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.
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Applicant Permitee Signature Date [ss By Signature Date
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�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)
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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
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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
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From:7634974263 02/06/2015 08:25 #Sl8 P.003/004
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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
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Sillcocks Miscellaneous
F�-t����i W.tit�. �
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❑ '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 $____ __
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(Perznit Fees Coet►nued On Next Page)
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From:7634974263 02/06/2075 08:26 #5l8 P.00a/004
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- �,���r���uLA�oN s �.1��s o�-�sa�:oo
Tf above does nat appiy; foliow guidclines below:
i. CONTRACT PRIC'� *is ).ZS%of con�aCt pt'ice wiLh a(Mfni�nu�Fee ot$�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,
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Applicanl's Srgraaturc: ��,�..�;, ��.,, �-}jc�-,. �� Date: �f��/�;� ��
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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
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�: 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:
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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:
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W
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Q
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2
W
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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