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Home My WebLink About2011-00353 - plumbing � CITY OF ORONO PERMIT NO.: 2011-00353 2750 KELLEY PARKWAY � ` ORONO,MN 55356- DATE ISSUED: OS/17/2011 ; 952 249-4600 FAX: 952 249-4616 ADDRESS : 3120 SUSSEX RD PIN : 04-117-23-32-0009 LEGAL DES : FOX BEND : LOT 003 BLOCK 001 PERMIT TY E : PLUMBING(>$500) PROPERTY YP : RESIDENTIAL CONSTRUC ION YPE : FIXTURES-MULTIPLE NOTE: BASE BNT: 2 WC 2 LAV 2 SHOWER 1 WET BAR VALUATION F P MBING 4600 � ' � , ' PPLICANT PLUMBING FIXTURE FEE 57.50 SOUTHTOWN U ING INC. STATE SURCHARGE PLBG(VALUATION) 2.30 6636 PENN MAIL-IN FEE 2.00 RICHFIELD, 55 3 (612)866-3057 MISC FEE 0.00 TOTAL 61.80 PAID WITH CC# 1295 OWNER ANDERSON,B TT STEPHANIE 3120 SUSSEX �, LONG LAKE, ��55 6- AGREE E T ND SWORN STATEMENT The work for which hi pe it is issued shall be performed according to the approved plans d pec cations,applicable City approvals,and the State Building Code. 1'his it is for only the work described and does not grant permission fo add onal or related work which requires separate permits. All provisi s of I s and ordinances governing this type of work shall be compied wit het or not specified herein.This permit will expire and become n II d id if construction authorized is not commenced within 1 0 ays the date of issuance,or if construction is �suspended for a peri f 18 ays at any time aRer work has commenced. The applicant is resp n ible r assuring all required inspections are requested in conform e wi the State Building Code.This permit may be revoked at any time r ue se. c / / � / __�Applicant Permite Signa e Date Issued y S' a u e e a PARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO . � 61104/ 999 20:25 6128663959 SOUTHTOWN PLUMBING PAGE 01 r ' �p� Ciry of Orono �C��d QN�Y � P.U.Bo�bb Dale Reaaived: PenMt N • 2730 Ktliey Parkwqy ----.- ��''• � Cn�qil 9e�•.MN 55323 AAproved BY: Mqunt f; • •`o (9S2)249-1600,A�in �qM°'� �HJZ)2�9.1616—F`� CITX OF OR,ONO-PLUMBING PERMIT (All Commercial Permits Must De Approved by the State Prior to City Approval) t ;/hra�H li. o, v GCL /PUP/ e lum ere . d!' G NERAL INFORMATION l. You msy.pply for plumbing permirs by mail or in person at the Ciry otfices. Applications wfll be rcviewed and a permit will be issued withln two working days. 2. Permlt cards will be sent by rotum mail after a review is complebal. PERMITS ARE NOT VALID UIVTIL YOU RECEIVE A PERMIT. 1VORK MUST NOT BE .111T I1NT11.Tfiit PE ,RMIT CARD IS POSTED ON THE JOB��'rc_ . Plumbing petmits may be issued ON[.Y W licens�ed plumbing aoMractors and to property owners residing in the d�lling. . When any new construcdon or remodeling is involved,a sepairace building petmit must be obtainod. . AII work mus�be done in accoedance wiqi St�te Code�equiremonts. . AII work mus[be inspectod and sir tested beforo it is coverod. Cail(952)249-4600. (2A-48 hour notke reqaind) TYPE OF PERMIT Check AII That A 1 (� esidential ❑Commarcial(Approvel Required) � ew �Additional ❑Repeirs ❑Repla�ee ❑ Acc�essary Sdvcture? ou will eeed erier��DrovslBnd may need�,(per Orono Ciry Code,Chepter T8,Article!V) Ab /Owner Information: ' i�te dress: 1 � � �'�'n ' Mailing Address: ity: Zip: ame hone: Alternate Phone: ohtr tor lnformation: � �htra or. �j�n�Contact Person: ��f' _ A �res J �State Bond!#: -�M1v38'�j�f� � C � Zip:4��3�xpiration Date: � l P me: la,�02�l/�' �„� Alternate Phone: l�/a-gl�,[—,�QS� ❑ Insurance—Current: \�P� 1 01/04/1 99 0:25 6128663059 SOUTHTOWN PLUMBING PAGE 02 F ✓ ��/1��i7A{,��J�S.��/{�,� 1 �:ILI S F 'FI URE BSMT I 2 OTHER FIXTURE BSMT 1 2 OTHER TY FL FL TYPE FL FL V1/ Claset � Floor Drains La ry .� Sewer Ejector at b Laundry Tray ho � Wacher itc Sink Water Heater ' qi Water Softener s sher Wd Bar Si Ic s " Miscellaneous . '.•1 v ALC ATC� "'�_� °." , � ,' ,.,,.,•„ :,�. ^ �y�yi,.:,, , �.,�.. ��y7{�y1�ti��,. . � .. ',�f•: ..1�•.� , '�t.,� `fii1;'.r�' :Y .► � CS.d11S SCCtlotl B�IICS ' T e�epi ont of only one Besidenciel fixeure or ano1��that maets a��cbro�of the following ' uir ts: pas not roquire modificalon to electrical or gas service. ' H�o�of SS00.00 or less;oxcludine du cost ofthe fixture or epplianoe:and Is improved.insWled or raplaced by the homeowner or licensed plumbing conaactor.' Skip next soetion,if this applies; Cost of Pecmit a 15•00 Stace Surcharge S 5.00 Mail-lnFee(1fApplicable) S 2.00 , TotAI Permlt Fee s (Pe k F s Contlnuod On Next Pa�e) 2 01104/1 99 0:25 6128663059 SOUTHTOWN PLUMBING PAGE 63 i � PBRMIT FEE CALCULATION S —JOBS OYE�; - ��::"::; ��; y � I lf e does aot apply;follow gufdelines below: I. CONTRACT PRICE •is 1.25°Xo of comract price with e(M1Nmam Ree of SS0.00) x.o125S S�, �� (� �D�1 fa�irira�S�.On 2. ST. A�'E SURC�NAR�GE yCp�.OG x.0005 S-- �� (Eo�c Price) 3. POSTAGE&HANDLING(Only an Mail-tn Applications) E Z.00 4. TpTAL P�RMIT FLE(Add Llnes i•3 Above) S ��.�� CONTRACT PRICE or JOH COST means tlie actua! or atimsted dollar artiow�t charged for the , itted work including ma�erisls,labor,profit,and other fixed costs. It is the amount to be chargcd , the cuswmer tbr the work done. !f any mAterial,equipm�nt,labor or instaUacions ere fiirnished by ovmer�tenant or any odkr perry, the reasonable market value of such itertu musc be addod m the imsted cost or contract price for petmit fee purposes. In the cvrnt that diero is a dispute on the oune of tbe job eost, che City may request the submission of a signed copy of the actual connact. �'�h:.'I�1 .�.. i� tiJ The dersi¢ned het+oby applies to the Ciry for issuance of a Plumbing Permit, agroe� to do ell wbrk n strict accoMaoce with the ordinances f che City and the regulations of the State of Minn ota, and ceRifies that all sta en e this application ere complete, true and ne ppli nt's Si ture: � � � �� S� Dau: :.. ..F '. : m.'. . • . �..; . 1 �F ..,;� ,:�:. . � ,.�y '�'Frxiz�:�,,. 3 � DAT TIME � CITY OF ORONO CALLED IN _� INSPECTION NOTI E DD3S.3 SCHEDULED �%� PERMIT NO. COMPLETED ADDRESS +.3�� OWNER TELEPHONE NO. 6`z' ' a b�'�� CONTRACTOR SD�`�7�7�'Z-JN �G�,�i1?q,/�j >; DESCRIPTION �� v�`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � � � O ' � �� ` � O � W � Q � Z W � W � � d W��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT � CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED f,STOP ORDER POSTED.CALL INSPECTOR i 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site Inspector. White Copyllnspector's File Canary CopylSite Notice / �� DAT TIME CITY OF ORONO CALLED IN I � INSPECTION NOTICE SCHEDULED PERMIT NO. o� -oa35�0 ETED ADDRESS � � OWNER TELEP NO. ��5`�g �� CONTRACTOR �'J � DESCRIPTION ` �� ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA AL RI ❑ LAKESHOREM/ETLANDS 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 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 v�, COMMENTS: � W a � J O � � O � W � Q � Z W � W � � 1 W �1t4RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR 1MLL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit . � Inspector. White CopyllnspectoPs File Canary Copy/Site Notice / �� /DDA�� TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 6/9-Zc�'�� .�� PERMIT NO.�� DD35�3 COMPLETED ADDRESS �� s��'� �� OWNER TELEPHONE NO. �Z �f�D �7� 7 CONTRACTOR 5�� : DESCRIPTION v �''"`��9 � �� ✓�S'�""_ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVA� Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � w � j d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK R PROCEED :� ISSUE CERTIFICATE OF OCCUPANCY p ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT [�CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �f 1 STOP ORDER POSTED.CALL INSPECTOR �' INSPECTfON REQUIRED.CAI.L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor n site: Inspector. White Copyllnspector's File Canary CopylSite Notice