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Home My WebLink About2018-00080 - plumbing � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 8 - PJ 0 PJ 8 0 * DATE ISSUED: OU23/2018 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2780 SHADYWOOD RD PIN : 21-117-23-24-0041 LEGAL DESC : REG. LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER VALUATION OF PLUMBING 2700 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.35 WELTER&BLAYLOCK INC. 307 PERSHING AVE.N TOTAL 51.35 NEW PRAGUE,MN 56071 Payment(s) Minnesota State License#: plbg-PM65425,mech-7900379583 CREDIT CARD 5704 5135 OWNER CARTER, RICHARD&JEANNE 2780 SHADYWOOD RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additiona►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 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 180 days at any time afrer 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 t any time for e se � / J�l�-/ l � A ic t Permit S' ature Date Issue y Signature Date . � �p� City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: 2750 Kelley Parkway Crystaf Bay, MN 55323 Permit# ��l 8" b 0� �F c` (952)249-4600—Main A p p r o v e d B y: `AkFSHo4�' (g52)249-4616—Fax Amount$: 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) r p'�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] ❑ New �ditional ❑ 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: �` �� I�c�.d- �� ct.�4- �J � Owner: '��= k L��V Mailing Address: 7�U � �� City: �xC Q �Si� 7� Zip: 5� �J � Home Phone: �'�— Alternate Phone: �G l2 �� ' �� Contractor Information: Contractor: ��, �'�✓ �l� �� Contact Person: �e''�� I�� Y Address: �b7 ��✓s�t n �i �� lW� State Bond #: �C <o� 3��y City: N� �'��' �I�– Zip: �v�� Expiration Date: �a '�� " �`� Phone: � � � ��/'� �5 � Alternate Phone: ❑ Insurance – Current: Page 1 PLUMBING FIXTURES BEING INSTALLED ' � FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � Floor Drains Lavatory � 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) � 7 0G, O b x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE ��G G D x .0005 $ (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ �� 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 statements ade on t, �s application are complete, true and correct. ' Si nature: ^ � Date: /-�3�� Applicant s g Building Official/ Inspector: Date: Page 2 c�i/i 1/ c./ DATE TIME V CITY OF ORONO CALLED IN INSPECTION TICE �SCHEDULED �_� � PERMIT NO COMPLETED ADDRESS � OWNER T EPH NO�� CONTRACTOR ry � � DESCRIPTION � � W ❑ FOOTING ❑ DEMO F AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU G RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:� r.a+ �H��r I�G w � a v�� t.�srT�/' L,,�Icl.e a �.,+i� D a ti j 0 �. � 0 W � Q � � W � � J � �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca�1 for the next inspection 24 hours in ac�vance. (g52) 249-4600 OwnerlConiractor on site: Inspector: �S�3. � White Copylinspector`s File Canary CopylSfte Notice C//� DATE TIME � CITY OF ORONO CALLED IN � � INSPECTION ��CHEDULED �_ PERMIT N �� LETED ADDRESS c �� OWNER �� T ON�,�10 CONTRACTOR �� DESCRIPTION �� W ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YE3_NO � COMMENTS: �t I t��Gl.c .(Z,hc�'�► � G�1 �.'��I/tf l�]' 4'» � �t.G _ , t p �� 1� �i�� 1 � o� 0 W � Q � 2 � W � J � �WORKSATISFACTORY:PROCEED �PRWECTCOMPLETE , W ❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ' Ca�l ror the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: ��5�«: ��rh � wniee coPynnspec�ors Ft�e C�nary CopylSite Notice