.l three of i�e following rcquircments: ]. boes not require modificacion to cicctrical or gas sorvice. 2. Nas a t cost of.5500.00 or less;e ud' the cost of the fixture ar appliance:and 3. zs improved,instFallad or replaced by tbe homeowner or iicensed plumb�g contractor. Skip next section,ifNus appties; Cqst oFPetlnit $ 15,00 State Surcharge $ 5.00 Mai3-In Fee{If Applicablc) $ 2.00 Total Permifi Fee $____ __ i (Perznit Fees Coet►nued On Next Page) ;=; 2 �' �; � ;�:' _.._.. . I :' From:7634974263 02/06/2075 08:26 #5l8 P.00a/004 � . P_2/05/2015 15:13 9522494616 CITY OF ORONO PAGE 04/06 - �,���r���uLA�oN s �.1��s o�-�sa�:oo Tf above does nat appiy; foliow guidclines below: i. CONTRACT PRIC'� *is ).ZS%of con�aCt pt'ice wiLh a(Mfni�nu�Fee ot$�0,00) •��� / 3 C�..C>c� xA?25$ (cormaot prioe) (minimum SSO.AO; 2. STATESURCHARGE ���, i 3 ��, c�� c� �.000s $ (oontract price) 3. POSTA.G�&1�ANAJ.ING(Only an Mail-In Applicatians) $ 2.00 4. TOTA�,PEFt.MIT FEE{A,dd Lines 1-3 Above) � �`� ''�� • * CONTRACT PRICL or JOB COST means tJ►e actual ot estimated do2lar am�vnt charged for th� permitted work including materiats,labor,profic,and other fixed costs. It is the amnunt to be chargad to the customer for the work done, If any matznial, equipment,3abar or installations are furnished by the oa�ncr,tcnanc or any other party,Che reasonable market vsJue o�'sucl�items must be added to the estimated cost or contract price for peria�it f�e pwposes. Tn thc evcnt that there is a dispute on the amount of the job cosi, the City may rcqncst che submission of a signed copy of the acival contract. ,,- ., : �L[Jltii$�N�'r'�?��T A�''$�xC;A'�"t��;�S;�ENI�7�'T �; `.` The under'signed hcreby applies ta thc City for issuance pf a Piumbing Pennit, agrees to d.o all work in strict accordance with the ardis�anoes of ihc Ciry and the re�lations of the State of Minnesota, and certifies tl�at aU statemenls tnade oa this appli.eation are complete, t�tie and correct, 1 Applicanl's Srgraaturc: ��,�..�;, ��.,, �-}jc�-,. �� Date: �f��/�;� �� ��� � I�I F , > ;� 11���� ,; , 1'� � � � i � - Y�: C� �� ��� �,,�� DATE TIME� � CITY OF ORONO CALLED IN � �°°`� INSPECTION NOTICE SCHEDULED rj ����� PERMIT NO. ����-�"���f,57 COMPLETED ADDRESS Z� � � �, +��� �� OWNER TELEPHONE NO. ��Z'J�`4 33 3 CONTRACTOR � � � �f(-��'1 � �'1s l �: DESCRIPTION ����� � W ❑ FOOTING EMO-FI L ❑ SEPTIC FINAL � ❑ POURED WALL LUMBING RI � ❑ EXCAV/GRADING/FILLING Q 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 ❑ SE ER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACCOR TO MEET YOU: YES_NO � COMMENTS: � , W a � J � O � � O � W � Q � 2 W � W � J d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOfi �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours i advance. (g5 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notiee CO � DATE TIME V CITY OF ORONO i' GALLED IN INSPECTION NOTICE SCHEDULED _!�/S � PERMIT NO. ��5—�[.Y 5 7 COMPLETED ADDRESS Z� �� ���-� � OWNER TELEP ONE NO.�� �Z�z�'��� CONTRACTOR .S�L2- � K/�fCG1�Y1 � DESCRIPTION �1����q ���a'r ly� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PL RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ EPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERlCQNT�ICTOR TO�AEE7 YOU:�YES_NO � COMMENTS: � W a � � O >. � O � W � Q � 2 W � w � j d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN iNSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 ours in advan . (952� 249-46�0 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopyiSite Notice