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Home My WebLink About2014-00062 - plumbing 11111111111111111111 11111M CITY OF ORONO * 2014 - 00062 * 2750 KELLEY PARKWAY DATE ISSUED: 01/22/2014 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 3740 TOGO RD PIN : 17-117-23-31-0023 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 000 BLOCK 010 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER AND(1)WET BAR VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 WATERTOWN PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.25 604 HILLSIDE DRIVE NW TOTAL 51.25 WATERTOWN,MN 55388- Payment(s) (952)255-8212 CHECK 5995 51.25 Minnesota State License#: plbg-PC644088 OWNER EMERY, DARYL&KRISTI 3740 TOGO RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revokedat any 'me for due cause. / ZIAfdi�y Ap scant Permitee Signature Date Iss Signature Date USE ONLYCity of Orono "P.O.Box 66Date Recei!AORgY Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)2494600—Main (952)249-4616—Fax ti� r✓` CITY OF ORONO—PLUMBING PERMIT `q'�fSH0 (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.cov/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 All That Apply) Residential ❑ Commercial(Approval Required) ❑ New iffAdditional ❑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 Information: Site Address: Owner: Mailing Address: City: /D/7 Zip: 53 g/ Home Phone: 61 3 Alternate Phone: Contractor Information: Contractor: Contact Person: 04— Address: c100Y // � �� 1,V41 State Bond#: City: w4 rbc`f�'wi►' Zip: 5S-3& Expiration Date: Phone: 7T ---aXfT—k2/,?— Alternate Phone: ❑ Insurance—Current: 1 FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory ' Sewer Ejector Bathtub Laundry Tray I Shower I Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous on M_ ❑ 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;excluding 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 ,. w If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of�contract price with a(Minimum Fee of$50.00)2,_rctbU x .0125$ (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 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: 2 Z 1/ 3 CTaj TIME V CITY OF ORONO CALLED IN INSPECTION NOTI E � SCHEDULED /- PERMIT NOc�►yPt�rED � ADDRESS �� OWNER TF"PI40N NO. �- -� CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PL B G FINA ❑ EXCAV/GRADING/FILLIN Q ❑ POURED WALL ❑ M CHA ICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ M ICAL FINAL O [I 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 ❑ PLUMBING RI ❑ SPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERlCONTRACTOR TO MEET YOU YES—NO y COMMENTS: 4 �O cc 0 W R Q W 1LM RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. (%24"00 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary CopylSite Notice 41 TIME CITY OF ORONO CALLED IN INSPECTION I SCHEDULED PERMIT N MPLETED ADDRESS OWNER 4 T PON v ��-- CONTRACTOR / DESCRIPTION / 0 ❑ FOOTING ❑ PLUMBINGFI L ❑ EXCAV/GRADING/FILLING Q El POURED WALL ❑ MECHANIC ❑ LAKESHOREIWETLANDS 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 ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNEWCONTRACTOR TO MEET YOU:)L YEs_NO ti COMMENTS- a� W QCQ W Z W W (SATISFACTORY PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for ext inspection 24 hours in advance. (952) 249-4600 O ctor on sl Inspector. +•'^� White Copyllnspector's File Canary CopyMite Notice CITY OF ORONO CALLED IN \'�v^,'�`t I 1 INSPECTIOMP��TI E SCHEDULED PERMIT NO. Z COMPLETED ADDRESS '7c IS ��CT 0,... OWNER TELEPHONE N �—� �� CONTRACTOR DESCRIPTION tm ❑ FOOTINGPLUMBI ❑ EXCAV/GRADING/FILUNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS- olet(AltAP0 _ i� - a 0 W cc Q Z W Cr J Uj C3WORK SATISFACTORY PROCEED X�P.ROJECT COMPLETE cc W ❑CORRECT WORK 6 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 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 Owne tractor on site: n Inspector. White Copy/inspectoes File Canary CopylSlte Notice