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Home My WebLink About2017-00480 - plumbing CITY OF ORONO * 2 0 1 7 — 0 0 4 e 0 * � . }`' 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1940 SHORELINE DR PIN : 10-117-23-42-0007 LEGAL DESC : ELBRIDGE S BARNES 1ST SUBD 10- : LOT 005 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: REPLACE:WATER HEATER VALUATION OF PLUMBING 950 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.48 NORTHERN EDGE PLUMBING&SERVICE TOTAL 50.48 31344 103RD Payment(s) PRINCETON, MN 55371- CHECK 3279 50.48 (612)406-7859 Minnesota State License#:plbg-PC689486,mech-MB689499 OWNER NETTLES,ALAN&ANNE 1940 SHORELINE DR WAYZATA, MN 55391- AGREEMEI�T 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. AII 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 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 rev at any time for due cause. � � � � �',�,,l � s �Z 2�1 �-�.�.c�.� '� `��_<'l`->�. ��':� y l � pp ant ermitee Signature D e Issued By Signature Date �p� City of Orono FOR CITY USE ONLY �O P.O. Box 66 Date Received: l� �/ Z- ��!�7 2750 Keiley Parkway / � � Crystal Bay, MN 55323 Permit# G-�' � � "' l�D tJ,��i � c> (952)249-4600—Main ,� ,�j ��"�kfSH�4� (952)249-4616—Fax Approved By: Amount$: -��C� � �(<� 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: Site Address: � �1�1� � �t,� ��1� ��,� Owner�h� /��PS Mailing Address: City: �C'.�l' Zip: .�r�.3� Home Phone: ��J3�-.5/85` Alternate Phone: Contractor Information:. Contractor: � �Z7"��ry �u' �-C � J1� Contact Person: Addres : �� 3Y� �� State Bond #: ��lo�}�� ,. City: V� ►'�,�-F_ ?'1 ��`� Zip: �.� 3`? I Expiration Date: Phone: �J Z �� ' ��s � Alternate Phone: [�Insurance - Current: ��,� Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT Floor Floor U'HFFj� TypE Floor Floor TYPE Water Closet Fioor 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) L �- �" C,% �� , �� x .0125 $ �- -� (contract price) (minimum $50.00) 2. STATE SURCHARGE L,{ ��. x .0005 $ ' (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 r�; p �� 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 state e ade on this applicatio are complete, true and correct. � ApplicanYs Signature: Date: J� �� Building O�cial/ Inspector: Date: Page 2 �� t! ��(/� �� DATE TIME CITY OF ORONO ��C�CALLED IN INSPECTION NOTIC�yE scHe�u�E� �� ' PERMIT NO.��-f��I' COMPLEfED ADDRESS ��"�`1.�7 �� i!�' �/� ��,�,�_ L� �� C� 7� OWNER TELEPHONE N�. CONTRACTOR �� L'�'� fiG�� 4 �ie-� � _ � DESCRIPTION �- I �`��- � �� l�e�-- ty ❑ FOOTING ❑ DEMO-FINAL ❑ 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 ❑ FOL�OW-UP 4� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ E>EM�-SITE ❑ PTIC INSTALL M 2�"OWHERI�OI�fTRACTOR TO MEET YiOU: � YES_NO �COMMENTS: � W � � W�llidii l7�- /'a �• - >. ' e>C1�-.,�"i��t< 4l�S !/�fG O� ` � �� /4� ✓� tY�l � W � Q 2 (,�/'K Co rtilo�� {s c.,9�1�.�c d�� W � W _ � .t v� � j � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECT WORK 6 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-45�0 OwnerlContractor on site: Inspector. � /� � White Copyllnspector's File Cenary CopylSfte Notke