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Home My WebLink About2017-01104 - plumbing � ' � CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 7 - 0 1 1 0 4 * DATE [SSUED: 09/12/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4380 SIXTH AVE N PIN : 31-118-23-12-0018 LEGAL DESC : LJNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SNIK,(1)DISHWASHER,(1)SILLCOCK,(i) FLOOR DRAIN,(1)WASHER,(1)WATER HEATER VALUATION OF PLUMBING 9000 APPLICANT PLUMBING FIXTURE FEE 112.50 ROYAL FLUSH INC STATE SURCHARGE PLBG(VALUATION) 4.50 22541 TYPE CREEK TOTAL 117.00 STACY, MN 55079- Payment(s) (763)439-7845 CHECK 1201 117.00 Minnesota State License#: plbg-PC689916 OWNER MICHAEL DEMENGE&KURTIS WOLBECK 14226 NEBULA ST NE CIRCLE PINES,MN 55014- 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 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 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 caus ��Y V � �Z � 7 ° ?rU � i 6'Zi- Applicant Permitee Signature Date Issued B ignature Date { � �pN City of Orono FOR TY USE ONLY O P.O. Box 66 Date Received: �-��-/� 2750 Keiley Parkway — y �. Crystai Bay, MN 55323 Permit# �� 7 � O!! 4 �^ c> (952)249-4600–Main `�'KESH�a�` (952)249-4616–Fax Approved By: Amount$: 1 l�� CT� 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: �� ix�r � le � �P Owner: /� c�e�«,� t-/ yv� Mailing Address: CitY: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �y Gl � ��US h �n L Contact Person: �� l.J Add ress: �z S y � -�-�%p p � rC P k- State Bond #: �L ��9 y � C� City: �J �C.�/ �11 w Zip: �5 � 7 � Expiration Date: / Z �i � ? Phone: ( � � � y3 r ��5 Alternate Phone: �� Insurance — Current: _ 1'�'1,� �JU�(,c, �r,,an�E-�/ mAk j�p� Z � Page 1 PLUMBING FIXTURES BEING INSTALLED � 1 FIXTURE BSMT 1sT 2ND pTHER FI�PE E BSMT Floor Floor OTHER �pE Fioor Floor Water Cioset '� Floor Drains � Lavatory I � Sewer Ejector Bathtub ' Laundry Tray Shower I Washer � Kitchen Sink I Water Heater � Disposat Water Softener Dishwasher ' Wet Bar Sillcocks � Miscellaneous �ERMIT FEE C^LGULATION �� x� 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) 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) $ * 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 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. _. �/ � � / � Applicant's Signature: Date: Building Official/ Inspector: Date: Page 2 INSPECTION NOTICE DATE TIME CITY OF �IC��G�_ CALLED-IN ^�'1��7 �/ SCHEDULED "l 'r� l�� PERMIT NO. ��'al/� / COMP�ETED ADDRESS 3� %X� �� OWNER/CONTR. /L� ��' ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL ❑ � ❑ HEATHING ❑SEPTIC FINAL ❑ �MBING RI ❑S&W HOOKUP ❑ � ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ Q \i� TS: z Q � �� "-� / .� L/�� = t� > //?_�� le�' Z�� J o /r`��r� �ihs �4� �.�.'�� ¢ C��-�s-�' �n ��P�� o� f-�'�. � � � � � �' ,� sf �� ° ��i C'.a��-- W � Q � z W � W � � a � F THER CORRECTIONS MAY BE REGlUIRED ❑ PERMIT FINALED W WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN � ❑ RRECT WORK& PROCEED ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 o West Inspec ' n Services Inc. Owner/Contr. ' e: Inspector: � ✓ �I\ DATE TIME .qTY OF ORONO CALLED IN �'I� INSPECTION NOTI�C7E &CHEDULED � �J�21� PERMR NO. �I /' �1 I C�� COMPLETED �►ooREss y��U (�,�`` ��. /� OMINER TELEPHONE N0.7�� y�`�ys COI�RRACTOR �Y�I I— i,�� /4/l c�/��J � DESCRIPTION /- ' ly ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAVR3RADIN(iIFILLINO Q ❑ FOUNDATION WATERPROOF ��O�'LUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q � FRAMING ❑ MECHANICAL FINAL � RATED WALLS � 0 INSULATION �WOOD BURNER/FIREPLACE � COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dwNBYCOKTRACI'OR 70 YEET YOU:_V68_NO � COMMENT� 4 j � /�D � v ls• � ca�- ° � 6t 1a•2 f'. � l.r Q �, ' �G /11•a� � �t, �• �.L7�`I�'4 Z YQ6i �6� Q� ��4✓G /�iL��T'/ � . � __i�'�'r� `✓� ��c�<��v.r.�G �'✓� � �� ?� ✓�� c �Gti. J W ❑wo�c snnsw►croAr:�oc�eo ❑�ar�r coM�� o ooA�cr wn�ac a�oce� ❑issuE c�m�►�oF o�cr � ❑�CT WOi�(,CALL FOR F�INSPECTION TEMPOMRY C1 �� PEAMANBdT ❑(�pRREC'i UNgAFE COMDITION WITHIN �1�. O PHOTO TAKEN INSPEC7OR WILL RETiniN 0 STOP OR�EA P06TED.G1LL INSPECTOR O dTATiON ISSUED �/�l�1�j`PE(;iION REW IRED.CALL TO ARFiAN(iE ACCESS. csN br u�e next rispeMion u na,rs in ed�►anos. (952) 249-4600 on sit� Inspector: �''� WMN ��FlM C�mry Co�I81N Nolla �U ATE TIME CITY OF ORONO CALLED IN z.3 � INSPECTION N�TICE_ /,l O SCHEDULED � PERMIT NO. ��Y� U COM D � ADDRESS OWNER ELEP ONE N� � CONTRACTOR � -� � DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE �UMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME TS:U��• I�1b/LU� �S hvl�''�S � � � ��tul� gcL` �J.. � � o _ i�l� ��C Oc�ti eQi �� o .�' , ° �Sc�t� k�cr �!{��r ✓�r�L � /`�� - �'� W aC Q z ab� aK - � � GGr rcc� -} .GI�!N��S � w � � , W ❑1NORK SATISFACTOR�PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� OMrnerlContractor on site• Inspecto ` White CopyllnspecMr's Flle Canary CopylSMe Notfce N DATE TIME CITY OF ORONO CALLED IN INSPECTIONC�O,�E�OI/�y scaeouLED PERMR NO. �� COMPLETED ,�� y3s'd 6�� OMINER TELEPHONE NO. CONTRACTOR �y�l F�tit�i ,�� - � DESCRIPTION �� G� '�� S ��G' ty � FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADINGIFILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � � FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SRE ❑ SEPTIC INSTALL Z OlMN�IKAKTMCTOR TO MEET YOU:_YES_NO � COMMEN'T� � - a ad•��f � . �-<< 6.��C �� o ��, �� < �e '�- i�o� �.►s � ' r,t/a�C.� /.�1 es �.�5l,c! - 3' ` l�e�s�% � �a�Q it- I/'c r�b'..a.s �J y w ico�.�s.��'a�iQc�✓ W OC � Z - D/� � ��•,c t�nk.s- � � j ��,$�TISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑OORRECT WORIC d�PFiOCEED �ISSUE CERTIF�ATE OF OOCUPANCY 0 ❑CORi�CT WORIC,CAIL FOR REINSPECTION TEMPORAqY V BEFORE(�VEF�N� PEqMANENT ❑(�RRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �pTAT10N ISSUED ❑INSPEC710N REOUIRED.CALL TO ARRANCiE ACCESS. caN ror u�e next inspection 2a nours�n sd�►anoe. (952) 249-4600 OwnerlContractor on site: �� "`� "� VIIIiN OuP�� C�n�ry Cop�rl8i1�Notla