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Home My WebLink About2011-00335 - plumbing • �- CITY OF ORONO PERMIT NO.: 2011-00335 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1125 SPRING HILL RD PIN : 26-118-23-43-0004 LEGAL DESC : UNPLATTED 26 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: (1)LAUNDRY TRAY IN GAREIGE APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(<$500) 5.00 7120 71ST AVE.N. PO BOX 205 TOTAL 20.00 LORETTO,MN 55357- PAID WITH CC# 9327 (612)750-0278 Minnesota State License#: 065381 PM OWNER PIPER,ADDISON&CINDY 1125 SPRING HILL RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the ' State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is susp d for a period of 180 days at any time after work has commenced. The p icant is res ,�'ble for assuring all required inspections are requ s d in n ce with the State Building Code.This permit may be revo at y t e f r due cause. �� ( .Z � � ( � �� /�Z.� Ap icant Pe mitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,f . � � �Ci > .US��I�Y �A� City of Orono � � � � . =�- � � O¢ `�0 P.O.Box 66 Date Reoeii+ �� PeimiC3f� � 2750 Kelley Parkway ' � �. ...� Crystal Bay,MN 55323 Approved Bys . Amount$; ��` ' (952)249-4600—Main �" � � � �'seso8� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://v��vw.dli.mn.Rov/CCL.D/PDF/ e lumb lanreva . df CrEI*TER�,:INFORIVII�TION 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. Pernut 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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construcrion 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) ' T�'PE OF>PERNIIT (Check�11'That A l. ) �Residential ❑ Commercial(Approval Required) �` ❑ 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'%rOwner Information: ' ' Site Address: � � r��G �j°e �l r �� Owner��/ �/'h,� Mailing Address: //� r City: �j'�hO Zip: Home Phone: Alternate Phone: Contractor Ir�formation: Contractor: : �P�i , Contact Person: Address: �D `�7` � State Bond#: City: �j0!' U Zip� ��Expiration Date: I �� 3�� Phone: r /1v 7 Alternate Phone: �j'1'�'►'1P � Insurance—Current: `/,,;r,,,P� -7� v l 1 ♦, • FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous Yes,this secrion applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not requue modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludins the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $�" (Permit Fees Continued On Next Page) 2 . � If above does not apply;follow guidelines below: 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&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 installarions 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. 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. � �5�� -�r Applicant's Signature: Date: 3 ' v— I C�� DATE TIME v CITY OF ORONO CALLED IN - Z INSPECTION NQ�ICE ��SCHEDULED /4•'3f� PERMIT NO.�'`E�� COMpLETED ADDRESS �< r � OWNER - TELE ONE O. ��-7��Z'�� CONTRACTOR P-��C�. � � � DESCRIPTION � ❑ FOOTING ❑ PLUMBING F AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANI ❑ LAKESHOREM/ETLANDS � ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d � RKSAT{SFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CAIL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. � White Copyllnspector's File Canary CopylSite NoHce ��C` • / J - l ' �-- � � T // TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �s CHEDULED /�= � PERMIT NO. 0�0//-DO�i3S cOMPLETED ADDRESS �� , OWNER •T ONE NO. �� - ��78 CONTRACTOR �� - � DESCRIPTION � — � ❑ FOOTING ❑ PLUMBING FIN � EXCAV/GRAOING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a j O >. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED ,�ABOJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQl11RED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (�52) 249-46�� OwnerlContractor on site: Inspector. __ White Copyllnspector's File Canary CopylSfte.Notice