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Home My WebLink About2014-00832 - plumbing � CITYOFORONO * 2014 - 0PJ832 * ' 2750 KELLEY PARKWAY DATE ISSUED: 08/04�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 : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: i WC, 1 LAV, 1 TUB VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.25 BOE PLUMBING TOTAL 51.25 15481 KIOWA ST. ANDOVER,MN 55304 Payment(s) (763)757-1991 CHECK 4162 51.25 Minnesota State License#:plbg-MB3984 OWNER GULBRANDSON,DAN&ERICKA 1480 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections are requested in wnformance with the State Building Code.This permit may be revoked at time for d cause. �r�l f , , Applic t ermitee Signature Date lssued By g ature Date � � � FOR CTfY'USE OP3LY �` `�'� , City of Orono g-�� P.O.Box 66 Date Received: PermiY# � 2750 Kelley Pazkway ` Crystal Bay,MN 55323 Approved By: , Amount$: (952)249-4600—Main (952)249-4616—Fax y�' c,` CITY OF ORONO—PLUMBING PERMIT lqkESHO��' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/lwww.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df 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 Cheek All That A' ly) 'g]Residential ❑ Commercial(Approval Required) � .� ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) '7ob Site/Owner Information; Site Address: ! �� a � Owner: �� "`��br��^`'rS0►� Mailing Address: ��'L City: �f�� Zip: Home Phone: �� 3�� Q��y Alternate Phone: :Contractor Information: Contractor: ��y� Contact Person: ✓�� Address: l) Z �� Q S f State Bond#: �C � y�� 7 / City: �l-��v'e'� Zip:�� Expiration Date: 2 3i l �S Phone: ! b 3 7�7 �g g� Alternate Phone: ❑ Insurance—Current: 1 � , � .� FIXTURE BSMT 1 2 OTHER 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;excludine 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 Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 1 � � � �, z � , .. �w � e 3� �� ..� �� , t�, � � � �__... . _ � �, If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 2%QQ x.0125 $ (conuact 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 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 pariy, 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 act,ual 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 are complete, true and correct. , ��ll y Applicant s Signature: Date: 3 . . �.� ✓ 7 TIME CITY OF ORONO CALLED IN � INSPECTION NOTI E DD Q/�.��CHEDULED PERMIT NO.�� COMPLEfED ADDRESS �� %�� OWNER TELEPHONE N0.7�3�J7 �gg� CONTRACTOR `v � DESCRIPTION O� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J�pLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � a �t.�.r��I �G �ti - � J � � �11I/ '' ��..5 �C/�i• S/o � �` !�� /�Zt15 ° �x,�,��'L�� od,0e r �W G/ �1/ ,�,�ss�•�, c'o<.D/r� W � Q , 2 V�i 11��KC � C�ceSt�.cs Ir� V2K ti � � - P��G ! far Y.�wv f'�f 1� �sc � �o✓ j � a � W��4fORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: /�1��/� Inspector: � '� White Copyllnspector's Ffle Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�� 3� COMPLETED �y"�s ADDRESS /�1 Sl d �r.c�i �v •/�/- OWNER TELEPHONE NO. CONTRACTOR �a � ��s- � DESCRIPTION CC�"'��1 � �� ❑ FOOTING Q�PL�JMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � �jNAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �LOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTiC FINAL � FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO y COMMENTS: � a - . o ' ,�. . �`r / � �� l�� .-...�-� �o?Q/i�- �z7�r� o n. /o�/6��t� 0 � W � Q � � W /� � P�i�i�.s.L -t'�r�/...� W � J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W �CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT Y110RK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 2a hours in advance. (952) 2�9-4600 OwnerfContractor on site: Inspector: �-✓ Whits CopyllnspectoPs File Canary CopyfSite Notics