HomeMy WebLinkAbout2013-00048 - plumbing � � CITY OF ORONO
* 2P113 - P1004B *
2750 KELLEY PARKWAY DATE ISSUED: OU18/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3520 NORTH SHORE DR
PIN : 08-117-23-43-0009
LEGAL DESC : BALDUR PARK
: LOT 003 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(3)WATER CLOSETS,(3)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,
(1)LAUNDRY TRAY,(1)WASHER,AND(1)WATER HEATER
VALUATION OF PLUMBING 9500
APPLICANT PLUMBING FIXTURE FEE 118.75
JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 4.75
720 PONTIAC PLACE
MENDOTA HEIGHTS,MN 55120- MAIL-IN FEE 2.00
(651)365-8680 TOTAL 125.50
PAID WITH CC# 7157
OWNER
PETERS ET AL,ANN L
3520 NORTH SHORE DR
,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 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 caus .
C 1 � / /( �/� / / /�//
Applicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
61 18I2013 00:34 6519948761 JANECKYPLUMBING PAGE 61
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(952)249-d60(I—M�in
(95Z)249-4616—Fa�
CTTY OF 0�2.ON0—PLUN�LrTG PERMIT
(A.II C'omme'rcial Permits Must be Approved by t6e State Prior to Ciiy Approval)
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G�F��tAL�NFOR'it+SATIQN � . . � . . . . .
j 1. Xou may apply for plumbing perttpits by mail or in person at thc City offices. Applications will bc
' tev�ewed and a permit will bc iseual withi�.two warking days.
Z, Pe�mit cards will be sent by retut�}mail stfter a review is completed. PERNllTS ARE NOT
� VAL,T,D UNTTL YOU RECEIVE�1 PELtM1T. WORK MUST P10T BEGIN L TAE
P'�IZMiT CARD iS POSTED ON_�S�JOB_�IT�
3. Plumbing permits may be issu�d ONLY to licensed plumbing contrsctors and to p�operty owners
residing in the dwellirg.
I 4_ When arry new construction or remodeling is involved,a separate building pctrnit must be
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obtained_
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- 5_ �Il work must f e donc in ac,cordance with Stete C+o�e�equiremerits:'� � ��-
6. AIl work must be iq.spectcd and air tested before it i5 covered. Call(952)249-4b00.
(24-At�honr notice reqaire�
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[�Residc�tial ❑Commercial(Approval Required) -, -- _-
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Job Sifie'/.O�vv.�rer��nform�tion,: � ;�, nt,, , ,. . ...
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Owner ��� ��+~'�rS_ Mail ing Address: ��� ��'/�(�t'� �wu�i^i�
City: ��fy�" � .� :� . ��� � Z�p. _ �����g 1
.HomePk�o�t�� � �^, - • AlternatePhone: �fo�,��� �J� 344a
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Cont�sel� . � -�ontact Person: ��+�
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01/18/2013 09:34 651 948701 JANECKVPLUMBING PAGE 02
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FIX'RJRE BS 7' 1 2 OTAER �IX'�'URE SSMT 1 2 O'fE�'sR
TYPE �1.. FL TYP£ FL �,L.
Waeer Closec � � Floor Drains
Lavatory ` .� Scwer fiject�or
Bathtub r Gaundry'l�ay '!
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$hower / Washer �
Kitqhen Sink � Water Hcatcr �
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.,. ,. �_:,.._. . _,�,�r -�� w�ter Sa�er - - ,
_,� . . Dtsposal _ -
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Di�h.washer � Wet Bar
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Sillcocks Miscellaneous
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❑ Yes, is sec�ion applies .
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� ,'f'hf replacem t of o�ly one Residential fix�re or aQpliance that meets all three of the following
� ireme�nts: .._ _...._,.
1. oes n require modification to electrical or gas service.
- _ .
2. Has a tat�of 5500.00 vr less;exc udin the cost of the foct�ire or applian�e:and
, _ 3. Ls improvvd,instslled or replaced by the homeowner ar liaensed plumbing contracbor.
y _
S p next sectidn,if this applies; . Cast of Permit _ $ 15.00
.,-..--..-�--,.—.. _
., ., Staie Sw�charge S 5.Q0
Mail-in Fee(if Applicable) $2.00
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To��Permit Fce S
(�ermlt�+'ees COotiOped On No:t Page)
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0�18/2013 00:34 6519948701 � JANECKYPLUMBING PAGE 63
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�f ebove does not apply;foUow guidelines bClow:
1. COr CT PRJCE *is 1.25°/��fc.oNntract pricc with a(M9nimam Fee otS50•011)
LCjd�✓U X_���� ! ! � � /�
I (conitt�price) (mioimnm 550.00)
2. STATE 3URC�BGE �. '7 S
x.0045 �
(ca,aac,t pr+ce)
3. POSTAG�8t HANDLING(Only on Meil-.fn Applications) $ 2.00
4, �'O'l',�t1,PERMIT FEE(Add Li�.es l-3 Above) $ ��� ��
._-,,- �. :--- • * Cp�l'I'RA,C�.��T�E.or 70B COST means the acd�sl-or.�stima�e,d._dollar amoum charged for the _ _---
pcnt�itted work i luding mat�crials,labar,pro�it,and other fixed costs. lt is the amo�mt to be ch� ^
to the customer the woric dona If any mate�ial,equipmrnt, labar or installations are furnished by
the owner,tenen or any other party, the roasonable market valuc of such iums must be added to the
estimated cost o contract price far permit �e purposes. Jn the evens that there is a dispute nn the
amourn of she jo cost, the City may request the submission of a signed copy of the actual eontract.
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T6e undersigned hereby applies to tho Ciiy for issuance of a Plumbing Permit, agrees to do all
work in striet aceordance with the ondinances of, the City and the regulations u£the State of
Minnesota, and certifies that all statements msde on this application are complete, true and
s correct _ .
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Applicant's 5ig�ature: Date:
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CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE ,/� SCHEDULED /3 /O.'OC7
PERMIT N0.�20!3- DOD'f'g COMPLETED � � ��
ADDRESS ��ZD �1�� ���01.�_ l�"(�
OWNER TELEPHONE NO. �7�7" ���7
CONTRACTOR �.��-�P��
� DESCRIPTION ��n-� p����
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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�y/(]�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V• PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Cali forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.��
White Copyllnspector's File Canary Copy/Site Notice
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D E TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE k SCHEDULED — a".�D
PERMIT NO. ao�3'����v COMPLETED
ADDRESS 35Z.D �Or7� 5�-- �L�
OWNER TELEPHONE NO. ��� 7��'S��
CONTRACTOR �/
>; DESCRIPTION ��� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call torthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. � ' �
White Copy/lnspector's File Canary Copy/Site Notice