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HomeMy WebLinkAbout2018-00397(transferred to 430 Old Long Lk Rd • CITY OF ORONO I I1 II I1 I1 I II I1 1II I I1 * 20 1 8 - 00397 * 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2018 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 430 OLD LONG LAKE RD PIN : 36-118-23-43-0001 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: THIS PERMIT IS FOR 430 OLD LONG LAKE BLVD (1)HAND SINK,(1)DUMP SINK,(1)3 COMPARTMENT SINK,(2)FLOOR DRAINS,(1)MOP SINK VALUATION OF PLUMBING 8485 APPLICANT PLUMBING FIXTURE FEE 106.07 STATE SURCHARGE PLBG(VALUATION) 4.25 HAUSSNER PLUMBING,LLC MAIL-IN FEE 2.00 10520 STONEBRIDGE TRAIL N STILLWATER,MN 55082 TOTAL 112.32 (651)439-0291 Payment(s) Minnesota State License#: plbg-PC643933 CHECK 6652 112.32 OWNER Wayzata Country Club 200 WAYZATA BLVD W WAYZATA,MN 55391- 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 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 revoked at any time for due cause. Applicant Permitee Signature Date Issu j. By Signature Date /4ON\. City of Orono R CHVED FOR CITY USE ONLY / 0ilic. P.O. Box 66 Date Received: �V � 2750 Kelley Parkway MAR /poi 9„ "0397 Crystal Bay, MN 55323 3 18 Permit# o} (952)249-4600-Main ��`4 esS�eo*-,f (952)249-4616-Fax CITY OF ORONO Approved 13y: Amount$: i/i/) CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www,dli.mn.gov/CCLD/PDFtpe 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) n Residential IY Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] `V New [ Additional n Repairs 111 Replace fl 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: -J30 04 Love Lok� 1 Owner:1,.Jo,/ zal-ot CoLy\ -/tC,ItAltiailing Address: Z Way Locv el J � City: (,k)a y z0. Zip: SS-4? I Home Phone: (C)2: - ti 7 3- q.y4, Alternate Phone: Contractor Information: j ' GtSV Contractor: -HG1tc.S pi 0,y01b;`i.073 Contact Person: o 0 Address: 1 0c10 00-c 13 � q< T(,l State Bond #: Pe-__ h Y 39 33 City: LTi L,-.5-0A-v_ Zip: 5SOC<z Expiration Date: I431//9 Phone: 6-5 t- L/31 - O z9( Alternate Phone: Com( ' 3O - OS' 7 Insurance — Current: Je,c-t,((A `fit' r 31111 Page 1 PLUMBING FIXTURES BEING.INSTAL.LE© FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains 2 Lai tefi S�'� Sewer Ejector Po gathttrla � ° , Lau drPTray k Shower Washer Kitchen%Sin / Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION ... .e 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) W-1 SS x .0125 $ /' 07 (contract price) (minimum $50.00) 2. STATE SURCHARGE L, x .0005 $ . 25 (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ /1 Z• 3Z * 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 APPLICAT ON.AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinan 1 of the City and the regulations of the State of Minnesota, and certifies that all statements mad- . this application are complete, true and correct. Applicant's Signature: Date: 3 2:7 / Building Official/ Inspector: Date: Page 2 c(-)1— s_ E /,, TIME V" CITY OF ORONO CALLED IN `G INSPECTIONMT O,ZIC y �4 SCHEDULED —1 /O: PERMIT NO. 1! 0 /cY CMP ED /U� ADDRESS ( � OWNER �� ELE ENO. /02� 08-` /5-7 CONTRACTOR V I{�/ r 4u/ • DESCRIPTION (/i-/1�/CYC p b W$... ❑ FOOTING 0 DEMO- INAL 0 SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM ING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE El PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP ElFOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE ElSEPTIC INSTALL .C.--• OWNER/CONTRACTOR TO MEET YOU: YES NO L0 cn COMMENTS: cc Q. CC o Aev'ct'a'P, fiy?" `- r�S1 1155 e, N. r CC W• l lgil/%* fv l/ (11 CSS 7 CC IX12 (3)K 10// c'ACI (/)(0 VieV 1 i r, -6 W IQ eitowde co © f Oce-76 44p a W U •RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC n •RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN IDSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Con on site: Al Inspector. re i White Copy/Inspector's File Canary Copy/She Notice