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Home My WebLink About2014-00796 - plumbing CITY OF ORONO * 2 0 1 4 - PJ 0 7 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/28/2014 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1480 SIXTH AVE N PIN : 26-118-23-32-0008 LEGAL DESC : DOUGLAS ESTATES : LO'[' 001 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO"I�E: 1S'1'PLOOR: I WC, 1 LAV, 1 KITCHEN SINK, 1 DISHWASHGR,I WA7'L;RHGATER VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 STATE SURCHARGE PLBG (VALUATION) 2.50 AMERICAN MECHANICAL CO, INC. TOTAL 65.00 7120 71ST AVE.N. PO BOX 205 Payment(s) LORETTO, MN 55357- CREDIT CARD 6915 65.00 (612)750-0278 OWNER GULBRANDSON, DAN & ERICKA 1480 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State F3uilding Code. This pennit is for only the work describcd and does not grant perniission for additional or related work wllich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 1 AO days of the date of issuance,or if construction is suspended for a p io of 80 days at any time after work has commenced. The applicant is tesp nsi �for assuring all required inspections are requested in confori an vith the State Building Code.'[�his pennit may bc revoked at any�timG'for ie cause. � �� l , , Appl cant �rm t Signature Date Issued By Sig t re Date v� �g�5 FOR CTTY USE ONLY � � ,%��A r�� City of Orono �yO\ P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: �� (952)249-4600—Main '� % :•. i {952)249-4616—Faa �yf \ :, .. ; CITY OF ORONO—PLUMBING PERMIT \R�`E S f{�;�`�.�' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�://wrv��.clli.mn.��u��l(�C'LDIF'Di�'/�e �lunib lanr•e��a>>, �d� GENERAL INFORMATION l. 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 retum mail after a review is completed. PERMITS ARE NOT VALID UN'ITL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN IJNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properhy 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) L�Residential ❑Commercial(Approval Required) J�� / ❑New ❑Additional ❑Repairs ❑Repiace ❑ In Accessory Structure? *You wili need arior aauroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �' / � Owner: L( ( �l'C�,.�;�► �,� S<<��'l,� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: • � +� ' �� Contact Person: / J d �, f� �,. Address: �� ,� U� State Bond#: � (��(l��T �� City: L ,l 6 _ Zip��Expiration Date: �'�� / ) Phone: �/��" �)�� Alternate Phone: � ��`�� Insurance—Current: 1 FIXTURE BSMT 1 2 OTI-IER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher / Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Swcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Neat Page) 2 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of 550.00) �� x.0125$�� (contract price) (minimum$50.00) 2. STATE SURCHARGE Q_ �� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ �� • * CONTRACT PRICE ar 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 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 made on this application aze complete, true and correct. Applicant's Signature: Date: �L� ^/� 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE Q/ SCHEDULED PERMIT NO. �d�/r1"DO �7` COMPLETED �'��_ ADDRESS ��0 �ioCL`'fi �v�. s�tY_ OWNER TELEPHONE NO. CONTRACTOR al�ter�cs.�r, ��iy�c�L � DESCRIPTION � ❑ FOOTING �Rl11pABING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FIMAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: a� W C � �//i� ,Ot✓N�.L` �'/�F14� � 7�/.rt� o '� �O � �/G�s_ a�rM'+s�i �i�/�/- �?�/� dr� /D'!�lf/ O � W � " Q � 2 � � �Ci�i�st.t"�isEl�� W � j W ❑WORKSATISFACTORY:PROCEED �piECTCOMPLETE � ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlCoMractor on site: � Inspector. �'' White Copyllnapector's File Canary CopylSite Notke � p TIME V CITY OF ORONO CALLED IN —'� INSPECTION OT E SCHEDULED _1� � PERMIT NO.�� ""�D COMPLETED ADDRESS � �� '��"� �� ! OWNER TELEPHONE NO.QS2' �l Z 373 7 CONTRACTOR �IEa►�tivwc/ � DESCRIPTION � � —ur� � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/G ING/FIU.ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPUUNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTIUCTOR TO MEEf Y�OU:_YES_NO y COMMENTS: � �l`G ' .� I�J 1/' .��/G - 5��i• d -" o �� -,� f�s� �,.�.�ol��c � � o n . W � �_�t � 1Q!i• � � � �` Q"''�`+� �i � � �� I�� r Q �V � � DK v W � � J � �RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CARRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Ca 'nspection 24 hours in advance. (952) 249-4600 ctor on site: ✓� Inspect ite CopyAnspector's File Canary CopylSke Notke �� ✓ lM. �A�L I� � �TIM� CITY OF ORONO CALLED IN �� INSPECTION �C SCHEDULED � � `"_ PERMIT NO. I �� COMPLETED ADDRESS �� -� �� ' OWNER TELEPHONE NO�l ��SO •01-�1� CONTRACTOR ��• �-- C� �; DESCRIPTION r � � ❑ FOOTING ❑ PLUMBING F A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA I ❑ LAKESHOREM/ETLANDS y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERI R TO MEET YOU:_YES_NO c�., COMMENTS: � W � � J O �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN 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. �95 -46�� OwnerfContractor on site: Inspector. ;;,i � White Copyllnspector's File �Canary CopyfSite Notice