HomeMy WebLinkAbout2014-00962 - plumbing CITYOFORONO * z0 14 — PJPJ96z *
� 2750 KELLEY PARKWAY llATE ISSUED: 08/27/2014
, ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 649 FERNDALE RD W
PIN : 02-117-23-44-0003
LEGAL DESC : AUDITOR'S SUBD. NO. 184
: LOT 102 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RES[DENT1Ai.
CONSTRUCTION TYPE : FIXTURES- MULTIPLG
NO'i'E: 1S�I'I�LOOR: 1 WG 1 LAV, 1 �I�U[3. I KITC}IEN SINK, 1 SILLCOCKS, I WnSH1�:R, 1 WATi;R}II�;ATI;R
VALUATION OF PLUMBING E500
APPLICANT PLUMB[NG FIXTURE FEE 8125
STATE SURCHARGE PLBG (VALUATION) 3.25
KLAMM MECH
12409 COUNTY ROAD AA MAIL-IN FEE 2.00
BURNSVILLE, MN 55337- TOTAL 86.50
(952) 891-4868 Payment(s)
CREDIT CARD 2532 86.50
OWNER
ROBSON, YETER & ANN
649 FERNDALE RD W
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 Building Code. Thi�lpermit is for only[he work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of la���s 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 consVuction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requestcd in conforniance with the State l3uildin�;Code.This permit may be
revoked at any time Yor duc cause.
�i�� / /
Applicant Pcrmitcc Signaturc Datc Issucd By S� ature Datc
Aue, 21, 2Ci4 8;49AM �'o, 6002 P, 1
FOR CITY USE ONLY
� CSty oFOrono ^p J� �9 �,
P.O.Box 66 Date Received: Pern�it#�l �
� �� 2750 ICcllcy Purk��by G/�
L�ystal Bay,MN 55323 Approved Dy: Amoynl S: °�(J•�
(952)249•4G00—Main
(952)7s39-4616—F�
�� �� CITY OF ORO1V0—1'LUMBZNC�'ERMYx
��k4SHo�� (All Comrner�cial 1'ermi[s Must be Approved b,y thc Stnte Prior to City Approval)
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�ENERAL 1NF�RMATION
1. �You may apply for plumbing pei7nits by mail or in person at the City offices. Ap�lications will be
rcvicwed and a permit will be issued within hvo workitlg d�ys.
2. Permit cards�vill be sent by retun�mail after a revie�v is completed. P�Rtvti7'S AR�hrOT
V.�TTa iJNTTL YOT�R�CGT'VE A PERNIIT_ �VORK 11�IUST NOT B�GIN UNTIL THE
PERMIT CARD IS PQSTED ON TH�JO�i S1T�,
3. PlumUing permits may be issued ONL�1'to licensed plumbing contractors xnd to property owners
residing iu the dwelling.
4. 1Vhen any ncw construction or i-emodeling is involved,a sep�r�te bui[ding pei�nit must be
obtaincd.
5. All work must be do»e in accorclAnce with 5tate Code requirements.
6. All�vork�r�trst be inspeeted and air testecl bcfore it is covered_ Call(9S2)249-4600.
(24-48 hour�►otice reqiiii�ed)
TY��o����Nrz�
(Check All"That A�ply)
esideutial ❑Commercial(Approval Rey�iired)
❑Ncw ❑Additional (]Rep�irs ❑RepIace
❑ Tn Accessory Stnictlrre?
�'You will need n�•io�•npPz•ovnl and may need CUP.(Per Orono City Code,Cliapter 78,A��ticle iV)
Job Site/Or�vner Infarin�tion; -�
Site Address' � �►'"��� � G � �/ `�
O��vner: M�iling Address:
City: _��o,-� � Zip: ���.�� -�
Home phone: t11t�i�nate Pllone:
Contcactor Information:
Contr�ctor: /�/�Y�rY, ��c h Contact 1'erson: - iP o� .
Address: / �/a 9 ��„-��� // StAte Bond#: �C� � L/�� � j
City: l.�W�S��ll� Zip: S��j��Expieation Date: f� '.�/ r � a� sJ
Phone� �fi�f�' �'��' `'���� Alternate phone: � (.-�!����:�-����"� �
❑ Itlsur�nce—Clu•rent;
1
h`ab, 21, 2014 8,49AM No, 6002 P, 7
,
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¢�. � i�`. . ��j '�?'.��' . f'` � �_ ,� ��l'...__��` ` ��.�:'�,... � � �� �'�,�+R ,�iG�'�.a��. ����5.'�f'�o
FI�{TUfZP, BSMT 1' 2" OTH�R rT�TT� T3SM7' 1 2 0'I'T-l�R
T'Y�'� �'L P�, TYPE FL FL
\Vater CloseC � Floor Drains
Lavatory �1 Se�ver�jecto��
i
Bathtub �f L2undry Tray
y"
Shower Washer i/
y
Kitchen Sink i/ Wnter Henter �
.y� 1
Disposal �� 'WAter Softener
]7ishw�sher Wct Bar
Sillcocks � Miscellaneous
�
� 4 3 .�{tS�' ..;�4`��� ]1��'��'y'�L���1����?,.'��i�.,�L���rL11JAF.1.�1\-l1�1�1J/ ':. Lk.' � .� .
)��y f �
.� � ,C i�t�� ,�,1 l�.l� V�':���BA�.�.���' Q��' ��Q�Z�STI��'�'�`�ATLTE . ,s -�-
❑ Yes,this section�pplies
The replacement of o�zly o�ie ResidentiAI fixture or��liance th�t meets a[I three oftlie follorving
rec�uireineuts:
1. oes not rec�uire modification to electrica[or gas service.
2. �T�s a tot�l cost of$SOO.UU or less;excludina tl�e cost of the Cxtitre or appliancc:and
3. Is improvcd,inslallcc]or rcplaced by klic l�omeowner�r licensecl pIumbing contractor.
Skrp ne�t section,if tl�is Applies; Cost of penxit $ 15.00
St�te Surch�rgc $, S.pO
�fail-In Fee(ifApplicnble) � 2.00
Total pei�rnii�ee �
(Permlt rces Conti►iuccl On Nexf page)
_ _ .
2
Aug, 21. 2014 8:49AM No, 6CO2 P, 3
' �"�.�4,u'. ^�r,�... _�_ _�� J.:iki��.t^������.� t`?�3'�...\.K�l.�..�.-^�fi%`��AlJ�1G�.�"Qr��T'FC:'^��
If above does not a��ply;follow giiidelines below:
1. CONTRACT PRICE y is 1,25°0 of conn�sct price with a(Mlulmum ree oY550.0U)
� ��� �r X.orzs� � �, ( , ��
contract price) (minimum 350.00)
2. STAT�SC1nC�TA�tG� / ' ��
,� �a 5 �`' x_0005 $ � a. ��
(COiil etCtpriCe)
3. POSTAGL&HANI]LTI�rCr(Only on MAi[-rn Applications) $ 2.00
� 6
4, T07'AL,��121��TT���(Add�,ines 1-3 Abor�e) �
.�
■ � CONTRACT PRICE or JOB COST means the actunl or estimatec] dollar amount charged for the
permitted work inctuding mAteri�ls,labor,profit, �nd other�ixed eosts_ It is tlic amount to be charged
to the customer for tlie�vork done. Tf any material, ei�uipmcut,labor or iustallations are fi�rnished Uy
the owncr,fcn�nt or any other party,tlie re�sonable v�arket v�hie of such items miist be added to the
estimated cost or conh•act price for permit fee purposes. Yn rhe event that thcrc is a ciispt,te on the
�mour�t of the job eost, the City mAy request the submission of a signed copy of the acfual contract.
/...Y`� tY .��1 �. H ' � ^ i�� : 1� y '� . 11. ,� y,�t+ y jy
;��p.,._:���;��k�-��;-�xr�.�:L�i�7Iv��INS�:� _ � e'� . . 4'�`,��'�����..c� ���: '_�:������`,���!���� °�i��
The unc�ersigned hereby applies fo the City for issuance of a I'l�.►��►bing permit, agrees to do all
�vork in strict accordance �vith the ordinances of the City aud the re�ul�tions of the State of
Minnesota, and cerkifies that all statements made on this applicatipn ac•e complete, U'�.te a�t<1
correct.
Applicent's Sign�ture: �_ Dale: � � � � G/
3
i'
��
� DATE TIM
CITY OF ORONO CALLED IN
INSPECTIO OTI SCHEDULED �S
PERMIT NO. � ' G G���OMPLEfED �9"
ADDRESS K�`"►� � �� � � •
OWNER TELEPHQNE NO.�)� 2`�' �� � �
CONTRACTOR ` l___�C'� j�C�'���
� DESCRIPTION
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RL�z ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROO PLUMBING FINAL�� ❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL RI� ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP NDATION/REMOVAL
,�����j���
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
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O
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0
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W
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Q
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2
W
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W
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GW ❑WORKSATISFACTORY:PROCEED ,�PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
d ...
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours i a�► . 9 2 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
DATE TtME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �'L ��� ��
PERMIT NO. �!�!-du�'1��. COMPLETED !b - L -/f�
ADDRESS ��'l`� F����l� 12�, W�
OWNER TELEPHONE NO. Gl�? - o��l� " �//l
CONTRACTOR /���� /�cc�f •
� DESCRIPTION pl�- ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
v �UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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j ��.���f�J � �xfr ��r
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� CORR CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
or tt�he—ne�ttiA ion 24 hours in advance. (g52) 249-460�
Owne IContractor o i • �7 �e vG�
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice