HomeMy WebLinkAbout2016-00236 - plumbing �
i CITY OF ORONO * z 0 1 6 — 0 0 2 3 6 *
2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 517 FERNDALE RD N
PIN : 36-118-23-14-0007
LEGAL DESC : LINPLATTED 36 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.25
WATER DOCTORS MAIL-IN FEE 2.00
8201 CENTRAL AVENUE TOTAL 52.25
SPRING LAKE PARK,MN 55432-
(763)535-1800 Payment(s)
Minnesota State License#:mech-WC645002 CREDIT CARD 8557 52.25
OWNER
ANDERSEN, STEVEN& STACIA
517 FERNDALE 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 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. I 1},�
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Applicant Permitee Signature Date Issued By Signat�re Date
Mar 11 1 F.10:23a Water poctors 7635351805 p.1
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,�p�`�., Cify of Orono FOR CITY USE ONLY
� z P O. Box 6E � Date Received: ��—i�—/(r�
t� 275�Kelley Parkway �
',y\� �i Crystal Ba y,MN 55323 Permit# Z�' !�'— �U�.`-��
.�'�'� �,> (952)249-4600—Main �`�
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:f/www.dli.mn.qov/CCLD/PDFIpe plumbplanrevapp pdf
GENERAL fNFORMATION
1. You may apply for plumbing permits by mail or in person at the City offces. Applications will be
reviewea anc a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review i5 compJeted. PERMITS ARE N07�VALIa
U NTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CAR� IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
�esidirg in the dwelling.
4. When any new canstruction or remodeiing is invofved, 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 couered. Call (952)249-4600.
(24-48 hour notice required)
TYPE �F PERMIT(Check All That Appiy)
f�' Residential ❑ Commercial {Approval Required) [t3ack�tow[7evice:❑AV8 �Pv[3)
,�New ❑Additional ❑ Repairs ❑ Repface
[] In Accessory Structure?
"You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Ownef InfoITnation: �
Site Address: �/ � ,T--�Vy1��
Owner.�/;�q �,T._�j�D��Mailing Address:
Gity: Zi p:
Home Phone: Alternate Phone:
Contractor Information: �
Contractor:LX/a.� ���rrS Contact Person:
Address: �o�p/ �'�n�✓��C�'.-e /U � State Bond #: ����l SD��
City:�rr� �/�� �i� Zip: S'S�3� Expiration Date:
Phone: 7C,.�- S`3S—«�U Afternate Phone:
❑ Insurance -Current:
Fage�
Mar 11 1� 10:23a Water poctors 7635351805 p,2
� :_'; "_. - : �LL1�VI81NG FtXTt�R�S B€��1�INST�LLED ., ;
FIXTURE , BSMT 1sT 2"o OTHER FIXTURE BSMT 1sT 2ND pTHER
TYPE Floar Floor TYPE Floor Floor
1Nater Closet , Floor Drains I
Lavatory � Sewer Ejector
Bathtub i Laundry Tray
5hower Washer
Kitchen Sink Water Heater
' Disposal Water Softener
Dishwasher Wet Bar
Sil Icocks ' Miscellaneous
' , F'�f�MfTfE� GAi.C�1LAT[D�J. . . '
1. CONTRACT PRICE *is 4.25% of contract price with a(Minimum Fee of$50.00)
�^� x .0125 �
(contract price) (rninimum $50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE�HANDLING(Only�n Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $
" CONTRACT PRICE or JOB COST means the actual or estimaied doflar amount charged for the
permitted work including materials, labor, profit, and other fxed 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 o�er party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. I� the event that there is a dispute on the
amaunt of the job c�st, the City may request the submissian of a signed copy of the actual contract.
P�UNIBENJ� PERAtItT APPL1£',ATION l�k,GREERIlENT -
The undersigned hereby appfies to the City for issuance of a Plurr�bing Permit, agrees to do all work in
strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and
certifes that all statemenfs mad on this appli re mplete,true and correct.
Applicant's Signature: Date:
Buildir�g OfficiaU Inspector: Date:
Page 2
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CITY OF ORONO CALLED IN � -�
INSPECTION,A����r /q/� CHEDULED �� `D:
PERMIT NO.�� ��� MPLETED __�
ADDRESS
OWNER LEPH E NO?�� ���5-�g�
CONTRACTOR C-��
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� DESCRIPTION � . - 6��� � '��
ty ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
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Q ❑ 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
4! ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
OWNE RACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE
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� ❑CORRECT WORK,CAII FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE COND�TION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractoron site: ��G�i�'i
Inspector.���
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN
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INSPECTION���/�„r/f4 CHEDULED �� ��'
PERMIT NO. � �� MPLEfED �
ADDRESS
OWNER LEPH E NO?�-3 �'��S-�g�
CONTRACTOR y�
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� DESCRIPTION - ��� ' � ��
ty ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
Q ❑ 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
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
OWNE RACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractoronsite: �'�Cv�
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Inspector.T�i � �"r
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White Copyllnspector's File Canary CopylSite Notice