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Home My WebLink About2016-01189 - plumbing , CITY OF ORONO *�1 6 — 0 1 1 8 9 * ♦ 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2024 SHADYWOOD RD PIN : 17-117-23-31-0011 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 004 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: ADDITIONAL FIXTURES:2 WATER CLOSETS,3 LAVATORY,2 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY VALUATION OF PLUMBING 14204 APPLICANT PLUMBING FIXTURE FEE 177.55 RIVERSIDE MECHANICAL STATE SURCHARGE PLBG(VALUATION) 710 12460 ZINRAN AVENUE TOTAL 184.65 SAVAGE,MN 55378- Payment(s) Minnesota State License#:plbg-PC644809,mech-MB650157 CHECK 5953 184.65 OWNER KIEFFER,JOHN&BENJAMIN 2024 SHADYWOOD 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this typc 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 applic ' "res e�sible for ing all required inspections are reques in co ance the Sta Building Code.This permit may be rev ed at time for d cause. /�f�� , � �1/)"� � �� U C/�-� ��-t..e�C.� `� l Z f.o/ 1 (..v Applicant Permitee Signature Date Issued By Signature Date h � � ;--:�p�"'� City of Orono FOR CITY ONLY ;' O � P.O. Box 66 Date Received:----��-_lo,..,�1�_ � 2750 Kelley Parkway permit# � �� O 1 ';\\,�� ,� Crystal Bay, MN 55323 n ,�, C� � ��c, (952)249-4600-Main Approved By: /'-�-� `�.'�£SNO „� (952)249-4616-Fax �` Amount$: , CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.aov/CCLD/PDF/pe qlumbplanrevapp.pdf 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. 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 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 Apply) � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New [� Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address:�c�a� 5�.�taSoe� R� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �;��rs��1� ti..:�� Contact Person: �0,.,�L Address ►a�lb� Z.�ra,. A.h State Bond #: �M btoo�l(og City: Sc.�o.� Zip: M� Expiration Date:�3 ) Phone: °►5a- $ay-'lbou Alternate Phone: �Insurance — Current: Page 1 h � . . PLUMB`tN+�,'F1�i _l� .. . � �l#�T.��:L�D::,:. i � FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Fioor Floor TYPE Floor Floor Water Closet � Floor Drains Lavatory 3 Sewer Ejector Bathtub Laundry Tray • Shower a Washer Kitchen Sink ' Water Heater Disposal � Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous '`: PERMIT"FE -=��L��J aTIQN � �;�.. ' : r 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) � �.aoy x .0125 $ ��rl.$s (contract price) (minimum $50.00) 2. STATE SURCHARGE ��1�ad�1 x .0005 $ '1. 10 (contract price) 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ \$lQ. lo.s * 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. " s, ,",�.PL'�I=JMBIIVG�PERt�`A��A��:,,. ��T � +� ,. ..'��VIEM�� =�- .. 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: 9• c�3-k+ Building Official/ Inspector: Date: Page 2 DATE TIME „ / CITY OF ORONO cnLLED IN ��-" INSPECTION N ICE SCHEDULED ��S�s�LL-- PERMR NO. b 'G�l/g'� COMPLETED f�� ADDRESS o�0�4` �ac�..ck�+U/ OP� OWNER TELEPHONE NO. CONTRACTOR �i��'s�� /�/�t1��- � DESCRIPTION ��• ��.� ty ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL MBING RI ❑ 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 e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YWI:_YES_NO y COMMENTS: � l�,�/f�h d- G�• L• ,(�a�` �i r�L - Y�u/d - j l�✓C Sc.� - �!D - -��CA � �cr�s��•�S ��/G o / 'n �o � - � s� �•✓ �Gc�t �� /ID(O�IvG� "" " �O � Q dc�s rto� rfji•k. roo �' � �-,�� ...ic � W � W � � � W`�J41BFIk SATISFACTORY`.PROCEED ❑PROJECT COMPLETE W��O CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR YVILL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call rorthe next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site- Inspector: � /M-- �" Whits Copyllnspector's File Cansry CopylSite Notke � _ �-- � � DATE TIME v CITY OF ORONO cnLLED IN �/� �� INSPECTION NOTICE SCHEDULED � '� �� 1[L PERMIT NO. � ��I PLET D ADDRESS y . �� z ° �� OWNER - TE HONE NO. � �� 7 CONTRACTOR ��- � �� , � � DESCRIPTION ��'d �-� ��' ly ❑ FOOTING ❑ DEMO-FI ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPIAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � � � _ ,�--� n�, G� Ci 2—� c7.�1 y� j O {� � � � �U /'J�n,.. s � ., QL /L O U o1 � �I � O G . W I , � � — I'I ,v1..� c'7 w..�G-� � 3 /G!it/1 �r� �� :S Q � �� ✓L Gt� r O`"� � c`•• � e..,C �'n o G �r-c s .�cf W aC , 4�j �RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE ��'� ❑L`pRRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE CdYERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cafl tor the next inspection 24 hours in advance. (952) 249-4g�� OwnedContractor on site: Inspector: �`� b� � • VYhIN CopyAnapecMr's Fils c.nary covrisn•Na�ce