HomeMy WebLinkAbout2013-00436 - plumbing CITY OF ORONO * Z 0 1 3 - 0 0 4 3 6 *
3 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2013
�. ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS � : 225 HOLLANDER RD
PIN : 25-118-23-44-0007
LEGAL DESC : HOLLY ACRES 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00
3670 DODD ROAD- SUITE 100
EAGAN,MN 55123- MAIL-IN FEE 2.00
() TOTAL 22.00
OWNER
CLOSE,JILL&LOUIS
225 HOLLANDER RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with�he State Building Code.This permit may be
revoked at any time for due cause.
�'YV�-�-P �. / / / /
Applicant Permitee Signature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
`
a�,�� Cety off Orono FOR CITY LJSE ONLY
p P.0 Box 66 Date Received: Pennit#
?750 Kelley Parkway --
'� } �. �� Ci��stal BaY.MN 55323
, L Approced By: Amount$:
�`:`"t�k ,•�w�: (95�) 49-4600—Main
ssso,, (9j2)�-�9-4616—Fax
�a�� �� OYOOI�IO — ���11v���1V�� ��Y�l��Y 1
(All Commerc�al Permits 1Vlust be Approved by the State Prior to City Approval)
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GENERAL INFORMATION �
1, You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit wi]] be issued within two working days.
2• Permit cards will be sent by return mai;after a review is completed. PERMTTS ARE NOT
VALID [J?vT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TF�E
PERI�'fIT CA,R�IS POSTED ON TId�.�OB SiT'E.
3. Plumbing pei-mits may be issued ONLY to licensed plumbing contractors and to property owners
residi�,� in t!�e dwellintr.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All �vork must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 houe notece requireci)
TYPE OF PERMIT
(Check AIl That Ap ly)
�
'�Residei�tial ❑Commercial(Approval Required)
❑New ❑Additional
❑ Repairs �Replace �
❑ In Accessory Structure?
*You wil{need nrior anproval and may need CL-P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/O���ner Information:
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Site Address: �-�- J� d ; � �� Ci.f(� (� Q�' �.(� _
Owner: �L��� ��' ��� Mailin� Address:
City: ����1, � ��Q�� Zip: � � �� �
, Ho�ne Phone: I�,���1`��-�" � 2�� Alternate Phone:
Contracto�- I11foi-n�ation:
Contractor: � '��_�
���.� Contact Person:
Address: J�� �� �� (��'*
1-ti1 � State Bond#:
c�ty: � �, � 55�L3
Zip: E�piration Date:
Phone: �"�� ����� Alternate Phone:
❑ Insurance—Current:
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t�i� r_`,
l, """ l ��v1 DATE TIME �
CITY OF ORONO CALLED IN
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INSPECTION ICE SCHEDULED 3
PERMIT NO. oM LETED
ADDRESS
OWNER EP E NO. �' g�` ' �
CONTRACTOR �
�
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED }�iOJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector_ �
White Copyllnspector's File Canary Copy/Site Notice