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Home My WebLink About2012-00381 - plumbing CITY OF ORONO * 2012 - 00381 * J 2750 KELLEY PARKWAY DATE ISSUED: 05/09/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 3645 TOGO RD PIN 17-117-23-31-0034 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 006 BLOCK 010 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 5 WATER CLOSET,7 LAVATORY,3 BATHTUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS, 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WATER HEATER VALUATION OF PLUMBING 10000 APPLICANT PLUMBING FIXTURE FEE 125.00 SERVEY PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 10609 166TH ST W TOTAL 130.00 LAKEVILLE,MN 55044 (952)393-1272 PAID WITH CC# 6464 OWNER ZHUK,ROMAN&ELENA 3645 TOGO RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for du Applicant Permite a ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. l. >WRC1 M usEru.�r I D City of Orono GO� g � P.O.Box 66 Date7tecewed Pertntt#20 2750 Kelley Parkway a Crystal Bay,MN 55323 Approxel t3y» �niount$ 1�J (952)249-4600—Main arsofi (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ a plumbp1anrevapp.pff GENERAL 010AAMN 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"PE ST Check All That App,y,1 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:gite/,Clwner Information Site Address: 3 1/J Owner: wt a_L Z tic, C k Mailing Address: City: Zip: Home Phone: 6.51 v2 70_3 ? Alternate Phone: Contractor'Iorration: Contractor: 5f=1g V,5Y Pittj±41'k9 Contact Person: Address: /06 CY 9 14S / tit- State Bond#: PC 6 X13 9 6 City: _LQ.keVil/-e Zip:5,fa {/Expiration Date: Phone: qEg 3 95/,2 7�2 Alternate Phone: ❑ Insurance—Current: Q y we IQ 1 'w FIXTURE BSMT 1 2 N11 OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet ! n Floor Drains ' Lavatory / o Sewer Ejector Bathtub 1 Laundry Tray r Shower ' Washer Kitchen Sink Water Heater / Disposal I Water Softener Dishwasher Wet Bar Sillcocks !) Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludiniz 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 k J 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 --� BOO` O �`/'/, x.0005 $ ( ontract 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 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. 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. Applicant's Signature: Date: 1,20 3 C7 D E / TIME CITY OF ORONO `cam CALLED IN 13 INSPECTION NOTICE SCHEDULED PERMIT NO. '40_-321 COM ETED ADDRESS lf3 G OWNER HO E NO .�� CONTRACTO >; DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EX WGR DING/FILLING Q El POURED WALL El MECHANICAL RI F-1IAK 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v EIPLUMBING RI ElSEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_No COMMENT S W -;� Q. 0 TOP cc LU se<►-t s -� A<sAz-eT- Q Uj W d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE LU W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY .<CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice OqDATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULEDT; PERMIT NO. -27-12, COMPLETED i ADDRESS -77_�Z C" � OWNER TELEPHONE NO. �S 2 - 99 ;?, CONTRACTOR >; DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h Q El FRAMING El MECHANICAL FINAL [_1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP LUC ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTI FINAL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:TYES_NO COMMENTS: �>v 1/V Gn cc W C cc J L cc -4 0 b �T W QZ Q Z W z W GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Uj W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. L_e� S White Copy/Inspector's File Canary Copy/Site Notice \___V L�e_� DAT TIME CITY OF OROWO CALLED IN Z INSPECTION C SCHEDULED PERMIT NO. COMPLETED ADDRESS OWNER TELEP E NO. CONTRALTO '— DESCRIPTION ❑ FOOTING ❑ PLUMBING I AL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL ElMECHANI RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO cam., COMMENTS: W lba O l cc O W k Q 2 W z W QC d RK SATISFACTORY:PROCEED El PROJECT COMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑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 Owner/Contractor on site: Inspector. v White Copylinspectoes File Canary Copy/Site Notice