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Home My WebLink About2015-00364 - plumbing � - � CITY OF ORONO * 2 0 1 5 - 0 0 3 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2032 SHADYWOOD RD PIN : 17-117-23-31-0012 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 005 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET (1)LAVATORY (1)BATHTUB (1)LAUNDRY TRAY (1)WASHER VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.00 STRONG, STEVE TOTAL 51.00 2032 SHADYWOOD RD Payment(s) WAYZATA,MN 55391- CHECK 6017 51.00 OWNER STRONG, STEVE 2032 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consWction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time due cau . `�C � � S �, �, /5 Applicant Permitee Sig ature ate Issue y Signature Date � oK c i��o��:s� City of Orono 7J. � �.-�� P.O.I3ox 66 Datc Rece� �� Pcrmil# �� 2750 Kclley Park��a} � Crystal Bay,MN 55323 Approved By: � Amount$: �/. � (952)249-4600—Maiu � �. (952)249-4616—l�az F �` CITY OF ORONO—PLUMBING PERMIT ��kFSHo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://�v�v�v.dli.mn.aov/CCLD/PDF/ e lumb lanre�a � . df 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. PERMiT5 ARE NOT VALID UNTIL YOU RECENE 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 bour notice required) TYPE OF PERMIT (Check All That A 1 ) i� Residential ❑Commercial(Approval Required) ❑ 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: �.`�� S �1�� J� �"� , � Owner: �� )'�t�� (, Mailing Address: ��L City: �� Zip: S��j`�,� Home Phone: Alternate Phone: � � ��1 �— c�,- � �� Contractor Information: Contractor: 0� �� Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � PLUMBING FIXTURES BEING INSTALLED � FIXTURE BSMT 1�� 2"�' OTHER F1X"I�UKE BSMT 1'� 2��' OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory � Sewer Ejector Bathtub � Laundry Tray I Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMI"I,FEE CAI.,CULATION(S) BASED OFF - 2002 STATF, STA"I"UE � ❑ Yes,this section applies The replacement of only one Residential fixture or appliance 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 $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � PERMIT FEE CALCULA'�I'ION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �� °r3 X.o�2s � �`� (contract price) (minimum$50.00) 2. STATE SURCHARGE �� x.0005 $ � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 eD 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. PLUMBING PERMIT APPLICATION AGREEMENT � -a: ��,�m'��;li��v 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: p � � 3 � � �� DATE TIME� ITY OF ORONO CALLED IN INSPECTION NQTI� SCHEDULED -�� — PERMIT NO.�'�� COMPLETED ADDRESS � OWNER EL PHONE NC�!I a-�l7�� CONTRACTOR � DESCRIPTION �v r � 41 ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOILOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., M ENTS: � W �— � a � , �� o � � 0 � W � Q � -� 2 W � W � j d W ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2 hours in advance. ( 52 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � �� J DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE `� SCHEDULED � �— PERMITNQ�6/5-bb 3 �oy- COMPLEfED ADDRESS ��a`�'' E'`�";1wc'k�dL (CQ.( OWNER�� S TELEPHONE NO. ��Z ' �� a'"� CONTRACTOR �� DESCRIPTION � ```"� \ � ��`�� t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF/[] PLUMBING FI ❑ TREE REMOVAL Z ❑ RADON SLAB �--E}1VIE�HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: a� / � �Ijrc�ir.t � !el�i��i rGt�t�/ 0 /'�rrts��.l � � a ° 6t�i�C G�,`,�.�/�� — W � Q � ` - —- Z ��/�'Y10� a�l�/o�' � W o� j � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITAFION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail br the next inspection 24 hours in advance. (952) 249-4600 OwnerlCorrtractor on site: Inspe�tor: White yllnapector's Ffle Canary CopylSite Notke