HomeMy WebLinkAbout2011-00297 - plumbing CITY OF ORONO PERMIT NO.: 20ll-00297
2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE [ssUED: OS/04/20ll
� 952 249-4600 FAX: 952 249-4616
ADDRGSS : 2740 ETHEL AVE
PIN : 20-117-23-24-0010
LEGAL DESC : CASCO HEIGHTS
: LOT Ol0 BLOCK 002
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : F[XTURES- MULTIPLE
NOTF: IST PLOOR: 1 I�ITCHEN SINK. 1 DISEIWASHER
VALUATION OF PLUMBING 1300
APPLICANT PLUMBING FIXTURE FEE 50.00
CHRIS DVORAK STATE SURCHARGE PLBG(VALUATION) 0.65
4460 232ND CT.NW
ST FRANCIS, MN 55070- TOTAL 50.65
Minnesota State License#: 084262 PAID WITH CC# 5008
OWNER
VICKNAIR, LANCE& RHONDA
2740 ETHEL AVE
WAYZATA, MN 55391
ACREEMENT AND SWORN STATEMENT
The�vork Yor which this permit is issued shall be perlormed according to
the approved plans and specifications,applicable City approvals,and the
State[3uilding Code. This pennit is lor only the work dcscribed and does
not erant permission for additional or related work which requires separatc
permits. All provisions oCla�vs and ordinances governing U�is type of work
shall be compied with whethcr or not specitied herein.This permit�vill
expire and become null and void if construction authorized is not
commenecd within 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after work has conunenced.
The applicant is responsible tor assuring all required inspections are
requested in confonnance with the State Building Code.This permit may be
revoked at any time for due cawse.
� � � - i i
Applican 'ermitec Signature Date ]ssued B ignature e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A .
05/04/2011 13:06 6127829649 VICKNAIR PHOTOGRAPHY PAGE 61
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� City ot Orono
O� �O r,o.eox 66 nsa awe;.rcd: rum;t A!
2750 KaIlcy Pedcw�y
r' CtyaCal Bsy,MN 55323 Appmv�d By: A�►mt S: _
� � (9S2)249�600—Mo�
(951�Z49�46'16^�i+c
C�TY OF ORONO—PLUMBING P�RMIT
(All Commercial Permits Mast be Approved by the State�'rior to City Apprvval)
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GENERAL INFORMA.TION
1. You m�ay epply for ptumbing p�nits by mei)or in petaon at the City offices, Applicatians will be
reviewed and a pe�it will be issued within two wor�cing days.
2. �e�mit cards will be sent by rtturn maia after a review is com�leted. �E�MITS ARE NO�'
VALIA UN��,YOU RECENE A PERM]T. WORK MUST N�T BEG1N UNTIL THE
PERMIT CARD�S.POSTED ON THE JOB SITE.
3. klumbing permits may be issuod ONLY m licensed plumbing contractote mnd to property owr�ers
resid�g m thc dwclling.
4. Wt�en any uew oonstruc-tion or remodeling is inviolved,a sepatate building pe�zr�it must be
obtained.
5. ,A,11 wark must be done in accordance with Sta#e Code requirements.
6. All work must bc insspeCted and air tested before it is covered. Call(952)249�600.
(24-48 6our notice required)
TYPE OF PERM�T
Check All That A 1
�Residential ❑Commercial(App�noval Required)
❑Ncw ❑Addidrnaa) ❑Rcpaire .Replaco
❑ !n Accessory SIIuct�e?
'You will uecdpr�glE�ppt�and may nted C' .(�er prono City Code,Chapter 78,Articla l�
Job Site/Owraer In�formadon:
Site Address: 2�40 Ethel Avenue
o�e�: Lance Vicknair Mailing Address: 2�40 Ethel Avenue
clri: Wayzata Z�p: 55391
Hame Phoae: �952) 471-7230 Altemate Phone: (612) 961-8610
Caz�tractor Imforrnation:
c���r: Chris Dvorak C�,����,.�,,: Chris Dvorak
Address: � 232nd ct nw s�� Bona�: 084262-P M
ciTy: St Francis Zlp:5��� �xp��t�o�Da�: 12/31 /12
Phone: (763) 478-1021 Alternate Phone:
❑ l�.swran.ce—Current_
1
05/04f2611 13:66 6127829649 VICKNAIR PHOTOGRAPHV PAGE 02
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FIXTUR�' �SMT l 2 OTHER FIXTURE BSMT 1 2 OT�TE�t
'CXpE FL FL TYPE FI. FL
Water Cleaet �la►r Dreina
Lavatory Scwcr Ejoctor
Bathtub I..aundry Trey
Sb,ower Wagher
Kitchcn Sink 1 Water l�eater
Disposal Watcr Softcncr
Diab.was�uZ 1 Wet Bar
Sillcocks Miacellat�eous
( �.EI•�s!4LC[J�.�r�[ s: I
4 .�;^ �1, S T' � Il';,# . a f�,, *, 4.J 'I'. .
1ti 3,�.R b ..' .,�w l.v
� 1� ,� r:�t) N�::g ►7 P�
❑ XCd��1.1.6 SCCt1011 8��I1C8
The replacelrient of only oae�esidecttial fi.�cture or appliance ti�t pneets a11 three of the following
requiuretnenta:
1. Daes nM requi�re modi�cal�o�co elec�trical or gas service.
z. Has a tokal c4 I of 5500.00 or less;excluding the cost of lhe fiahue or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor_
Skip ne�tt sect�mni,if thxti applaca; Cost v�Pc�it S 1 S"ll0
Stato Su�rchargc $ S,Qf)
Mail-la Fee(lf Applicable) $ 2.00
Towl Permft Fee S
(Permit Feea Confinaed Qn Ne7�t�age)
2
05le4/2011 13:06 6127829649 VICKNAIR PHOTOGRAPHV PAGE 03
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lf above doce not apply;follaw guidelines below:
a. CONTAACT PR10E *is L25%of cantract price with a(Miuimom Fee of S50_00)
1 ,300.00 x.o12s a 50.00
���s���a� ��m��m�o.00�
2_ STATE SURCHAR�E 1 ,300.00 0.65
a.0005 $
(oomQaa prioe)
3. �OS�'AGE&HANDLING(Only on Mail-In Applications) S 2.00
4� TOTAL PERMIT FEE(Add Lines 1-3 Abave) s 5�.65
■ * COM'RACI' PRICE or JOB COST means the acRial or estimsted dollar amount charged for the
pemiitted work ia�cA�Ong iawterials,labor,profit,and otber fixed co�ts. It is the amount to be cbarged
to tlte customcr for the work done. ]f any matenal, equipment, labor or instaUations are furnishcd by
the owncr, tcnant or any other party,the reasonable mazket value of such items must be addcd to tU,e
estimated cost o� crnntrect p�ce �'o�r pen�►it fee purposes. 1�t�e evep.t thet t�ete is a dispute on the
amount of the job cost, the City may request the submission of a si�ed copy of the actual contract.
'` ' A�Y.TCA►'77CIai'd A�3 ,. ,
The undexsigued hereby applies to the City for issuance of a Plumbing Permi�, agrees to do all
wor�C ia sttict accord�u►ce with the ordinances of the Ciry and the regulations of the State o�
Miimcso�, and certi�ies t�,at al� stgtenaents �nnade o� t�uis ap���catio�a are complete, true and
cocrect.
Applicant�s s���: Dec�: 05/04/11
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�/ TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED ��":� �
PERMIT NO.o��� ��Z9�COMPLET �
ADDRESS �7 ��v � 1
OWNER TELEPHONE NO�I� g�l���U
CONTRACTOR e- �-J
�; DESCRIPTION � �
�
l� ❑ FOOTING ❑ PLUMBI G INAL ❑ EXCAV/GRADING/FILUNG
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� BING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
Q OWNER/CO ACTOR TO MEET YOU: YES�NO �/
� COMMENTS: � Z /�t G�/ji �Ti '
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GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor o site: �
Inspector. �'� � ��
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