HomeMy WebLinkAbout2014-00366 - plumbing � " CITY OF ORONO * Z 0 1 4 - 0 0 3 6 6 *
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2014
ORONO, MN 55356-
952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1065 LINDEN LA
PIN : 07-117-23-14-0066
LEGAL DESC : LINDEN BEACH
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(5)
SILLCOCKS,
(4)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR
VALUATION OF PLUMBING 35590
APPLICANT PLUMBING FIXTURE FEE 444.88
STATE SURCHARGE PLBG(VALUATION) 17.80
SPRING PLUMBING LLC MAIL-IN FEE 2.00
11473 KENYON COURT
BLAINE,MN 55449- TOTAL 464.68
(763)614-7963 Payment(s)
Minnesota State License#:plbg-066807 PM CHECK 9549 464.68
OWNER
KUZNIK,TONY&CARRIE
10690 ZIEGLERS DRIVE
BROOKLYN PARK, MN 55443-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
pertnits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 1 SO days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature te Issu By Signature Date
' FO C�USE ONLY
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1 Crystal Bay,MN 55323 Approved By: Amount$:��[�6
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F �� CITY OF ORONO—PLUMBING PERMIT
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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.
Z. 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
PERiV1IT 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
�]Residential ❑Commercial(Approval Required)
� �
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior apuroval and may need Cti P. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Infonnation:
Site Address: � � � S� �r`��� �-u--�`�-
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �L/�-/'J� Contact Person: � /��''-��
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Address: �,� �(�I 3 IC�/l�'I!/1� � State Bond#: Pl�. �D� 3���
City: Zip: '����Expiration Date: 1���/ S�
Phone: ��3'�D�N`���3 Alternate Phone:
[�,_Insurance—Current:
1
PLU1�IlrTG FLXTUI�t,�S BEI�TG INST I�E13 '` �
FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �
Lavatory Sewer Ejector
Bathtub 1 Laundry Tray I
Shower ` Washer I
Kitchen Sink 1 Water Heater '
�
Disposal 1 Water Softener 1
Dishwasher ` Wet Bar 1
Sillcocks � Miscellaneous
pE����c�.eut�A�+�rr( 3
BRSED OFF-2402 S'TA'I'E�TATUE
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. D no require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the�xture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip ne�ct section,if this applies; Cost of Permit $ 15.00
State Surchar�e $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
(Permit Fees Continued On Negt Page)
2
. . • `
FERMIT FEE C�ILCUL,�.TIt?N � �-�OBS 4 R$�t�0,00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of S50.00)
35; ��� . o� X.o�25� �l � � . e�
�(contract price) (minimum$50.00)
2. STATE SURCHARGE �S i �G O. � � ` Q �
� x.0005 $ I U
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ "1 � N . � V
■ * 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, eyuipment, 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.
PLUIV�I�+tGr PERMIT APPLICA�"IC)N�.C�' : 1V�I+�'F
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a11
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: �C�" '�Date: � y I
3
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CITY OF ORONO cALLED IN �
INSPECTION NOT E SCHEDULED — � �
PERMIT NO. � COMPLEfEO
ADDRESS l�� L!nQ��t�C L,�CfL-
OWNER TELEPHONE N0.7� �7� 7/yg
CONTRACTOR �����'✓� �
� DESCRIPTION �/����
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� ❑ FOOTiNG ❑ PLUMBING FI XCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
"j ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE�R`�MOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE IFISPECTION
Q � RAD SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� O FI ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Q
= EMO-FINAL SEPTIC INSTALL ❑ HARD COVER REMOVAL
v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10WREMOVAL
OW NTRACTOR TO ET YOU:_YES_NO
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W WORKSATISFACTORY:PROCEED ❑PROJECT COMPIETE
W ❑ RRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours i a ance. 9-4600
OwnerlContractor on site:
Inspector:
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CITY OF ORONO CALLED IN �'� _�
INSPECTION NOTICE'/ scHeou�E� ' � •��
PERMIT NO. O?�� Y"_G���'COMPLEfED
ADDRESS �D [-c ��� 1 C L
OWNER EPHONE NO� � 7�5 7
CONTRACTOR
� DESCRIPTION � �� ^ �� ��-''
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC�NSTALI ❑ HARD COVER REMOVAL
v �lFLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEETYOU:_YES_NO
c�.� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca next ins ' 24 hours in advance. (952) 249-4600
Own Contracto ite:
Inspecto . - '-�'
White Copyllnspector's File Canary CopylSite Notice
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ATE T�ME/
CITY OF ORONO ��CALLED IN � -� ' � �`
INSPECTION N I E SCHEDULED �� �— �
PERMIT NO. co LETED ,
ADDRESS I�.1� 0��,/rl�LN l 7{/1./(.2�
OWNER EPHONE N0.7�'OC��
CONTRACTOR ,
� DESCRIPTION � �
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� ❑ FOOTING �LUMBING FI ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICA I ❑ 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
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:✓1'l�!/�� " �S hL����1iT
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� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE
�RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlConVactor on site:
Inspector. � � O�" ��"r�
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White Copyllnspector's File Canary CopylSite Notice