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Home My WebLink About2012-00224 - plumbing CITY OF ORONO * z 0 1 2 - 0 0 z z 4 * � � 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2990 SOMERSET LA PIN : 04-117-23-21-0011 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 004 BLOCK 003 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 1313 DANITA CR. SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-4803 MISC FEE 0.00 Minnesota State License#:057209PM TOTAL 22.00 OWNER BUNDY,MICHAEL 2990 SOMERSET LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / � Applicant Permitee Signature Date Issued By i nature SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . t �` � City of Orono FOR CITY USE ONLY %�d�`,�,. P.O.Box 66 /1��,. �''' 2750 Kelley Parkway Date Received: Permit# a'�'�;• " Crystal Bay,MN 5532, ''',� �y y„ ��;" Approved BY� Amount$: �,�� ,y�„x�o r (952)249-4600—Main ��+�84.=% (952)249-4616- Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Pcrmits Must be Approved by the State Prior to City Approval) htt ://w�wH�.dli.mn.«o��/CCLD/PDF/ e lumb lanreva �. df GENERAL INFORMATION 1. You may apply for plumbing pennits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issued wid�in 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. S. riii'work must be done in accordance with State Code requirements. 6. Al]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 A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs �Replace ❑ in Accessory Structure? *You will need arior approval and may need CU('.(Per Orono City Code,Chapter 78,Article iV) Job Site/Owner Information: Site Address:p��q� i �1jmz�}�'�j`..�- �n Owner:�j�,�,�qQ I (,�,�'°�� Mailing Address: � c�ry: 1�Y1� z�p: ��J.�-�O Home Phone: ��j'�j��' � ��' Alternate Phone: Contractor Information: � Contractor: Contact Person: � Q,/ � �pi�ar�e C�r�necti�ns ln Address: ��a�_ �State Bond#: G � � Ci�y: `g��, MN�78 Expiration Date: �j � ��j � Phone: �5'"�e� Alternate Phone: ❑ Insurance—Current: 1 �'ERI�!,t�:�FEE:'CAZG�JLt.#'��fl��: �:J0�5 4� w, , +.,r�%f:r"" ��,,�°'"�"�y��. ��:" �!.�:', If above does not apply; follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x .0125$ (contract price) (minimum$50.00) 2. STATESURCHARGE x .0005 $ (contract pnce) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.U0 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' * CONTRACT PRiCE or JOB COST means [he �r,1��1,nJ; ��,1;x,;;�tR,;,a�r..1;;a, arnuurt� cnargeii �or the perm�tted work including materials, labor,profit,and other fixed costs. it is the amount to be charged to the customer for the work done. Tf 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 pennit fec 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. P�,UI�BINC,��RMIT A��C��`�;p� ,. �.•w-. ' ��;� �';� '� t�Y,�,� The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ardinances 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 Signatur � Date: ��b� ' ; 3 � �yAT TIME � CITY OF ORONO CALLED IN //� INSPECTION NOTICE ,/ SCHEDULED o� / !D-"� PERMIT NO.o�O/a--ODo�o��t- COMPLETED ADDRESS a99� s �—�- OWNER Ml�-'2 �Ll.�C�.c7 TELEPHONE NO. ��Z �7� Z�S�D CONTRACTOR ��(�►�c-ee �-D�N�V�J � DESCRIPTION /c�I�� - ��"'""� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �,_, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice