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Home My WebLink About2017-00342 - plumbing 1 � CITY OF ORONO * Z 0 1 7 - PJ 0 3 4 2 * 2750 KELLEY PARKWAY DATE ISSUED: 04/1U2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2195 SHADYWOOD RD PIN : 17-117-23-43-0135 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 007 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: ADDITION/REMODEL: WATER CLOSET,3 LAVATORY, I BATHTUB, 1 SHOWER, 1 WASHER VALUATION OF PLUMBING 7100 APPLICANT PLUMBING FIXTURE FEE 88.75 STATE SURCHARGE PLBG(VALUATION) 3.55 BOB CARPENTER PLBG SERVICES 339 SPRUCE DR E TOTAL 92.30 ANNANDALE, MN 55302- Payment(s) Minnesota State License#: plbg-PC644105 CREDIT CARD 6159 92.30 OWNER DUSSAUT,ALEX MARIE 2195 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 does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 l80 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 revok�at anY time for due oa9se. � � i 7 '7 �/ , / , � ��,, � � / � ; ��,> ��,,��, � ' ' �� c-� .� � f%;�F f��' I j � %' , ,� -� , Applicant Permit�8ignature Date Issued By Signature Date � / �p� City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: _ � - //—/� 2750 Kelley Parkway �, -� > Crystal Bay, MN 55323 Permit#__ � �'� 7 Ci(��/ Z y� c? (952)249-4600—Main �A'rfSHOQ'� (952)249-4616—Fax Approved By: /� � Amount$: �, G CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp 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: � --� �1 `, I� i Site Address: �� c%�� % ��% G��'-� , Owner:;'�1�t�� _�� r��'�'~� Mailing Address:S�� f�� City: ( ';��' ��' �-�� Zip: �_ > >`�� / Home Phone: Alternate Phone: Contractor Information: Contractor:�G�� -�ct;^��,,�--�-�,� (�(��-S�� __/ � Contact Person: r Address:3j� ��« ,-i �'� � State Bond #: �� .� � / / City: �/�1�l cr ��",' ( �-F' Zip. `��,5� '� Expiration Date: ��l �� / �� Phone: � �� '��-` ��'�—� Alternate Phone: (�]'lnsurance — Current: Page 1 � � � � PLUMBING FIXTURES�BEING INSTALLED �,�� . '::. � ��°�� FIXTURE BSMT 1ST 2ND OTHER FI�PEE BSMT Floor Floor OTHER NpE Floor Floor Water Closet �� Fioor Drains Lavatory � Sewer Ejector Bathtub � Laundry Tray � Shower ( Washer � Kitchen Sink Water Heater Disposai Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous : £ �y�'�, �� ,F': f�Ef2MIT FEE CALCULATlON '��'. 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) � 1��-�' x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 statemen�ts ade on�his application are complete, true and correct. %'./�i �-�� ; ��/�� Applicant's Signature: � �� Date: l Building Official/ Inspector: Date: Page 2 / � V �✓, � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �,3i��2 scHeou�e� �7 � PERMIT NO. �r I� � COMPLETED ADDRESS � � � `�� /�1��c lr I�r ;C'^,��r'� l�� HNER TELEPHONE NO. ��'Z�ZZ � CONTRACTOR �`��-= `��'i��f��' � DESCRIPTION � � �� =� � 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINCa �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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ EpTIC INSTALL 2 OWNEAICONTRACTOR TO MEET YW:�,YE8._NO � COMMENTS: ��l-�S7""f? ,�' �r._.-7`"��{�i� !''1 �� /`�,/' W 4 � -�� n., �' ��,'� c��-.� r�l� ��I.�✓ �,-�;;1�', � � ° � �►/-v✓ �'�� '�D �'�i/G c�y>' �7:�,r_�� o ` Q ��'t.� ,.-�-�C> � ��,.��_ � W � /' ' �J �/ - � ! � �fi;/ '�/ n� ' �_7�� T' �� J � .J� C � b � � P7 J � /�VMORK SATiSFACTORY:PROCEED ❑PROJECT COMPLETE W Q CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUW1NC1/ O ❑CORRECT WORK�LL FOH REINSPECTION TEMPORARY V BEFORE CdVERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca8 tor the next inspectfon 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspector: ��'�'�—�" �. YVhite CopyAnspector's Fil� C�nary CoprfSlb Notks C�- � � ✓ DAT� TIME CITY OF ORONO cnLLED IN / INSPECTION TICE �S HEnuLED !p 7 �U� PERMIT NO. 01 r� coM ED ADDRESS -� OWNER TELEP ONE N ��5 CONTRACTOR �' � DESCRIPTION / 4� ❑ FOOTING ❑ DEMO- N ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADINCa/FILLINO 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/REA�VAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? O�WN911�TRACTOR TO MEET YiWl:_YES_NO � COMMENT� 4 "I/.' S UC�i� /Q?' o r1 Grr�Dli.— IN�/ �►�►c�.:.� � .6�-�,�,�,..,, /�,Es �ao�c� 0 � � ' 7� �o� � '� 6�l ' 71 � � 01/W � i,,. :r ,n.c► � W � � Q Z ` S��- �'f0 /°YG r�, �� G�� W � � � ��WORKSATISFACTORY:PFiOCEED O PROJECT COMPLETE W �CT WORK 8 PROCEED ❑ISSUE CERTiRCATE OF OCCUPM�NCY � ❑OORF�CT YMORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWEFpNd PERIrtANENT ❑CORRECT UNSAFE COPIDITION WITHIN HWRS. p prypTO TAKEN INSPECTOR NfILL RETURN ❑STOP ORDER P08TED.CALL INSPECTOR ❑pTATION ISSUED ❑INSPECTION REdU1RED.CALL TO ARRAN(3E ACCESS. CaM ior the next�spection 24 houra in advance. (952) 249-4600 on site: inspector: �'�'�o�•� L. WMN CoPYAnspactar's FlI� Gn�ry Cop�dSlb NoNw C -� � DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE ( f SCHEDULED I I"�o�— �I, �Dd PERMR'NO. �d I`rI" �O�`t Z COMPLETED ,�� a�a 5 :��,��i�v�>d O'WNER TELEPHONE NO. ��" �-- CONTRACTOR ��(�U ��.1x1 rl't ��I/I�YYI{��PrcL<� � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �f ❑ FOUNDATION WATERPROOF �PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FiREPLACE ❑COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dIMNERI�OKTRACrOR TO MEET 1f01l:_YES_NO � COMMEN'T� � � �at� r cr��,�5' ' �".K�,.�Qs - 5�f— 0 �le�- !�!l k�brt�- L'ow•�1 l�f@ �f �DD�v�' O� �. � � Q �w►-� --�h.�� '' � W W � � � O WORKSATISFACTORY:PROCEED �QJECT COMPLETE W O CORRECT WORK A�PROCEED �ISSUE CERTIFlCATE OF OCCUPY►NCY 0 ❑OORRECT YMORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINO PEpMANENT ❑WRRECT UNSAFE CONDITION W(THIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ CaN for the next inspectfon 24 hours in sdvanoe. (952) 249-4600 on site: �nspector: WMte Cop�IMpector's FlN C�nary Copyl8lt�NMia