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Home My WebLink About2016-00930 - plumbing . CITY OF ORONO * 2 0 1 6 - 0 0 9 3 0 * " 2750 KELLEY PARKWAY DATE ISSUED: 08J1U2016 � ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2445 SHADYWOOD RD PIN : 20-117-23-11-0015 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 004 PERMIT TYPE : PLUMBING PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACING:(3)WATER CLOSETS,(3)LAVATORIES,(2)KITCHEN SINKS,(3)FLOOR DRAINS,(1)LAiJNDRY TRAY,(1)WATER HEATER VALUATION OF PLUMBING 21075 APPLICANT PLUMBING FIXTURE FEE 263.44 STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 10.54 112 E STH ST MAIL-IN FEE 2.00 SUITE 101 TOTAL 275.98 CHASKA,MN 55318 Payment(s) (952)361-0128 CHECK 31611 275.98 Minnesota State License#:mech-MB003824 OWNER Bridgewater Bank 3800 AMERICAN BLVD W SUITE 100 BLOOMINGTON,MN 55431- 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 type of work shall be compied with whether or not specified herein.l'his 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 applicant is responsible for assuring all requ'ved inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `�� ,�'�-( �cf �l,t'�� j �) ��-u-f-S (�� g � t l � l.h Applicant Permitee Signature Date Issued By Signature Date * _ �I � �pN�� City of Orono FOR C -�E NLY O '' P.O. Box 66 KCVtIVtu Date Received: '� 2750 Keiley Parkway Permit# � � �.� Crystal Bay, MN 55323 AUG 0 S 2016 �\�q ��j (952)249-4600-Main Approved By: � ,�E+t�u� (952)249-4616-Fax ' — C�TY OF ORONO Amount$: -�• CITY OF ORONO – PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http:l/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: Site Address: `�r �' �; T c;�l I\C�� Owner: 1�4��,��,.;�� l�;w� i��Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: _�jc,�,��,-�, ��'`ti�-c��, Contact Person: 1Jt5 /�1 �.J�,, -�-T� Address: I�� C 5 -t'`� `��' ��•�� '1 State Bond #: �� S�L S s City: �"`�Sk�� Zip: � 5,�� Expiration Date: ��r- l(_ Phone: �� -�'�Z`� Alternate Phone: [�Insurance – Current: i c .� Page 1 � ` PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � ( Floor Drains � Lavatory Z � Sewer Ejector Bathtub Laundry Tray � Shower Washer Kitchen Sink Water Heater ( Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �,�v �� 7 � -_`._----� x .0125 $ `�C' S� �"�Lt (contract price) (minimum $50.00) 2. STATE SURCHARGE c�.� �-< <U � 5 X .0005 � f� ,��'I (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �� 5 �G� � * 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 or�nances of th� City and the regulations of the State of Minnesota, and certifies that all statements'made on this.2(�lication are complete, true and correct. �� < ! �:'"i /�''` ;,��//�--_.. c� ApplicanYs Signaturer �' //l �7' Date: � ` a � Building Official/ Inspector: Date: � � /� Page 2 �� c � � � DAT TI CITY OF ORONO CALLED IN 4 INSPECTION NOTICE SCHEDULED C.� :� PERMIT NO. ��%��' ' �'9� COMPLETED ADDRESS Z ��f `—�-� `��-� L��;c��( � OWNER TELEPHONFt..NQ.��a ��'� ��Z�' -�7�ih /�'��.5 CONTRACTOR �I.� � DESCRIPTION �l�"��v (�= v" `� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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/REMOVAL _ v ❑ DEMO-SITE ❑ SEP IC INSTALL Q OWNERICONTRACTOR TO MEET YOU: ` YES_NO c�., COMMENTS: �� a r r ��s `— % � � O _ I � q� �, " � Ga� hv� �KS G �2qKcY t�yeaf o � � � /?D 1/l � r i`� u r -F'��' Q z r.t, S,d�1'i�l 0!� W � W � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CaRRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COMERING PERMANENT O.CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cat1 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContrac site: Inspector. White CopyAnspector's File Canary CopylSite Notice ^ i V A � �� A E� TIME CITY OF ORONO CALLED IN "' INSPECTION NOTICE SCHEDULED —� --�1 •� PERMIT N(�^�I(o'�J� co ED ADDRESS � OWNER TELEPH NE � �� CONTRACTO � DESCRIPTION � W ❑ FOOTING ❑ DE - AL ❑ 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 ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � �. � � O � � W � Q � 2 W � W � j W ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a urs in advan r{�9 249-4600 OwnerlContractor on site: � Inspector. � White Copyflnspector's File Canary CopylSite Notice C � �-- �^ TE TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED — � PERMIT NO.��D/.G� �.�J�onn�� ADDRESS GCI"4�J OWNER TELEPHOf O. — �"O�z� CONTRACTOR I r�� DESCRIPTION � /�ti � �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN L 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 ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO/ c�., COMMENTS: u��(�G(. l � W C � �l� � � � Q � � � O k W � � �G d Q Z ✓ !/` /C{ � W � w � j 0 W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CO ECT WORK&PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice � ✓ TE TIME CITY OF ORONO CALLED IN � � � INSPECTION OTI E �� SCHEDULED / ` � � T PERMITNO.��/�- L`��/'J-v p��E ADDRESS `��I� <��'��L��''�C%{'{� �� OWNER TELEPHO �-S'�—��'� � CONTRACTOR � � � �` �' '`�- � DESCRIPTION �— � �� 11� ❑ FOOTING ❑ DEMO-FINAL PTIC 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 ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W � � i O /� "� �Q' � C70Gt'7 �, I"�'O�j � ° -'C9 � �Gt ��t�s � t�"�'va � 1 � 1 ''�`�i� /¢'I �' � � Q / / � I/yt�CJr� r' . �f� +C2' Y'� f/C�� f�`[ W � W � J W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CO RECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS_ p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContract site: Inspector. � :.i ts Copyllnapactor's File Cenary CopylSlts Notke � S� �-+ , / � � ��- �/ DATY �E CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � `� PERMIT NO. � ��"L��i�'COMPLETED d ADDRESS � �� ''�v�� OWNER TELE E N . � � ��'�� CQNTRACTOR €��-" 1 ;�-�- _ l�,V q4l.� � D C�TPTION �f11�I 1� �� ( �Q S� �66�'Y) � ty ❑ OOTWG ❑ DEMO-FINAL ❑ SEPTIC FINAL^/�C�.'� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI �G ILLING vj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION�L�y�' 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 v ❑ DEMO-SITE ❑ S�PTIC INSTALL 2 OWNERICONTRACTOR TO M` E�U:�YES_NO c�.� COMMENTS: � W � O � �` H ). � ° � �-/ �� W � v�� Q 2 � � ' �'�X vr�s o � � � �al� � ��P�s,d l {U�-��.e W � _ J O W ❑WORK SATISFACTORY:PROCEED �PROJECT COMPIEfE � RRECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY BEFORE COWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pf{pT0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-48�0 Owner/Contra on site: , Inspector. ite Copyllnspector'a File C�n�ry CopylSite Notke DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED C 7 \ • `� .S� �_�� PERMIT NO.-��=�� `� �3�- coMP�erEo ADDRESS -�L�-•�� c._�,�_� � r r c� ��- OWNER �L�-��_:��k�-��t-TELEPHONE NO. CONTRAC R -��-. �� - ��.��;;� ��„��.._ ,�c� � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �LUMBING 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: L��i�_�- 1�`� ��`�, - ��c :3 - �-�'1� _ -t i-� � � � �`�� I�� . o lS ✓/ o r ' L. L � � �� '� -� ,` l/�'1, '�'"CJ '"JGt Ci� ti o _' � '� ✓G� � 7� , � � -. W .� � ' � �61n. '3c� ��G Q `� 2 � � �,, vC C.� �G'- � . � ✓� ,., � � L� -� .s .� � �C��. w � _ ��j � � W p@!'Q_RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE WO CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor qn si�e: Inspector. � � ��L White CopyAnspector's Ffle Canary CopylSits Notiee � v DA TIME CtTY OF ORONO c,�►LLED IN - -!b INSPECTION N TICE SCHEDULED � '�� = � PERMR NO. - �� coM AD�iESS G`� O'WNER TELEP E NO.� - '� � CONTRACTOR � � DESCRIPTION ��'�- � ly ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADING/FILLIN(3 `f ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 CMINBY�AKTRACTOR TO YEET YY�UU:_1fE8_NO � COMMENT� 4 oi +2 �- 0 C�v �(L e �' �C�'�`'dw � � � 0 W - Q / �2 Q ✓'e�v�✓e �t�o rr�s , w� �' �'l e� 7`� !�`�`�0"�l�l �1 u 4Zi ` � r l Qv'9�t � j W ❑WORK SATISFACTORY:PROCEED PFIOJECT COMPLETE � ❑(�qRECT WOF�IC 3 PROCEED ❑1 E CERTIFlCATE OF OCCl1PANCY W � ❑CORRECT WORI(.CALL FOR f�INSPECTION TEMPORARY V BEFORE CdVEi�N(i PEqMANBdT O CORRECT UN3/1FE OONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER P08TED.CALL INSPECTOR ❑CITATION ISSUED O IN3PECT10N REQUIRED.CALL TO ARRAN(iE ACCESS. Csq fforr the next ins'pection 24 hours in advanoe. (952) 249-4600 site: Inspector: yyM��y�� C�nary CopylSit�Notla