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Home My WebLink About2016-01234 - plumbing CITY OF ORONO * 2 0 1 6 - 0 1 2 3 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016 �' ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 60 SMITH AVE PIN : 02-117-23-21-0003 LEGAL DESC : ORONO ORCHARDS : LOT 041 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: VACUUM BREAKER FOR IRRIGATION SYSTEM VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 THARALDSON PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.25 5680 MANITOU RD TOTAL 50.25 SHOREWOOD,MN 55331- P$yment(s) (952)4747400 CHECK 5861 50.25 Minnesota State License#:plbg-PC675647 OW1�iER MILLER,ROBERT 60 SMITH AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additionai or related work which requires separate pertnits. All provisions of laws and ordinances goveming this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l SO days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze �. requested in conformance with the State Building Code.This permit may be revoked at an time for due cause. i � � � 2`1� �-(� Applicant Permitee Signa ure Date Issued By 'gnature Date �pN , City of Orono FOR�T�' USE ONLY � O P.O. Box 66 Date Received: 7- i��J-!�h 2750 Kelley Parkway /,, -\1 _ Crystal Bay, MN 55323 Permit# ��w - o � a3 �\`��1 �` (952)249-4600-Main ��''��►+"j' (952)249-4616-Fax Approved By: Amount$: ��. O� 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: �n Sv�n►� �� Owner:�.��''t �� Mailing Address: �� Sm�'�'f"� ��• City: �r'v'no Zip: 55�� Home Phone: Alternate Phone: Contractor Information: Contractor: �'1�'�c�-S�n �Q�bq�- t-+'�-q Contact Person: L on ��+'�.c�.S�''� Address: ��8� ��'�'�� State Bond #: I OtoO� °Il 0�3 City: O.�ho�t�oo�-- zip: ��331 Expiration Date: '�I�a'�� Phone: °�Sa-�-l-7�---1�00 Alternate Phone: qsa � 5aq� �'jla8 �Insurance — Current: �.r'� �� ar�n.�� aa-XG q g� I - 01 Page 1 r ��,,, 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 Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous I ��PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25°/o of contract price with a (Minimum Fee of$50.00) `#'S�� x .0125 $ �Jb•00 (contract price) (minimum $50.00) 2. STATE SURCHARGE $5°O X .0005 � . a� (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ � 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 5�� a� * 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 m de on this application are complete, true and correct. ApplicanYs Signature:, Date: `��a9 /I(,o Building Official/ Inspector: Date: Page 2 DATE TIM� CfTY OF ORONO CALLED IN INSPECTION TICE SCHEDULED �/�—!—!�, �� PERM(T NO. D - COMPLETED ADDRESS �ov �� /��- � OWNER TELEPH O.�s� �� CONTRACTOR �� DESCRIPTION �Q r� �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 O ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINEAICOIdTRACTOR TO MEET YOU:_YES_NO y COMMENT'� � n � / � �L✓.�i.. 1�!`G,.s1.�Gr/� ti/1. C-f� � -G O �°/��.t K-I�er- .�Jl�..... 3 i � e o � YI�.�s� . � Q O W � Q � W � w � j � ❑WORK SATISFACTORY:PFiOCEED ECT COMPLETE � ❑CORRECT VMORK a PROCEED ❑ISSU CEFiTIFICATE OF OCCUPMNCY O� ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORIIRY V BEFORECd1lERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HWRS. O PHOTO TAKEN iNSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advance. (952) 249-4600 OwneHContrsctor site: Inspector: �J��_ Mmi�coPrn��sotors Fi� C�nary CopylSib Notie�