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Home My WebLink About2016-01280 - plumbing ,,. CITY OF ORONO * 2 0 1 6 - PJ 1 Z 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 _ ADDRESS : 3585 SIXTH AVE N PIN : 29-118-23-43-0004 LEGAL DESC : LINPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)FLOOR DRAIN,(2)WATER HEATERS,(1)WET BAR AND(1)URINAL VALUATION OF PLUMBING 6110 APPLICANT PLUMBING FIXTURE FEE 76.38 STATE SURCHARGE PLBG(VALUATION) 3.06 K& S PLUMBING LLC TOTAL 79.44 9572 KNOX AVE.N. BROOKLYN PARK,MN 55444- Payment(s) (763)425-8760 CHECK 5090 79.44 Minnesota State License#: plbg-065380-PM OWNER ANDERSON&DAV[D LIND, RICK 3585 SIXTH AVE N LONG LAKE,MN 55356- AGREEMEIVT 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�vhich 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 I 80 days of the date of issuance,or if construction is suspended for a period of l80 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 � for due cause. � ' � ! l� <G � /l� l l a l�� pplicant ermrtee ' nature Date Issued Signature Date � � ' p City of Orono FOR CITY ySoE ON�� ` � �� P.O. Box 66 Date Received: '; 2750 Kelley Parkway d� � � ^O � �� Crystal Bay, MN 55323 Permit# cZ \yF�'1 � (952)249-4600-Main �'kESHo�� (g52)249-4616-Fax Approved By: �-__-- Amount$: '� 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��'I, t 1 ' ' � , g I j`�i�'� `�l� �' -� ' Owner: ti Mailin Address: �4 �,��v City: 1 V� �� Zip: ��Ol .� �/�� i ) Home Phone: Alternate Phone: �� I,J l� J `�`7 Contractor Information: Contractor: 6 � �i 1�1�' �' Contact Person: �''�' - ` Q;� Address C�� ! � ' ` State Bond #: �� L �` ,.-� City: �� '� Zip: ��/ `C Expiration Date:� 1'� I � Phone:� �"r'�/�t'�� '��(� Alternate Phone: �� _��'��7 % -' �f Insurance - Current: � Page 1 � � � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � Floor Drains ( Lavatory l Sewer Ejector Bathtub Laundry Tray Shower [ Washer Kitchen Sink Water Heater l Disposal Water Softener Dishwasher Wet Bar � Sillcocks Miscellaneous � �A� PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) , ��{�U � x .0125 $ '��1� �� (contract price) (minimum $50.00) 2. STATE SURCHARGE �L'y � � �F �' �, l l�„ X .0005 � ,. (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��I �� * 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 ap `I es to the City r issuance of a Plumbing Permit, agrees to do all work in strict accordance with the r inances of City and the regulations of the State of Minnesota, and certifies that all statements de on this plica � n are complete, true and correct. ApplicanYs Signatur � Date: l� i�' Ir Building Official/ Inspector: Date: Page 2 DATE TIME CITY OF ORONO cnLLED IN INSPECTION�OTICE SCHEDULED PERMfT NO. h16 ��a�D COMPLETED /O— S-�L � '� ADDRESS 3�$� s�,�L`+�(, 'Av�• 1�/• �NNER TELEPHONE NO. CONTRACTOR � � S P/g • � DESCRIPTION ��` � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL '$RLL(I�ABING 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 ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OwNERlCOI�ITRACTOR TO MEET YOU:_YES_NO y COMMENT� W l�.G�. � !�-�6• - Q w v - ��c �Sc�- �ra-- � o , .l�� Q.:-�e �� •'s `ial�.y� — �, ° Prvv�,d� 3 "✓c K� -�'raw�, I,v<<. o�- � Q �-/�.�k �a�-F — � � !H 5 K �4 �� t�C ✓ /�i9G�� — W � � G6 r d c��—t d!C -,�- Gc��c��h�,-e � W ❑VMORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE ��WORK 8 PROCEED ❑ISSUE CEFiTIFIC/1TE OF OOCUPYINCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY V BEFORE CdVERIN(i PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. �;sq�or the next inspection 24 hours in advance. (952) 249-4600 OMmerlCoMractor on site: Inspector. � WMts CopyAnspector's FiN Gnary CopyfSN�Noda � � : � � , , . � DATE TIME CITY OF ORO O CALLED IN INSPECTION NOTICE , , SCHEDULED -� �1 PERMIT NO. ��i�f�•-� I`�'�� COMPLETED ADDRESS -� c-_ c ;c- c > L'� I b'1 ,1-�-,,t_:,t' � �'7 : ) i_� > �:' -;-. OWNER TELEPH�� NO. ��3 `�� "-> >jy CONTRACTOR �'� �� ?�� t �12 � DESCRIPTION '' �� I t� i v;v � �: � V`t�i� 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ��j ❑ FOUNDATION WATERPROOF �PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE S�PTIC INSTALL 2 OWNERICOlfTMCTOR TO MEET Y�OU: YES_NO � COMMENTS: � 1��J`��"L �' .� (Q� wL ` �v� k✓.�c,r�L— j O w ��` � s��r � � � /�/"Dv��;l� �4 ' c�l�� /'l �wf- �or� ° , 3 `� Ye�t — � .-��r( .� /�,�i ��/ �,�c�s� �so✓ Q i4 � 3`` ✓'`.� Q- �/Qa l � W j � t/l��i d,� '_ ` . d Ld►''rec F. ad � .l W ❑WORK SATISFACTORY:PROCEED COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlCorrtractor on site: Inspector: �1�w�d---" � Whib Copyllnspector's Flle C�nary CopylSits Notk:e