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Home My WebLink About2012-00029 - plumbing , ' CITY OF ORONO PERMIT NO.: 2012-00029 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OU1U2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 2178 SHADYWOOD RD PIN : 17-117-23-42-0009 LEGAL DESC : WILEYS PARK LAKE MTK�A : LOT 017 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB AND�(1)SHOWER VALUATION OF PLUMBING 4100 APPLICANT PLUMBING FIXTURE FEE 51.25 SOUTHTOWN PLUMBING INC. 6636 PENN 'STATE SURCHARGE PLBG(VALUATION) 2.05 RICHFIELD,MN 55423 TOTAL 53.30 (612)866-3057 OWNER ANDERSON,MR.&MRS. CURTIS 2178 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,appiicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consWction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in c or ith the State Building Code.This permit may be ' revoked t ause. l f 1 / � / l / l a-- A li ermi ignature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. `� �oc��- � , � +� RO GIT SE n1VIiY O,¢��,0 City of Orono P.O.Box 66 DateRe�eivedt� it# �� 2750 Kelley Parkway ` ' ° ,r,,,s,y�2� � , ,.,.� Crystal Bay,MN 55323 Agproved By: Amovnt$: � ,�t�,�� ^r��v (952)249-4600—Main �araosy (952)249-4616—Fax CITY OF 0�20N0 — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://wwv��.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GEi��:LriT1��TI�1�1� 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by rehun 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 TI�E 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) ' TT'P OF PER`l�+iIT (Gheck =1 That A 1= ) ` �,Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs °�Replace ❑ In Accessory Structure? *You will need�rior anproval and may ne,ed CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/�,�w��r:Irt�ormat�on: Site Address: � 7 � Qd ,Q Owner: �-1-�.lD�/LS o� Mailing Address: ��1 � City: C� (l�d h/ o Zip: Home Phone: Alternate Phone: Contxactor lnformation: � Contractor: JS cl -I-'r'ou/� L ,,rtPr„y Contact Person: ��F�/�.�c- i%� � > Address: �6'S6 �,�� v State Bond#: M 6 S�5 � � City: c,� �-...c. Zip:S��3 Expiration Date: I� - � �i- Z a�� Phone: (o � �'�6rp -��s� ' Alternate Phone: C2u 4/� �S�� ys'�`� ❑ Insurance-Current: � 1 � r � � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains t Lavatory ' Sewer Ejector Bathtub I Laundry Tray Shower � Washer Kitchen Sink ' Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of only one Residenrial fixhue 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;excludine 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 Perxnit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � . ' � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25°/a of contract price with a(Minimum Fee of$50.00) o� 8d � x.0125$ (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 re�sonable market value of such items must be added to the estimated cost or contract price for pernut fee purposes. In the event that there is a dispute on the amount of the job cost, the City may requast the submission of a signed copy of the actual contract. 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 s ments made on this application are complete, true and correct. Applicant's Signature: Date: �� 3 � � �� E�� TIME � � `- � CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED / /oZ.. a�3� PERMIT N0. 0�� —dD� � COMPLETED ADDRESS OWNER L�TEL� ONE N . ��- '�7�'^� CONTRACTOR �� : DESCRIPTION � � � ❑ FOOTING ❑ PLUMBIN IN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANI I ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o � � ��/� �N � � -� 1�, --c�S�-- 0 � W � Q � Z W � W � � d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on ' e: Inspector. White Copylln�pector's File Canary Copy/Site Notice � I � � DAT TIME � CITY OF ORONO CALLED IN � INSPECTION N�o�a-00029 SCHEDULED � 2- I� 30 PERMIT NO. cOMP�ETED ADDRESS � O �� OWNER TE PH E NO. � ��v ai�' CONTRACTO � DESCRIPTION - " �' L � � ❑ FOOTING ❑ PLU I G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MEC ICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � �, � � Ck�� , / `J DATE TIME v --� CITY OF ORONO `�� CALLED IN a/ �; INSPECTION NOTICE SCHEDULED `�� --� "�' � T PERMIT NO �� " � - ��'�� coMP�ETE� ADDRESS �� "� ��'sc�< � �P ;��f'� OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION l �A-�� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC V/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC IJVSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTp�FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_pLV ES_NO � COMMENTS: � � W � � J O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � �� `7 J J �� White Copyllnspector's File Canary CopylSite Notice