HomeMy WebLinkAbout2015-01279 - plumbing CITY OF ORONO * 2 0 1 5 - 0 1 2 7 9 *
2750 KELLEY PARKWAY DATE ISSUED: 10/14/2015
� ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1125 HUNTER DR
PIN : 25-118-23-31-0004
LEGAL DESC : TEN OAKS
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMBING FIXTURES IN BARN(1 WATER CLOSET, 1 LAVATORY, 1 SHOWER, 1 FLOOR DRAIN, 1 SEWER EJECTOR, I
ELECTRIC WATER HEATER)
VALUATION OF PLUMBING 3000
APPL[CANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.50
FRANK MOTZKO PLUMBING TOTAL 51.50
4201 ZARTHAN Payment(s)
MN 55416- CHECK 18095 51.50
(952)929-6048
Minnesota State License#:plbg-PC644443
OWNER
PERRY, CHRISTOPHER& KELLY
1125 HUNTER DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be �/
revoked at any time for due cause. /
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plic t Permitee Sigt�a ure Date Issued By Signat� Date
� FOR CITY USE ONLY
. < �, City of Orono
• ���� P.O.Box 66 Date Received: LC' 1 � Permit# t�(1 .�`r �;��� �l
2750 Kelley Parkway l(� - c-
Crystal Bay,MN 55323 Approved By: ' "'����Amount$: �� '�
� (952)249-4600—Main
(952)249-4616—Fax �(�.`�>�.¢�J �� �SC�
yF� ��` CITY OF ORONO—PLUM�ING PERMIT
qkESNO� (All Commercial Permits Must 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 will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
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 work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That A 1
�esidential ❑ Commercial(Approval Required)
❑ New �dditional ❑ Repairs ❑ Replace
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�� In Accessory Structure� ',�c�1'-j1 �� --'� f� l��I �� -�"� �C (` ,_-�' L 1�'�l� � y.=���1 �
` *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Infonnation:
Site Address: �1��5'f��/1�7`z�e? ���---
Owner��//�S�--r�,�,c�-I ��/�1�{ Mailing Address:
City: G'l/�-/ZA-r'� Zip: �-���-�
Home Phone: 1��,;2-73J- 3y��. Alternate Phone:
Contractor Information:
Contractor: 72Ri��°�'�ar•<.�, ��✓�'�$� Contact Person: --�caf� /����
Z��
Address: 4%oi Z�ia,a�v Ar�-S State Bond #:
City: �'•�a�'%S ��►-,�� Zip:���/� Expiration Date:
Phone: �`'-���y�`� ���`�� Alternate Phone:
❑ Insurance —Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet ` Floor Drains /
�
Lavatory / Sewer Ejector �
Bathtub Laundry Tray
Shower / Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to eleclrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
��� x.0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
�'�'�'z� * s. ;�� � �.: „� � ,� �'��
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � �9�"l� Date: G�!v�� ZG`Y3'
3
� CITY OF ORONO * z 0 1 5 - 0 0 7 9 6 *
• 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2015
� ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1125 HUNTER DR
PIN : 25-118-23-31-0004
LEGAL DESC : TEN OAKS
: LOT 002 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : BARN `
ACTIVITY : 328-OTHERNONRESIDENTIAL BUILDINGS b ��,�—I 1-t,,�M�
VALUATION : $ 200,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,SEPTIC,AND ELECTRICAL(STATE) �� �
(RESTORATION/REMODELING BARN[N-KIND) � Z'� �����
�
NOTE: PRIOR TO RELEASE OF ESCROW MONEY,AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INITIAL:
NOTE: DESIGN FOR CONNECTION TO SEPTIC SHALL BE DONE BY LICENSED SEPTIC DESIGNER. INITIAL:
�
APPLICANT PERMIT FEE SCHEDULE 1,739.59
PERRY,CHRISTOPHER STATE SURCHARGE(VALUATION) 100.00
1125 HUNTER DR TOTAL 1,839.59
WAYZATA, MN 55391- Payment(s)
CHECK 79 1,839.59
OW1vER
PERRY, CHRISTOPHER&KELLY
1125 HUNTER DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEME1vT
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 governing 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 cons[ruction 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
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
�
STATE QF MINNESOTA
M1kSTER PLUMBER
License# PM058694 _ __ : '
Expiration Date 12/31/2016 ``���.�,...��'��
Effective Date O1/02/Z015 ;
Original Issue Date 09/16/1980 i
.�QSEP.H.A MOTZKO �,
4201 Z4RTHAN AVE S
MINNEAPOUS,MN 55416
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DATE TIME
CITY F ORONO CALLED IN � __=�
INSPECTION NO ICE .�s CHEDULED _L��cz�,I�
PERMIT NO. � ��� '���7cOMPLETED
ADDRESS � �o� � �C,�_� ��
OWNER TELEPHONE NO. 7�����
CONTRACTOR ��
� DESCRIPTION v �`��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE PTIC INSTALL
2 �NNERICONTRACTOR TO MEEi YOU: YES_NO
c�i, COMMENTS:
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W RKSATISFACTOR�PROCEED ❑PROJECT COMPLEfE
� RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours in advance. (95 2 9-4600
OwnerlContractor on site:
Inspector.
White CopyllnspecMr's File Cenary CopylS Notice
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�\ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ���-I�:� ���.
PERMIT NO. .�=��`�- �2�� coMP�erEo
ADDRESS l � �`� ���-�t��> ��.'`t i ' .
-�7 � � �,4�����J�
OWNER TELEPHONE NO. L ��� �----
CONTRACTOR ������- `�`��-�--��
� DESCRIPTION �—�- -, �l�' ,
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIIJA�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ 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 ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERT�FICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. (g5 2 9-460�
OwnerlContractor on site:
Inspector:
White Copyllnspector's File ' Canary CopylSite Notice