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Home My WebLink About2015-00142 - plumbing CITY OF ORONO * 2 0 1 5 - 0 0 1 4 Z * 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 ORONO, MN 55356- � 952) 249-4600 FAX: 952 249-4616 ADDFESS : 635 FERNDALE RD N PIN : 36-118-23-I1-0009 LEGAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURES-MULTIPLE NOTE: MULTIPLE FIXTURES, KI"[�CHEN SINK,DISPOSAL,DISHWASHER,SILLCOCKS VALUATION OF PLUMBING 3800 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.90 SIGNATURE MECHANICAL INC. MAIL-IN FEE 2.00 8260 ARTHUR STREET NE TOTAL 53.90 SUITE A SPRING LAKE PARK, MN 55432- Payment(s) (763)788-9844 CREDIT CARD 8517 53.90 OW1vER VICTORIA O'NEILL, LARRY JACOBSON&VICTORIA 635 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 approvais,and the State 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 governing this type of work shall be compied with whether or not specified herein.'I'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspendcd for a period of 180 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 due cause. '/' �� (-'[.� � �"�i1 � �- �L. ��l ��l � l � Applicant Permitee Signature Date Issued By Signature Date =E�. 2. 20i5 1 : 29PM No. 0359 P, 2 xOT2 CTT'Y T1S�\`C.'Y �,�� Ciry of Oro�io �O� P.Q.I�ox 66 �a�c ttcccrvcd: Z.�SS Pc�nit� 1�'�5 � Q 2750 Kelley Parkrvs� � %O � Cryslel Dny,h1N 55323 Approvcd Dy: �� Amounl S: `�/>�� ' (952)2a9-46(l0—Main �� (952)249-4616—Fax ��'�' `c.� CITY OF O1tON0--PLUMBING PERMIT kes H o� (All CommerciTI permils Must be Approved by t�c St�te Prior to City ApprovAl) litt ://w�vw.dli.�nn. ov/CCY,D/pDT'/ e li�m6 l:►nreva , �df CrENERAL INFORMATION T. 'You may apply for plumbing permits by maii or in person at the City offices. Applications will be rcvicwcd�ud R pcnnit vvi[1 bc issutd'within two��+orkuig days. 2. Permit cards will be sent by return mail after a review is completed. P�RMiTS AR�NOT 'VALTI�C.l'NTIT.,YOYJ'TiECETVE A PET2MIT. '4'VORTC 1VTYTST 1V'OT B�GTN T7NTY�,TTT� PERMIT GARD TS POSTED ON THE JOB SITE. 3. Pliimbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. Wl�en any new constructial or recnodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with Seate Code req►rirements. 6, All work must he mspected xnd�u testcd before it is cpvered. Call(952)249-4600 (24-48 Yiour notice requlred) T�E OF P�RMrT Check All That A 1 �.�Ztsidential ❑CommerCiAl(Appr0�A1 Reguired} ❑New ❑Additional ❑Repa;rs ❑keplace ❑ Tn Accessory Structure? *�'oti will need nr9or App�•oWal snd maq need CUp.(I'er Orono Ciry Code,Chapte►-78,Article T'V) Job Site/Orriner Infoimation: Site Address: �o ;� `� hl F��►�z�ofa:--�e i2� Owne�•; �,Ac-z,��,S�,-� MailingAddress� ��3� FLc.2�.,a.� /�A City: �!'...c,�..;c� Zip: ��5 3� I Home Phone: Alternate Phone: Contractor Tnformation: Contractor: 5�,�..�,�,�,rz� v1,L�_,-( Contact person: .�� Y'��:,�,1-�G Address: ��Zt�� i,4RrK.�.u2 7T' �tC- State Bond#: �� Z.rl �V �K �'� City� �Q� S Zip; ��t �Expir�tion Date; l'Z.��l / �� Phone: �l� )''-I�°��-��`�`� Alternate Phone: `�(c��, - '7��"1 u�'Y� ❑ Ynsur•ance-Current: 1 Feb, 2. 2015 1 : 29PM No, 0359 P, 3 � pr��rn7c�r�T�s��rnra rn7srA�r��a .�-� �� FIXTURE BSMT 1 2 OTHER FiXTURE BSMT 1 2 OTHER TYP� P�. FI., TYP� FI. FL '4�ater Closet Floor Drains Lavatory Sewer Ejector �athtub I,aundiy'I��ay Sho�ver '�Vasher Kitchen Sink � WaterHcatcr Disposal l �Vater Sofiener bish�vasher '�'Vet�Ar � Sillcocks Miscell�neous � - PERMIT FEE CALCULATION(S) " .1 -.' ,�� . �AS�T� ��2002 STAT�-S'Y'A'X'�I� '.. - - :�, . . - ❑ Yes,this sect'ron applies The replacement of only one Residential fixture or�pgliance that meets all three ofthe fotlowing rec�u'rrements: 1. Does not require modification to electrical or gas service. 2. ��as a rotnl cost of$500.40 or less;excludin�the cost of the fixture or applrsnce:and 3_ Is improved,iustallcd or rcplaccd by thc homeowntr or licCnSed p[umbiug contractor, Skip next section,if tliis applies; Cost of 1'erm'rt � 15.00 Statc 5urchargc $ 5.00 Mail-Tn Fee(1f Applicable) � 2.QQ Total permit Fee � (Perinit Fees Cpntinued On NextPAge) 2 Feb. 2. 201� 1 : 29PM No, 0359 P, 4 l'ERiV1IT.FEE CALGL7�A�ION S)—JO$S 0'V'E�'$SOO:QO J' W ' Y.a ' If above does not apply;follorv guidelines beloru: �. CONT�tACT PRYC� '"is 1.25%of contracC peice�vith�(Minimum Fee of$50.00) c,0 u•=� 3, �x�,C7'� x.01z5$ '�G canlmct price) (minlmum 550.00) 2. STATE SCJRCHARGE ,,.,, 3 ��oc�^ x.000s $ � .�o contrac�prica) 3. pOSTAGE&HANDLING(Only on M�il-In Applic�tions) $ 2.00 0 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 3 — ■ � CONT7tACT PRTCE or JOB COST,ncans th� actual or estimated dollar am nt cl� for the pannitted�vork including m�terials,laUor,profit,�nd otl�er fixed cosCs. lt is thc amount to be charged to the customer for tiie work done. Tf�n�material, equipmcnt, IaUor ar installations are furnished by the o��rner, tenant or�ny other p�rty, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. Tn the evci�t tl�at there is a dispute on the �motmt of the job cost, tf�e Ciry may request the s��bmission of a signed copy of the actual confract. ,.�.; � _ P�;YJMBTI�TC�P�I2IVIIT,ApP1..ICATION AGRRRMFNT��;,. ;: `: ; The undersigned hereby applies to the City for iss�tance oF a plumbing Permit, agrees to do all �vork in strice accordariee with the ordinances of the City and the regulations of the 5tate of Mmnesota, and certifies that all statements made on this appliCaCion are complete, true and correct. .....� Applicant's Signature: Date: �l�-��5� 3 5 DATE TIME � ��CITY OF ORO� CALLED IN INSPECTION NOTICE SCHEDULED ,�t PERMIT NO. ZOl S��y Z COMPLETED � �J ADDRESS_�,/� �� `�h-h�-'� / �-� �� OWNER TELEPHO E No. �fa �ag� �� CONTRACTOR . ��'��- � DESCRIPTION �� /�"�� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL �PLUMBING 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 ��TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: � a {�I�l V - �o� L'��c.�� r��,oD�.! - o p�' �. �o - �� - � ��c�s'� � ' �s ��h . �o � / ° ��s�e�.. ��/«� _ - W � Q n � Z �S � �ri ,� .c St I� Llv�4�' �u ' W � W � �,� � r—Ov�� GW �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 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 forthe next inspection 24 hours in advance. (g52) 249-4600 Ownerl ontractor on site: � Inspector. �"' White Copyllnspector's File Canary CopylSite Notice � ��j�^ �� DATE IME l� CITY OF ORONO CALLED IN INSPECTION TI SCHEDULED PERMiT NO. COMPLET � ADDRESS �L.�� c,��E �� n'/ OWNER TELEPHONE NO. �I(o3`'1�� CONTRACTOR � `�1G2�L.l�P /�J�L.�1�� DESCRIPTION ` � �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑�,1MBING RI_ ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROQF ❑ PLUMBING FINAC..-- ❑ 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 EPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � � COMMENT�: a �n r�r�.c-c�_L - � J O � �i✓D✓K �/�a�c,��B�� O � Qgr�� o�i('y=f��J�� eU(, r� � /`4 � �c�� l��►' - ��t � ,�.�.�..� �..�tl�O ' � • GW ❑WORK SATISFACTORY:PROCEED JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: inspector. ��-- White Copyllnspector's File Canary CopylSfte Notice