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Home My WebLink About2017-00080 - plumbing I r -, CITY OF ORONO * 2 0 1 � _ 0 0 0 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: OU27/2017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 485 STUBBS BAY RD N PIN : 32-118-23-24-0003 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�i TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(2)LAVATOIRES,(1)BATHTUB,(1)SHOWER VALUATION OF PLUMBING 3400 APPLICANT PLUMBING FIXTURE FEE 50.00 BOE PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.70 TOTAL 51.70 15481 KIOWA ST. Payment(s) ANDOVER,MN 55304 CHECK 4477 51.70 (763)757-1991 Minnesota State License#:plbg-MB3984 OWNER WILL,JOHN&JOCLYN 485 STUBBS BAY RD N 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 dces 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 l SO days at any time after work has commenced. The applican responsible for assuring all required inspections are requested i onformance with the State Building Code.This permit may be revoked a ime for cause. C` Z�� / �� i l Applicant Permitee Signature Date Issued B ignature Date � ��p� City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: ' �- 2.�--/ 7 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# �� / ?�- (�"� � ��^�1 ��o� (952)249-4600-Main ApprOVed By: kFSHO (952)249-4616-Fax 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 AlI 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 lnformation: n Site Address: �f � S�� s ,� �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor lnformation: Contractor. I �� Contact Person: �Y��'� Address f �'� � �`��'`�� S� State Bond #: �� i City: �l��'� Zip: �S3Dy Expiration Date: l -' �/�7 Phone: _�� 7�� Alternate Phone: �Insurance — Current: Page 1 �� ,:�~ $�1�G,��'.��T �� - �� ', � x � Uf�E ��1!C��11� T�l,�. . �� , �� . �D° K� ., ._ � �; . � �; FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TypE Floor Floor TYPE Floor Floor Water Closet � Floor Drains Lavatory 2 Sewer Ejector Bathtub ' Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous . � . . „,.. . ,, ,. . , . _5 dM �. , . .. . � . ,�_ <� .. 3r '�' ,e�' ,5 , . . . . �� .� r'4 ` �f:_.. ).. z.'. ��. �. �, � � . ^ 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) $ �� 7� '` 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. � %*'� ..�� n ��I ��,-i��m{_�� #� r��1�,+��.��'��}^�S'� .T� ,w�b��$3:. 4 �:��, The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinanc of the City and the regulations of the State of Minnesota, and certifies that all statements made o hi appli tion are complete, true and correct. ' re: Date: ( /� ��< � Applicant s Signatu Building Official/ Inspector: Date: Page 2 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED I ' 36 -!? 2'30 PERMIT NO. �o�'? • Gvo 5� COMPLETED ADDRESS y�-S ��yb�5s �74y �< OWNER TELEPHONE NO. �6 '`� ��`�7 ��i CONTRACTOR 0 l�• � DESCRIPTION —��4• � ` � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL • LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMINC� ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNFR�COI�ITMCTOR TO MEET YiOU:_YES_NO v�i COMMENTS: � C"G��c�� -� � �e�a�✓ l/•��s' �F—��•�- '- o - Q w V - f�� --.f. 4d �-,eB 74 es��StiKoS.._ � �9-d�s �,{• �yC� _ 0 � � ' (��Q� o� S� �v�a r �t e��s � l Q 2 �v�e4�er he� — S��4o•�c�� cs � �ex��i�� ' � _ �K � c��.� . d /D r/�C'1 � ��/�?�Cre ivQ dK •. � W ❑WO SATISFACTORY:PROCEED ❑PRWECT COMPLEfE � CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERiNG PERMANENT O CORRECTUNSAFECONDITIONWRHIN HOURS. p p�{OTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: ��K=� �--•— Whits CopyAnspector's Flle Canary CopylSits Notics C,3 - . `� DATE TIME CITY OF ORONO CALLED IN �� 1 3�cx� �'"n INSPECTION NOTICE SCHEDULED `�� f O•o0 f1� PERMIT NO.��7�� COMPLETED ADDRESS �$5 A�� OWNER n TELEPHONE NO.��3 '?��I CONTRACTOR � �"(�Lb�vl°� � DESCRIPTION ��p� � ❑ FOOTtNG �'PLUMBING F AL ❑ EXCAV/GRADING/FIWNG � O POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS Q ❑ FRAMING p MECHANICAL FINAL � TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ �RESS � ❑ FINAL ❑ SEWER HOOK-UP � C PLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL O FOUNbATION/HH�AOVAL 2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � � �C /�e�c 7�✓ �C � o s�� /e -- Y-3 ve��4� ort� � K '' �n, �" �,•� � �r - d � ° 6,� . ��G .. � sL`p� Ct�bt� ✓ � ticsC�e. Q 2 �'d�D`��c '��o�l ci.r�'� �- W � � Ga rr�� .� �,,.�.•� t�l.�a W ❑WORK SATISFACTORY:PROCEE� �W ECT COMPLETE � CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORpECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECOWERING �RMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: /j"' VYhife Copyllnspector's File Canary CopylSfte Notiee