HomeMy WebLinkAbout2014-01425 - plumbing � • CITY OF ORONO * 2 0 1 4 - 0 1 4 2 5 *
2750 KF,LLEY PARKWAY DATE ISSUED: 12/12/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1932 FAGERNESS POINT RD
PIN ; 17-117-23-23-0015
LEGAL DESC : FAGERNESS
: LOT 027 BLOCK 000
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NO"Tl:: WATGR I 1E�1"i'}?R
VALUATION OF PLUMBING ]467
APPLICANT PLUMBING FIXTURG FEE 50.00
SODERL[N PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.73
3612 CEDAR AVE S MAIL-IN FEE 2.00
MINNEAPOLIS, MN 55407- TOTAL 52.73
(612)721-4080 Payment(s)
CREDIT CARD 1868 52.73
OWNER
MARON, BARKY
1932 FAGERNESS PT R[�
WAYZATA, MN 55391-
AGREEMENT ANU SWORN STATEMENT
l�hc work for which this pemtit is issued shall be performcd according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This pennit is for only the work described and does
not grant permission for additional or related ti�ork which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied��ith whether or not specified herein.This permit will
expire and becomc null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspcnded for a period of 180 days at any time aftcr work has commenced.
The applicanl is responsible for assurin�all required inspec[ions are
requested in conf<>nnance with the State E3uilding Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signalure �� Date Issu By Signature Date
12/11/2014 16:05 6127218091 SODERLIN PAGE 02/03
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City of Orono ���� ������ , �� �� L / �j�
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L.I 2750 Kcliey Parkway ;�,�yy�����,��
Cryscsl Bay,MN 55323 �� ���y. —�--�-=""''—
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(952)24911600—Muin ' ,
a � (952}249-46]6���F:�x
y� ��- CITY OF ORQNO-PT�UMBZNG PERM�T
�"Q�rsrj�a� (All Commcrcial Pertnits Must be AppKoved by the State Prior tc�Ciry A�aprova4)
�,_.._,� , , � �*vsr� . sd f
htt�:l/ti��►►�w.clli.rnts. c►w/(.'�;���,3/Pl)I�/s� Inrqla 6s���r
G�?NER���i��/.[,F�,TIC3N _ _
1. You may apply for plucxal�ing permit5 by mail or in person at the City offices. Agplications will be
ravicwed and a permit will be issued within two work'sng days.
2. Permit cards wi11 bc sent Uy retum mail after a rcview is completed. PER1V[ITS l�1RE NOT
VALID UNTIL YOU RECBIVE A PERMST. WORK 11'�U�T NOT BEGIN UNTIL_�'HE
PE MTT C. _ IS PO TED ON I-IE JOT3 SITE• _
3, plumuing perrnats mey be issued ONLY to lieensed pltimbing contr�ctors and to property owners
residing in the dwealing.
4, When any new construction ar rero�deling ie involvcd,a separate buiJding perrnit must be
obtained.
5_ Al]work must be done in acc�rdance with State Code irequircments.
6, Ail work must be inspected and air tested before it is covered. Gall (952)249-4600.
(24-4$hour notice reqa'rred)
'�'�F���'�'�I�IT _ , ;
' C�I�c�C�5,�1 That� ;� ,
�Resid�neial [] Commercial(Approval Required)
❑ New [] Additional ❑Repairs �Replace
✓�
❑ Tn A�cessory Structure?
*You will n�eed rior a rovaT and may need CC)1?.(Per Orono Caty Code,Chapter 78,Artic3e IV)
70b �it�/ C7wl�ez'T.xa'�o'It7[ratibri:
Site Address: j�.�a� ��Q����'S /�C��N%f���'�
Owner: � �1/ d'�'Jf3���C/ Mailing A.ddress: 5���
City; �iL�/�]`��T.� __ 7ip: �� � q�
Homc Phone: �5a�'y 71���1� A,ltez�nate Fhone:
Go,n,'rrac�r Tn�ariiiYation:
Contractor: ,j���JQL,11V �-/-�'�-� Contact Person: ���`l
Address; ��o�r� �.��� �.5 State�ond#: VI/J5 a� �O�g f
Ci�ty: �/`��-�� ��Zip:�7Expiration Datc: lo��.�/� �a� �
Phone: f01�-7c��_—_��C� Alternate Phone'
❑ insurance—Current: 1/VE� IJF7VD /Yl(.e 72�/}'!._
1
12/11/2014 16: 05 6127218091 SODERLIN PAGE 03/03
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'VSI i �,',��}I''�i�n�I���If�'llli����P � ��';�'�J� ,�}'V1Q�����iV. I '�7 � ��f,1,W�'II ��'
F�XTURF BSM�' 1 2 OTHER FI�N1�E BSMT FL F�' OTH�R
TY7�E FL FL TYPE
Water Closet Floor Drains
Lavatory Sewer�'jector
F3athtub Laundry Tray
Shower Washer
Kitchen Sink Water H�atcr r
Disp0881 WAter SOltel►er
Dishwasher WCl Bar
Sillcocks Miscallaneous
,�E��'�'���+�,�!��t��;�s.'z'�C����� ,�,�'��li�,,;��� ��,��,,I�1'''!�!{Ill�h(II�iF3E;i���;�ilU�,
�' � , '�'��� f�'��'����2�TA.'T�.STA7L7� ',`,��� '(1��I;-i,+ ,,I�F�jla�;���f�i{ i Sr`, �,i�l�ili��„�t,
❑ Yes,this sect.ion applics
The replacerr�ent of only one Resi�d��tial fixture or_anvliancc thai meets all tivcc of the following
requiremCnts;
1. 1]oes not require modifieation to etectrical or gas service.
2. HAs a tal c st of$500.00 or less;exeludin�th,e cost of the fixture or appliance: and
3. Ts improved, instailed ar replaced by the bomeowner or licensed plumbing contractor.
5kip next section,if this appiics; CpSt p,f PEt'ITi1I � 15.40
Stflte Surch�rge � S.OU
Mail-In Fee(If E1.pplicable) $ 2.0�
Tota��'ermit Fee �
(Per�xaat�'ees Continued Qn Nezt Page)
2
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12/12/2014 13:26 6127218691 SODERLIN PAGE 02/02
� � 1�� � ii � �.ii'��f�il li � V ��I°'�P ( ,..����
��� {} '�,, c,� I� ,�I ,11�� 'u�?��``� +�� f"�''��' �r��'�1��'� i'k�;+�,� I����'�+:� , ;'I;�� !s,� �' ;:l
�f above does not apply; follow guidelines helow;
1,. CQN�'Rr�CT PRICE * is I.25%of contract pr;ce with a(M�nimum Fee of�50.00)
��f�o7 _ �.oa zs� ..��D�vza
(contract pricc) (lminimum SSO.OQ)
2, 5TA'T�SC'RCNARGE
- -- /��7. .X ,000s � �7.�
(tonhuci pncc)
3. POSTAGE&HANDLTT`G(Only an Mail-In Applicatians) � 2.U0
4. TOTAL P�RiVIIT FEE(Add Lines I-3 Above} �
• * CpNTR.�,CT PRIC� or 70� CbST means tlle �ctual or escimated doliar arnount charged for thc
permitted work including materials, lAbor,prorC, and otl�er fixed costs. It is I;hc amount to be cl�arged
to thc customer for the work donc. If any material, equipment, labor or installations ar.e furnished by
d�e awnar, tenant or any other party, zbe reasonable market value of such iterns must be added tQ the
estinn,ated eost ar contract price for permit fee pwposes. In tl7e event that there is a dispute on the
Amount of the joh cost, th.e City may request the submission.of a sigmed copy of the acri�al eontract.
i f�����+ ' j'i,�a' ,?��;'?�il' � ����� ;� �,�'��r"��!��I"x'A.�?P�if;�IC���;(�I�i':�i�����,�V�`'' !'!'�.,:
The und�rsigned hereby applies to the City fd� issuance of a P�unnbing Permii, agcees Co do all
wvrk in stricl'. accordance wi1.h the ordinanecs of tlie City and l'k�e regulations of I:he St�te of
Mim�esota, antl certifies that a1l statements made on this applicatian are coraplete, tnie and
cozrect.
Applicant's Signature: ��'�'�-� Date� �o� -/v��"<<f
3
� �
� -��:'�
4/ �',1�yJ DATE TIME ,',�`
CI OF ORONO `�CALLED IN
INSPECTION NOTICE scHEou�E� � % '= L��-
PERMiT N0. — �� Z�COMPLETED
ADDRESS ---�
u� r �-c�� C,re_t� ._a9 �
OWNER �ELE N �NO. -
CONTRACTOR ��-������ ��� � ��11�.
�c`�L'��%� 'h-'lk G��C,'l, ��
� DESCRIPTION _ T"l�l
� _ -
lu ❑ FOOTING `f ❑ PLUMBING FINAL' ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHAN ❑ LAKESHORFJWETLANDS
�
Q ❑ FRAMING AL F ` ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ �DEMQ.-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J PL�iMBF�G ❑ SE T FINAL � FOUNDATION/REMOVAL
� � CTOR TO MEET YOU: YES_NO
� COMMENTS:
�
a i,vrt�� ��t,�� ��l��� �c�.�r
j � �SC�K��� /is3� _
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2 �i�d'(-� !J/�G'�Iv"�i C�'G�vt ���P � —
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED G IS CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑ STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site: ����'' �''� ( �4���E4�j
Inspector. �G+.✓
White Copyllnspector's Ffle Canary CopylSite Notice