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Home My WebLink About2017-01141 - plumbing � � CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 7 - 0 1 1 4 1 * DATE 1SSUED: 09/15/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2090 SHORELINE DR PIN : 15-117-23-23-OOOI LEGAL DESC : LTNPLATTED 15 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NO'I'E: (4)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK(1)DISHWASHER,(1)SILLCOCKS,(1; LAUNDRY TRAY,(1)WATER HEATER,(1)WATER SOFTENER,(])WET BAR VALUATION OF PLUMBING ]0000 APPLICANT PLUMBING FIXTURE FEE 125.00 STATE SURCHARGE PLBG(VALUATION) 5.00 DEN MARK PLUMBING TOTAL 130.00 8445 QUAIL HILL RD Payment(s) MAPLE GROVE,MN 55311- CHECK 10929 130.00 Minnesota State License#:plbg-PM059250 OWNER HEAD,MARTHA 1616 W. 22ND STREET MINNEAPOLIS, MN 55405- 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 does not grant permission for additional or related work which requires separate permits. AIl 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 afrer work has commenced. The licant is responsible for assuring all required inspections are re es d in conformance with the State Building Code.This permit may be r oke at any time for due se. �� j _� s ��.�'�.��i/ -�� {� �� ( ��U �� ' i i licant Permitee Signature Date Issued B Signature i � Date / '_� �' .��p� City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: 2750 Keiley Parkway a �. Crystal Bay, MN 55323 Permit# � c> (952)249-4600—Main �t�kfSH04ti (952)249-4616—Fax Approved By: Amount$: CITY OF ORONO - PLUMBING PERMIT � j�� C�� (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: �D �� '�i�-�--f vt�.. /� c9{� /, Owner: �l�`��Lu �� Mailing Address: �� J/��t��- �/fc , City: ��'" (,� � ?'v'l Zip: �� 2-� Home Phone: ��Z � ��v� a�� Alternate Phone: Contractor Information: Contractor��- ��"�- �"�� ( � ' Cont ct Person: �2 �.s � �1E "`-' \ -�� r Address:� ��J Bond #: City:�� ` �' �2�U'� � / "�- Zip: _ �-�-/� Expiration Date: �a �/ /% Phone: �� -� � ��— ��D� Altemate Phone: �Insurance - Current: Page 1 PLUMBING FIXTURES BEING INSTALLED , 4 FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT Floor Floor OTHER TYPE Floor Floor TYPE Water Closet � ��-- Floor Drains Lavatory � � Sewer Ejector Bathtub f � Laundry Tray / Shower / Washer Kitchen Sink l Water Heater � Disposal Water Softener f Dishwasher � Wet Bar � Sillcocks / Miscellaneous PERMIT FEE CALCULATfON 1. CONTRACT PRICE * is 1.25% of contra�rice with a (Minimum Fee of$50.00) /� O0� '— x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � � � �� v " 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 PERMtT APPLICATION AGREEMENT The undersigned hereby app�ies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the rdinances of the City and the regulations of the State of Minnesota, and certifies that all statement ade on this appli 'on are complete, true and correct. � ��c��✓ ' � Applicant's Signature: Date: � Building Official/ Inspector: Date: Page 2 V� DATE T1ME CITY OF ORONO cnLLED IN _-�5;� INSPECTION NOTICE SCHEDULED � � 3`�O PERMR NO.?� I�'��"� COMPLETED a�oREss 20�0 ��I r� �r' O'WNER TELEPHONE NO. CONTRA�TeR � Y1 1� -I�I vVtI7• � DESCRIPTION ��'1'��c h-c .� ( Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI EXCAV/GRADING/FILLING "j ❑ 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 i OWNERICCOI�ITAACTOR TO MEET YW:_YES_NO y COMMENTS: � ��mr lu�6•K' ...� /x�/ ✓�� -- � - d� � - o . : 1 � — ,,,5� R�� rs� Js /!e��tis . � �' {�t�t� W i�f f 4� �f"��v`� i� �iJC�S��_ W ! Qf,lC Ga ✓ 1�4 wtd - � W � DK � Ca��na� W a� � � � �ORKSATISFACTORY`.PROCEED ❑PROJECT COMPLETE � ��O CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(3 PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in sdvance. (952) 249-4600 Owr�IContractor on site: �nspector: /f►�' WM1e CopyAnspsctor's Flla Gnary CoprlSfb Notles �qTE / Q� TIM CITY OF ORONO CALLED IN —�-�0`�ar,/�� INSPECTION �IC // SCHEDULED Q� � PERMIT NO. �� CO LEfED ADDRESS `�� D OWNER TELEPHONE NO. �� CONTRACTOR �n� � DESCRIPTION � Q� �� w ❑ FOOTING ❑ DEMO- IN L ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBIN RI ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � 1��w- �'�ao�- Gl•L- ' H'I•G. � �l��/ ' oDv'G 5caf � - _ - --- � _ � .�.r ,�e� - rs ha(�u . � 0 � Q 1� F�H�� n� :� p��s -�. � z � w � � a W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � �C4RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector: �iw-��Cf� WhiM Copyllnspeetor"s File Canary CopylSfte Notke