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Home My WebLink About2015-00300 - plumbing CITY OF ORONO * Z 0 1 5 - 0 0 3 0 0 * � 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2015 ORONO, MN 55356- 952) 249-4600 FAX: 952 249-4616 ADDRESS : 1340 REST POINT CIR PIN : 07-117-23-31-0021 LEGAL DESC : REST POINT PARK LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 LAVA"I'ORY, 1 BATH"I'UB& 1 FLOOR DRAIN VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGB PLBG(VALUATION) 0.30 PERET&JONI JOHNSON,ZIGMLTND TOTAL 50.30 1340 REST POINT CIR MOUND,MN 55364- Payment(s) CREDIT CARD 3598 5030 OWNER PERET&JONI JOHNSON,ZIGMUND 1340 REST PO1NT CIR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for onty the work described and does not grant permission for additional or related work which requires separate permits. Ail provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked at any time for due cause. ./' �3�,� l.� ' �� C�YY�� a �� Appl' an r itee Sign ure Date Issued By Signature Date I .' _�, FOR CTI'Y USE ONLY �O . ` City of Orono 1�� P.O.Box 66 DaYe Received: Permit# � 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: ' (952)249-4600—Main (952)249-4616—Fax y�'�q �c.` CITY OF ORONO—PLUMBING PERMIT kES H O� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.clli.mn. ov/CCLD/PDF/ e lumb lanreva . clf' GENER.AL 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 properiy 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 wark 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 ly) �] Residential ❑ Commercial(Approval Required) /�ew ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior aparoval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner I�formation: Site Address: �� 1<e.� �� C� G�`�' -✓G �. Owner: ' ��"�'� Mailing Address: � � � I City: o✓ov1C) Zip: .SS.��/ Home Phone: -�S� �/�,/ ,�C1�7 Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ♦ .,�- PLUMBING FIXTURES BEING 1NSTALLED FIXTURE BSM'I' 1 2' OTHER FIXTURE BSMT I� 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 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of only one Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�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 Permit $ 1 .00 State Surcharge $ .0 Mail-In Fee(If Applicable) $ 2. Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . � . � �{ � � �'��' �� 'C��.��`� ��0��7�?,'�R`��`��#� �� ;��;�� ": If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee o�50.00) �� '� X.oi2s$ (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. �:. `�r��` � .�'r,��,�` � ;�� c � � v) h '� � �� ;��'��'��r�,,��'��`i 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: �� / Date: 3 �� _ 3 ,�� e� 3� � ✓ DATE TIME CITY OF ORONO CA�LED IN INSPECTION NOTICE SCHEDULED � PERMITNO. '��JJ��COMPLETED ADDRESS � ��"� G ��t 1' t C i�- OWNER 2- � TELEPHONE NO. ��'7 j �- ��- CONTRACTOR 1`�l Y�)y1!'� -- d7 C � Y1��.��riL- Vl��'�'lS�� J �� DESCRIPTION � � �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BUFNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE S PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNE,RICONTRACTOR TO MEET YO�YES_NO c�.� COMMENTS: � W a � J O � ¢ O _` ,, W � Q � 2 W � W � j d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PFOCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in dvance. (952) 2 - 6�� OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopyfSite Notice ,�}'�� c -f- y � DATE TIME CITY OF ORONO CALLED IN =�� — INSPECTION NOTICE SCHEDULED ___�t2� PERMIT NO. ��n ��3� COMPLETED ADDRESS �� / C'� IZL� S"i' � f �/� � - OWNER TELEPHONE 140. �S �` Z f�I_�[� CONTRACTOR � DESCRIPTION �( �� /` ��- / � Q f-or `�'c.-�t� i ocr . ly ❑ FOOTING ❑ DEMO-FINAL LLZ 1/ �Q SEPTIC FI�I L �y�/n 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ S�PTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 � COMMENTS: �� S-F`�- Cti!' ��f �� f W a j ./_, O �. � O � W � Q � 2 W � W � J W ❑1NORKSATISFACTORY:PROCEED PROJECT COMPIETE � ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan . 249-460� OwnedContractor on site: Inspector. - White Copyllnspector's File Cenary CopylSite Notice