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Home My WebLink About2015-00352 - plumbing � , CITY OF ORONO * z 0 1 5 - 0 0 3 5 2 * 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2015 ORONO, MN 55356- 952 249-4600 FAX: 952) 249-4616 ADDRESS : 375 FERNDALE RD N PIIY : 36-118-23-41-0003 LEGAL DESC : LTNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (I)WA'I'ERCLOSET (1)LAVATORY (1)SHOWER VALUATION OF PLUMBING 1850 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.93 WELD& SONS PLUMBING CO INC. MAIL-IN FEE 2.00 3410 KILMER LANE N PLYMOUTH, MN 55441- TOTAL 52.93 (763)475-0296 Payment(s) CREDIT CARD 5676 52.93 OWNER CARLSON,MATTHEW& KALEENA 375 FERNDALE RD N 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 E3uilding Code. This permit is for only the work described and does no[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 no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date � ` FOR�,'ITY USE ONLY. �"�^' City of O�o�ao ` �� P.O.Box 66 .1�7ate�eccive� �` + F'ermrt3� .� '`i �,J 2750 KeJtey Parl.�cuay ' i . '� " CryStal Bay,MN 5�323 Appxo+i�"a�y ._,� 'n��ourc�: (9�z)249-4600—1vlsin -'`.m ' � �� (9S2)249-4626—Fax , • ^...,• , . �' G�' ��'� Q��0�0 l—��U��i��,�.�� '5�� (All Commercial Permi[s Must be A��proved by the State Prior to City Ap�roval) IaTt ://www.dl�.nan. av/CCLD/PDF/ e lumb lavrcva . df , .,_.... . . , . . _ _ ,. .. - - - G�,�L�Et1�i�� ,9�,��'IQ�V.:. _ .- . ,� 1. You may appty£or p�u�nbiag�errr�its by tna�l ox in persa�n at the Cit��o#�ices, Applications will be rcvicwed and a pennit will bc issucd within two working days. 2. �ernait cards will be sent by rztuan mail a�er a review is eompleted. PERMITS ARE NOT VA�I Zp UN�'Z�.XOU�C�ZVE �PERivIZT, WORK NIUS'�NO'['I��GIN L'�Y'�'�L xHk; PERMIT C�RD IS POSTED O�THE J(�S SITE. 3, �luaibing perrtairs may be issued ON�.Y to licensed plumbing contractors and to property owners residing�n the dwel]ing. 4. When a�y pew constnlctioa�or remodeCing is i�nvolved,a se�arate buildi��perrr�it►nust be obtained. �. AIt work must be dorae ira accordance witt�State Code rec�uirernents. 6. All wprk tnust be i►aspected and air t�sted befp�[e it�s covered. Call(952)249-4600. {��-�8 hour noHce rec�iiired) . ._ , . : °, TYPE'OF'PERMI'T . ... ".°' _ , � , ` Ch`eck A�I I.'I'�ia�A 1 � , ��teside�atial ❑Con;At�'xerci�31(A.pprova��e�u�xed) �]New ❑Additioc�al �Repairs �R.eplact ❑ In Accessory 5trueture? *You will neecM prior aunroval and may need CUP. (Per OKono Ciry Code,Chap�r 78,Az�ticle CV) Jt�li,'Si��/�'O�t'i�t�,Itifor��flon . ; � : . �-: ... _ .. . . , . Site.A.ddress: �7i'� ��/7 � ��- � Oumer: (:d�vc,� f;��¢�dh Mailing Address� �37��ern� ,� /U city: �ro✓�o zi�: v�S � � / Home Phdne: Alternate Phone: ��- �q0- ��Z� Cvntra�toi-'Xn�o " . , , - ,` 1C�7Q�t�(lS�::r` . .,. ,; Contractor_ !.�'ir d- � Sm n S �lt�t7i'+�ontact Person: �`wt Address� 3'Y/O �'i�'stC{- �ne � State Bond#: /� d4✓� ��✓� City: ��i�v�?�_ Zi�: �.5`1`�I Ex�iration Date: ��Z� /� PI7011�= F�� y�� Alte�-x�,ate�ho�e; ❑ ZnsUrazaCe—Cllrrez�t; � � ' �.G S FL}:TURE SSMT 1` 2 OTHER FIY1�L'R� �SMT 1` �� OTHfi� TYpE FI, ��. TYP� k'L PL Warer Closet �'loor Da�airss Lavatory Sewer�jector Bat.hrub �,aundry�'��ay _µ..µ.� Sl�ower Washer �Citcben Sink Wafcr Hcafor Disposaf Water So�iener � Dishwasher Wet�3ar ~ j � Sillcocks M1sceU.aneous � � fi ' �-�� r.a.� ,5 _�q;+ � (� 3 �^ �{G��`�_. � ��N:� `'�'��a �� , �. :� � , � ,�- � �. .3`z�0.. yT'�;�s�,�;e ��_ � ��.� [,� Xes,tlais section applies The t^eplacement of o�nly o�ae Residential fixture or a�pl�ance that tneets a�l three of the following xequizements: �, e� t zequire modi�cation to electrical or gas seivice. 2. Has a total cost of$500.00 or iess;�xcludin�the cost of the�ixture o�'t�ppliance:atld 3. Is improved, installcd or rcplaocd try ti�c homeowner or lieensed�lurnbing contracto��. Skip next section, i�this applles; Cost o�Permit � 15.00 State Surcharge $ 5.00 Mail-In Fee(If.A.�plzcable) $ ._,?.00 '�'OtaC�'er�n��t�'ee $ (Permit Fees Continued On Nex#Page) 2 P� - If above does raot apply;�ollow guidel ines below: 1. CO'_\TR�1CT PRICE " is 1.��%of co��ract ptice w�ith a(�V,Iipimum Fee of�50.00) l ,S� x.o�as�__�..._._.. ��,..,C�,O d (cunGract vpjce) (minimum 550.00) 2. S7'A'I'�SU�tC�ARCr� S� (�o�acract pn��,`�___._n_ �.oaos � . �1,3 3. POSTAG��I-�t1,NDZ,II�TG(O��.ly o�Maal-�t�tlpplications) $ a.DO �{. TOTAL PERIV�"�'��(.A,dd�.iu�es X-3 Above) $�__„_�Z� /-� • * CpNT�tACT PRICE ar JOB COST mcans the actual or esttmated dollar amou��t ck�azged �or the permitted work inctuding maierials,labor,pro�f, and othet-faxed costs_ it is the amount to be charged to the custo�ner for the work dor�e. If any materiai, equipment, labor or install�tions ar'e fiirnishe�cl by the owmer, tenant or a�ry other party, the reasonable market value of such itetns must be added to the �stimatcd cost or conCtact price for petrnit�ee pua�oses. In the event that there is a disputc on thc annonzxt of the job cost; the City may request the submission of a signed copy �f the acnial co�tract. � "aC�`, - - � :; Tk-�e u.ndersigz�ed k�ereby applies to the City for issuance of 1 Plumbinc� Permit, a�rees to do all w�oxk in stsict accordar�ce with Yhe ordinanees of the City a�id the re��lations of the State o� Minnesota, and certi�es tbat all statezR-i,ez�ts ;made on th�s application are complete, true and correct. ,A, �icaz�,t's Signatwre� �� %��G�/ Date: � �Z7Vl`�— �� 3 r j DATE TIf�E:' ITY OF ORON CALLED IN — i� INSPECTION NOTICE SCHEDULED ' PERMIT NO. o�,�s �� PLETED —� " ADDRESS 75 G�� . OWNER TELEP NE NO. � ?S�2' � CONTRACTOR ry -� � DESCRIPTION ` l4 ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL � Q ❑ POURED WALL �.2LUMBING RI XCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��5��fli ' a �z �'o- L. � . 3 `� ,� — o d� V - �l�S zs — '' - /1 G cJ L.�u.- , S.�a r.� r -� �/.- d��•.-�, � � ° ' LJ•G . �x� s�,�� -- Q — /`4`(, a/4�'cs f'r"v'oc✓ 2 /I �.5 '�'t Gc0 � �jc4$�/rc y ��U � � �f�a� Co�.��s ' � � ,C' �s G��c� � GW,�iN9RK SATISFACTORY:PROCEED G PROJECT COMPLETE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WILL RETURN ❑STOP OfiDER POSTED.CALL INSPECTOF �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspecto . ""� hite CopyAnspector's File Canary CopyfSite Notice jj�� /`_/p TIME `/ CALL IN 7 ` " CIN OF ORONO ED � INSPECTION NOT E SCHEDULED — PERMIT NO. � '�� COMPLEfED ADDRESS ✓`� �� /-� OWNER ELEPHO NO. °7 � CONTRACTOR -V � DESCRIPTION �� — ly ❑ FOOTING ❑ DE -F NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PL G 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 ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � 2 W � W � � � � GW�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING 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 a ance. 52 9-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice L � DATE TIME V r CITY OF ORONO � CALLED IN �� INSPECTION I�TIC� SCHEDULED ____� PERMIT NO.�% I��`�� COMPLEfED � ADDRESS _� 7-�� i"' !-�C�C��. � �'V � OWNER TELEPHONE N0.7�'`3 �� -�� CONTRACTOR � � '�`�` � �� t-S `>; DESCRIPTION ��-yY1�i �� i i � � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF �UMBING 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 �4 ❑ AS BUILT-SURVEY ❑ SEWE HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S C INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: ES_NO � COMMENTS: �—` L�ISt�� _ � �.t�' �� L.�/� ✓��lou�'' '� ��• �rt�. � J O . /� _ � �!�(�W4S .�� "4 r.��e��/ O � Q �ff'l�� t�d /!C � �+(.dl�e � � 2 - � J�G/wc.�G �'"�,�,Q W � j � ❑WORKSATISFACTORY:PROCEED �@3CCT'COMPIEfE v W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail f " spection 24 urs in advance. (952� 249-4600 Own Con or on sit • � Inspect . White Copyllnspector's Ffle Canary CopylSite Notice