HomeMy WebLinkAbout2014-00781 - plumbing ' ' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 7 8 1 *
DATE ISSUED: 07/23/2014
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2595 LYDIARD CIR
PIN : 20-117-23-11-0004
LEGAL DESC : APPLE HILL
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: RE-PIPE TWO LAUNDRY BOXES
VALUATION OF PLUMBING 475
APPLICANT PLUMBING FIXTURE FEE 50.00
PLUMB RIGHT STATE SURCHARGE PLBG(VALUATION) 0.24
1216 82ND AVE N MAIL-IN FEE 2.00
BROOKLYN PARK,MN 55444- TOTAL 52.24
(763)561-3306 Payment(s)
CREDIT CARD 0009 52.24
OWNER
LEUPKE,JOHN
2595 LYDIARD
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Dat Issu By Signature Date
07�23�2014 09 : 10 From : Leupke Plumb Right Plumbing Page : li3
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�'�(�''��^'`^ C ity of Uruno � ,�.� /
C �"✓J�� R.t).(3c>a 66 F)&t�At�d��d. PetmiClk
� . 275Q heilt�f'nrkn�v ' ;
Crl'S431 Rit�,'vIN SS322 A�prest��d$y"' Aa�ttunt�'-
(452).'.44-�6(Ni._M�ti�t
. � � (9j21249-4(i 16—1'ax .
�' c.` GI'TlI QF E)RONO—P'LUMBING �':ERM[T
f��'Est��+�`�' (All Con7n�ercial Permits Must he AE>pr<xved by the State Pcior to Caty�lpprc�vaE)
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1. Y�u may a�ply°far}�lumbing penr�ics l�y rnail oe in pez�on at the City of.'Eices. ApplicAtians tivill be
reviewed and a�rn2it wilN be iss�ec���itltin t�o��carl�in�days.
2. Per�nit c�rds will bz s�nt by returF�mail at�er a review is campleted. 1�1;�tM.[TS RFtE tiQ'T'
V;1.I,1[7 t�NT't1.�Yt>L�:fZFCE1:VF..A.PE..RMII`. N'ORi�!�'[t;ST NOT BEGIN UNTIL THF
P1�.'�„rRrV1IT CARU 1S POSTED ni'V'T}�F Jt:)$SIT'E;.
3. F'lumt�z�ig permits may be isstted C?'vI;Y tc�lieensect plun�bin�contracYc>rs an�t�property owi�e►s
re5ic�in�in the dwellinb.
4. When any new con�truction or remodelin�is invc�lved,a si;p�rate buildin�;permic rn�tst be
ohtained.
5. All wark must be done in accorciance with.Ste�e Code.requir�n�ei�ks,
6. All�aark imust be inspected'ana air teste<i before it is covex•ec�. Ca.11 E,9S2)'49-4600.
(24-48 hqur notice rec�uirecl}
T'�P���``�'�I�1�11�', '.
; C��ck�1i��"hat.�s�` �
�R,esidentiaf []C.c�mmercial(Approva}it�;yuirec{}
❑New ❑Additional ❑Rc�airs .(��,Repla�e
❑ in Accessc�ry Structure?
*You wilt need urior s►npe•a��al ai�d may neec!(;;1,;;(�.(Per Orono City t,�ac�e,C'hapt�r 78,,4rticfe EV}
��r�b�3��t f3��r��1�'���x#�t�n:.
Site Addre.ss: ;�`��^� L.! �l���� t.����°
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()u�ner: �G"�,� "�� Ivtaili»�t�c�dress:
C. .
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Home f'h�ne: 1I�,;� -,.���``�'��,.'� Alternate I?hone:
�caas�c��t�rr��e�f�ar�a.�.ic�n`
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Contractor: f'�,�'���1' _ C`�nt�ct I'ei�son: —=L����':: �C'
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4.ddress: {��,��a s���.,,.� t �lat:e Banct#: � ��
City: ,,�6��� �/�.7i�:�����Expirati�i�DAt�: ���/!'��
Phot�e: ���� .. '� : � Alter»ate Pho�te:
Ir,sura��ce—Cureent: ��1�;�7 ��" �<���,�
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67�23�2014 09 : 10 From : Leupke Plumb Right Plumbing Page : Zi3
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FI:�.'FUR.F BS'�4T ly 2` OTfiER FlXTL'�RF: 13S?�9T t` 2� OTHER
'i'l'F'� FL F'L 7'�'E'E FI: FL,
Water Claset f�loar[)rains
Lavatc>ry Sewer Eject��r
Hafhtub Launcfrv Tray
Shower l�V�sher
Kitehen Sink W'ater�ieaier
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Dis�osa.i 1Nater Saf�ener
Dish�vaslzer �J4'et Bar
Sillcocks � vtisc;ellaneous ��
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x"�e �5. ; 'h x i �"`a�r �. � .y. � �.��-r=.
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❑ Yes,this szctio��app[ies
The replacen5ent of ont,y azee:R s' �i�l�rk�„ ure�v app{iance tliat ct�e.ets ail three uf iJi<.failowing
requirements:
(. i3oes not reyuire n3odi.ficatian to eie4trica}or�:as service.
2. I{as a a 1 st of$�(10.0�or less;ex.cEudi«�the cost af khe fixture ar appliance:and
3. is impm��ed,instaEled c�r repiaced by the homeowner Ur licensecl plun�bin�cc�ntra.ctar.
Skip next section,ii'this appfies; C:ost of Permit � 15.00
State 5urchar�e � 5.06
Ylail.-In Fee(If AppEic�ble) S�2.�Q
T'otal F'ermit Fee 5+ "'
(Pernait Fee.r C;ontiazued Un 14ext Page)
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07�23�2614 69 : 10 From : Leupke Plumb Right Plumbing Page : 3�3
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if above does not app(y;follow ec�idelir�es Uelow:
1. Ct)�17 RACT PRECE_ * is I.25ti/o of co��tract prire���ith a(��Tininium:�ee of�50.00)
��� �.a�?s�_.—.��°"�``� _
�cnntrac[pricKj (niiaimnm Si0.00)
2, STATF.SLtbZC�{ARGF. �* �.» ��
1..��!._....—._..............x.6005 � ___ .. r..� !
(cantrut price)
3. �C1STAfiE&FF�i�iDLINCx(Orkly on Mail-In App[icaticros) $ ?.O{1
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4. Tf)TAL PtiRMCT���:(Add Lines 1-3 Above) � :.'��
■ * CO'�TRr1CT PRICE �r J06 C'(:)ST'��eans ehe actital or estimated dalkar amount cltar�ed for the
perr��itted work incladir��mate.rials,iabc>r,graft,arid e�ther f�ec1 e�sts. {r is tlte an�aiErat io l�cE�.ar¢ed.
to the cust�mer F�r the work d�ne, If any materiat,e�ui�r�iei�t, labor or installati�ns are furnished by
the owner,tenant c�r any c�ther pariy,thc reasona�le�»arket vatue of such items muct��added t�che
estimated cost ar contract price fc�r permit fee pwrposcs. ftt fhe e��'ent that there is a dispute an the
amount�f t}�e,job ec�st,tlae City m�y request the swbn�issiori of a signeci eop��c�f ilae actual contract.
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The undersign.ed hereby applies to the C�ty for issuance �f'� Plumbin� Permit, �grees to do all
�v�rk. in strict ar.cordance w'rfh the ord'anances 4f thc City and the regulations �f ilie State af
Minnesota, and certifies that alI statenlents made cm. this apptication are e.antplete, true and
corr�ct.
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A�pli.eant's Signature: ��. �.._ 1ate: A. �
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DATE TIME
CITY OF ORONO CALLED IN 7 �--
INSPECTION NOTI E SCHEDULED 7— � ��
PERMIT NO. ��� I COMPLETED �
ADDRESS �
OWNER PHO E NO� � �
CONTRACTOR u �
�; DESCRIPTION �
�
l� ❑ FOOTING ❑ PLUMBIN I AL O EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHAN AL RI ❑ LAKESHORFJWETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL � �• ❑ DAZJOIQIREMOVAy/
Q OWNERICONTRACTOR TO MEET YOU: ES_NO� , �'
2 tiU��
� COMMENTS:
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W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Ca11 forthe next inspection 24 hours' advance. (95 249-4600
OwnerlContractor on site: �
Inspector.
White Copyftnspector's File Canary CopylSite Notice
� � ` � ,�.ATE�, � TIME `�
CITY OF ORONO CALLED IN 7-o�
INSPECTION N TICE �c HEDULED 7 CJ� % �
PERMIT NO. ����coMPLETED '
ADDRESS ��'
OWNER LE HONE N0.7 5 �
CONTRACTOR
. � " 'L
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICOMMCTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED W ECT COMPLETE
� ❑CORRECT VYORK 8 PROCEED ❑I E CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �9 49-46��
Owner/Corrtractor on site:
Inspector:
White Copyllnspector's Ffle Cenary CopylSlte Notfce