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Home My WebLink About2017-00070 - plumbing '� CITY OF ORONO �� 2750 KELLEY PARKWAY * � 0 1 7 - 0 0 0 7 0 * DATE ISSUED: OU24/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRE � : 3115 SUSSEX RD PIN : 04-117-23-32-0015 LEGAL �S : FOX BEND � : LOT 004 BLOCK 002 PERMI '�Y : PLUMBING PROPE TY PE : RESIDENTIAL CONST UC N TYPE : FIXTURES-MULTIPLE NOTE: O WA R CLOSET,(2)LAVATORIES,(1)SHOWER VALUA I�N PLUMBING 3500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1 JS NYBO-P ERS N CO.INC. TOTAL 51.75 6606 280 .ST ET MN 55088 Payment(s) (952)461- 749 CREDIT CARD 8865 51.75 Minnesota tate cense#:BUIL-058650,cont-MN058650 OWNER MARY SI�O DANIEL DELMORE& 3115 SUS �C LONG LA E, 55356- AG �M T AND SWORN STATEMENT The work for hvch pertnit is issued shall be perfortned according to the approved lans specifications,applicable City approvals,and the State Buildin Cbde. his permit is for on(y the work described and dces not grant pe is9ion additional or related work which requires separate permits. All ovisio of laws and ordinances goveming this type of work shall be comp d with hether or not specified herein.This permit will expire and be me nu I and void if construction suthorized is not commenced thin 18 days of the date of issuance,or if construction is suspended for peri f I80 d s at any time after work has commenced. The applicant respo ible assuring all required inspections are requested in c nform ith tate B ' de.This permit may be revoked at any time ue c /' ! �� v � �z�� 7 Apptic itee gnature Date Issued By ' ature Date ` � City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: 2750 Kelley Parkway � � Crystal Bay, MN 55323 Permit# f y � �o� (952)249-4600-Main Approved By: kFSH (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/ae plumbplanrevapp.pdf G NIE L INFORMATION 1. u may apply for plumbing permits by mail or in person at the City offices. Applications will be viewed and a permit will be issued within finro working days. 2. rmit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS STED ON THE JOB SITE. 3. umbing permits may be issued ONLY to licensed plumbing contractors and to property owners siding in the dwelling. 4. hen any new construction or remodeling is involved, a separate building permit must be obtained. 5. I work must be done in accordance with State Code requirements. 6. work must be inspected and air tested before it is covered. Call (952) 249-4600. ( -48 hour notice required) TYPE OF PERMIT(Check All That Apply) Re ential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] Ne �Additional ❑ Repairs ❑ Replace In cessory Structure? *Y will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Jo �it Owner lnformation: I S S�s � � Sit Ad ess: J� ��-� Ow Er: 1�� Mailing Address: �� J �5�� Cit � � Zip: SS � S � Ho � P one: Alternate Phone: __C��Z �� `l� S Co t� c r Information: Co trac r: � �U�✓� ontact Person: Ad ess 6� �� State Bond #: ��32�� City � �� Zip: s� Expiration Date: 3��Z�7 Pho e: �� l� Alternate Phone: �SZ�Z�� ❑ I sur ce— Current: (,� tJ n�, Z L 70��OC/�ZI Page 1 �Y�� . � � r � : �Ui�IBI�tG;�flXTURE�,��1:�� N�TAI,t��ED�§�� a�` ,��,:;�-` � , � FIXTURE BSMT 1ST LND OTHER FIXTURE BSMT 1sT 2ND OTHER NpE Floor Floor TYPE Floor Floor Water Closet I Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous , "� �'�a: �,ui Y^;�� k�; ,,�� y�s��< ,�;�� 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) 3 SOD - , 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 j 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�.��11J11'T:�� L�I:��c�'3��1�"��R�E�1�I�NT �� `� '�� - < - ... _ � �� ,, �� The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances e City and the regulations of the State of Minnesota, and certifies that all statements made o is a licati are o plete, true and correct. � Date: / Z L� � Applicant s Signature: � Building Official/ Inspector: Date: Page 2 / ��-�i( / 7 TIME // / �— �/ CITY OF O CALLED IN � INSPECT TI E /� J�SCHEDULED pEpMR �w� C/CO PLETED ADDR c�� GG�. OWNER TELEPHONE NO.�✓�a a�� CONTR CTO s� � DESCRI TIO 4~j ❑ FOOTIN ❑ DEMO NAL ❑ SEPTIC FINAL Q ❑ POURE WALL ,��PLUM G RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUND TIbN TERPROOF �❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON S4A6 ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMI G ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSU IQN ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUI T-SU EY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO SITE ❑ SEPTIC INSTALL 2 OWN R TO MEET YiOU:_YES_NO � COMM N 4 l�5 ur1'L �c5r lja,� �.•�a�.QaL - j O _ � � v �a s � • �ra �� 16" ° x� � l3s ,s�f . �ro _ Q -- o� �� r,v • c , s ,�� ,� 2 ,� — �- u�r � W a� j W K ACTORIF.PROCEED ❑PROJECT COMPLETE � O CO R CT RK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CO R�CT RK��L FOR REINSPECTION TEMPORARY V BE O�iE ERING PERMANENT ❑ qECT SAFECONDITIONWITHIN HOURS. p pHOTOTAKEN 1 OR WFLL RETURN ❑CITATION ISSUED ❑ST !OR POSTED.CALL INSPECTOR p 1 PE REQUIRED.CALL TO ARRANGE ACCESS. for the next inspection 24 hours in advance. (952) 249-4600 ctor on site: � �/h,..'�— Whits CcPYdnspectoY's FII� Canary CoPY1Sib Notke �� -�- � � � �� DATE TIME CITY O OR O � CALLED IN INSPE ION NOTICE � 7 SCHEDULED _�� " PERMI NO. ��f � ��"� (CCOMPLEfED ADDR � �--y C � �� . 5�,- C OWNE TELEPHON NO. �� !�- �� /�-�'`� CONT CT � � � DESC PTI �1 ��( t1�6'�� /YY�c � l~y ❑ FOOTI G ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POUR D WAL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUN ATION ATERPROOF �PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMI G ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSUL TION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BU T-SU EY ❑ S,�WER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO SITE ❑ E IC INSTALL 2 OWN NTRACfOR TO ME YOU: YES_NO y COM a �'`�� i v��.., - i�C,�cc r� -.�r.� •t S�i/e11 � O✓/C Gb �rc l�e - � G�✓ �i � !7-Gi'�T6 - ��n�/a� � O � Q p� /Mr�Ti�- p�0!7 � GtJ� e'1!` /f �tic �- z a1 ' � ,n /,�� -� 6,� � �E � - oao - ,.-u( W � , � W ❑WOR SATIS CTORY:PROCEED PROJECT COMPLEfE � ❑CORR CT K 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORR CT K,CALL FOR REINSPECTION TEMPORARY V BEFO E CON ING PERMANENT ❑CORR CTU FECONDITIONWITHIN HOURS. p pHOTOTAKEN I SPE R WILL REfURN ❑STOP RDER�OSTED.CALL INSPECTOR �CITATION ISSUED �INSP TION WIRED_CALL TO ARRANGE ACCESS. Ca11 r the next inspection 24 hours in advance. (g52) 249-46�� on ctor on site: � Ins tor: - ite Copyllnspector'a Ffle Gnary CopyfSite Notke ��