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Home My WebLink About2016-01462 - plumbing { , . CITY OF ORONO * 2 0 1 6 - 0 1 4 6 2 * 2750 KELLEY PARKWAY DATE ISSUED: l U22/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2308 SHADYWOOD RD PIN : 17-117-23-44-0106 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 014 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER REPLACEMENT VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 1.00 3670 DODD ROAD-SUITE 100 1VI�►IL-IN FEE 2.00 EAGAN,MN 55123- TOTAL 53.00 �� Payment(s) Minnesota State License#:plbg-PC000308,mech-MB005365 CHECK 33700 53.00 OW1�1ER STASKE,ELIZABETH 2308 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 pertnit is for only the work described and does not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances goveming this rype 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. _ � � �� i�y �� Applicant Permrtee Signature Date Iss e Signature Date J� , , '�{)�� City of Orono FOR GITY USE ONLY O �° P.O. Box 66 Date Received: �� ,� ; 2750 Kelley Parkway ��/] .-��' , � 1 Crystal Bay, MN 55323 Permit# 0�� :�,1,� ,��-'` (9 5 2)2 4 9-4 6 0 0—Main A roved B : �°��.4kFst�+��"�;% (952)249-4616—Fax PP Y ~f Amount$: CITY OF ORONO — PLUIVIBII�G 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 wiil be issued within two working days. 2. Permit cards wili be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUS i NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TNE JOB SITE. � Plumhing 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-�8 hour notice require�) TYPE OF PERMIT(Check All That Apply) [�f Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] ❑ New ❑ Additionai ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aaqroval and may need CUP. (Per Orono City Code, Chapter 78, A�icle IV) Job Site / Owner Information: Site Address: ��g 5�00��•� ��'OhU l�N 55�J�� Owner: ��"Ab�, �'�Sh-� Mailing Address: City: �( << Zip: �` u Home Phone: (`�/Z'22� "��ZS alternate Phone: � Contractor Information: Contractor: ��p��: � RECEIVED PC QOp3�8 Address ��y� NOV 21 Z016 .. h: �70�a�dd�Qa�f � City: �� CCCY OF ORONO ❑ Insurance — Current: Page 1 PLUMBING F1XT.URES.BEING INSTALLED , � �` FIXTURE BSMT 1sT 2ND OTHEP. FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Fioor Drains Lavatory Sewer Ejector � Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misceilaneous PERMIT FEE CALCULATION 1. Cfl�l�e�,��C� �r.lC� * is 1.25% of contract price with a (i�1�;,imum �e� o��a.flC) x .0125 $ �� . DD (contract price) (minimum $50.00) 2. S a.!?Tc S��r:�y,'�r'�G� x .0005 $ �. a D (contract price) 3. �flS�^.G� g NA��3L1�1G (Only on Mail-ln Applicaiions) $ 2.00 �. 30TAL ��R�ill� F�� (Add Lines 1-3 Above) � v�• � � � CON i P.ACT PRICE or JOB COST means ihe actii�l or e�timaterf rlollar amn�_�nt rharnPri fnr th� permitted work including materials, labor, profit, and otfier fixed costs. if is �he 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 oi 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 regulat��s of.the State of Minnesota, and certifies that all statements made o �s appiicatio are compiete, true and correct. �� Applicant's Signature: Date: �I I �� ,; . Building OificiaU Inspector: Date: Page 2 �� G D TIME CITY OF ORONO CALLED IN � � � INSPECTION NOTICE SC DULED �� a—� � :�� PERMR NO. � � MPLETED ADDRESS � � � OWNER T�ELEP O.��l- � � � CONTRACTOR � DESCRIPTION t~1� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 � p-.EJNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i '❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J � EPTIC INSTALL 2(d W NEAlCO R TO MEET ll� YE$_NO y COMMENTS: 4 � c�X��'�s��S �`lP� �F- ol�1Gt�uraL �i'a-� l��.r-F -- �.. � 0 Q ��. �'�iM/,0�� .O�L�+�S (�. � W W � e °C Q r � � �,e�s j L_� � � ❑WOFiKSATISFACTORY:PROCEED `'��EC'f COMPLEfE W ❑OORRECT WORK 3 PROCEED E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN H��• ❑ pHp70 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. CsH ior the next fnspectfon 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: '`'---� YYhiN Copyllnspeetor's Fil� C�nary Copyl8lb Notfes