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Home My WebLink About2018-00149 - plumbing � _ + _ CITY OF ORONO * 2 0 1 8 - 0 0 1 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2018 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1440 SHORELINE DR PIN : 11-117-23-22-0004 LEGAL DESC : UNPLATTED 11 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)SILLCOCKS,(1) FLOOR DRAIN,(1)WASHER,(1)WATER HEATER VALUATION OF PLUMBING 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 VICTORIA PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.50 1855 WEST 80TH ST TOTAL 195.00 P.O.BOX 174 Payment(s) VICTORIA,MN 55386 CHECK 9599 195.00 (952)443-0034 Minnesota State License#:PLUM-644463,mech-MB003787 OWNER EOF INVESTMENTS 10 S STH STREET#110 MINNEAPOLIS,MN 55402- 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 sepazate pertnits. 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 construction is suspended for a period of 180 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. / / Applicant Permitee Signature Date Issued By Signature Date Q " 4 r .�p� City of Orono FOR CITY USE O�ILY O P.O.Box 66 Date Received: �? -/ � - I a 2750 Kelley Parkway p�mit# �6 J a'" Q�(� Crystal Bay, MN 55323 y oZ (952)249-4600—Main ��1kf5H0��' (952)249-4616—Fax Approved By: Amount$: ��S � CITY OF ORONO — PLUMBING PERMIT (All Commerciai 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 wo�lcing days. 2. Permit cards will be sent by retum 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 worlc 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 aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/Owner Information: �' Site Address: � �� .p re 1 i vtie- ��clC Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor lnforma#ion: Contractor: v�G�o�,c� Pi��nir,c. ContactPerson: Q6�, �ev��tnc� Address: P•b '�}C �� State Bond #: _� � ��,3 City: � ) i c,�'o.t�c,. Zip: ss�� Expiration Date: �.��Z Pho e: �ISZ- ��3- �3� Alternate Phone: ��Z� 4�0- 2�� Insurance— Current: Page 1 . � ' � ,� � . ,, t a � - ' �' �: �4.� � "'"�i��- ,;�„� ,�:.� s.: ��;��. � �� . ;��."�U,M�II�C.:f IX�URE3 E1�1�::lNST`ALL�D.k.;° ;: �� ,.� f m FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � Floor Drains f Lavatory Sewer Ejector Bathtub Laundry Tray Shower t � Washer � Kitchen Sink � Water Heater ( Disposal � Water Softener Dishwasher � Wet Bar Sillcocks �' Miscellaneous h�'e',�9s?�'4^ � � � �y` �� rl��+.� ...:�"cf'^"'.. � �.� 'p�'�;�+s '��F&� � .;'�„%A ��"� ,,,,,��?'` ak.., _ •.. � ..._ ... .... .. :�S"�.�,.t� . 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) (�_��, 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 estirr�ated 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. y>-�,g'" � �� .� ..7Y:1�- �lah�i"�+,�x c:'�1:t •� ;. " f.y ��*�.�A't z� � �S«�:�,' ,T��k"g, � �.. �' �.��;'�`.a�r.� ..++i4r`.��' The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinanc o the City and the regulations of the State of Minnesota, and certifies that all statements e on h a plication are complete, true and correct. Applicant's Signature: Date: 2� ( Z' �� Building Official/ Inspector: Date: Page 2 / TIME � DATE CITY OF ORONO CALLED W INSPECTION NOT E SCHEDULED � 'O� PERMIT NO. ��/ COMPLEfED ADDRESS I7Y� .�/L�l� �� /t.Q " ��v� OWNER LEPHONE N �� Q'� , CONTRACTOR � DESCRIPTION � W ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL Q ❑ POURED WALL ��UMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YiOU:_YES_1� � COMMENTS: ��`�l a u.G. - p w v- s��. y� P vc - �� o � Cot.at►+'k �VG FCil1``!v � 'r ��. �i ��ioc�..�. , '(r /Yl�i�- �'c��.�.-�' o � �•�,�r �id� � �121�� Q 2 T>/'C --6-� cb GA�.�` � W � � ��jiK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE W O CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau for the next inspection 24 hours in advance. (952) 249-4600 OwnerfCartractor on site- Inspector: ""' White CopyAnapector's File Canary CopylSits Notk:e � � ,/ DATE TIME V CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED PERMR NO. ? '- MPLET � ADDRESS � �� U' � � OWNER T LEPHONE N � — ��"' � CONTRACTOR � �10— p�b � O � DESCRIPTION ( � 4~j ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL � ❑ POURED WALL �PLUMBING RI Q ❑ 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: I�w I/' ��.L- �O flV L �l�c P'�k a G✓•te r L: h�cs C'� � L� o a�►r' '�•ST '� �'►'rv's� r,a�' 1 �14�S E�� .�rt�r�,��e /^� �c•kS o� Q � z � W � J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE ��B�ORRECT W'ORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN �NSPECTOR WFLL RETURN ❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector: �So� � White Copyllnspector's Ffle Canary CopylSlte Notice