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Home My WebLink About2009-00915 - plumbing CITY OF ORONO PERMIT NO.: 2009-00915 r ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 720 TONKAWA RD PIN 05-117-23-34-0002 LEGAL DESC PARTENS POINT 1 ST DIV LOT 009 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: 3 WATER CLOSETS,4 LAVATORY, 1 BATHTUB,2 SHOWERS, 1 KITCHEN SINK, 1 LAUNDRY TRAY VALUATION OF PLUMBING 8000 SIMPLY PLUMBING APPLICANT PLUMBING FIXTURE FEE 100.00 12234 RIDGEWOOD DR STATE SURCHARGE PLBG(VALUATION) 4.00 ELK RIVER TOTAL 104.00 ELK RIVER,MN 55330- PAID WITH CC# 2849 (763)843-3431 OWNER MIDDLETON,PAT 720 TONKAWA RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. f Z —Z Z Ap cant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY h O,¢p�O City of Orono ' P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:: Amount$: (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the Ci offices. Applications p ons will City be . PP reviewed and a permit will be issued within two working days. 2. Permit cards will be sent b return mail after a review view is completed. PERMITS ARE NOT II 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) R ' esid ential E]Commercial(Approval red Re ui � q ) ❑ 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 information: Site Address: 0 —Uty1,�WA 2b t Owner: Mailing Address: ?-a 'T(k�j 1= (L� City: On-0 N 0 Zip: S535S�o Home Phone: Alternate Phone: Contractor Information: Contractor: qkmm k."'61,W10 Contact Person: �(1Sfi1 a Sly'mLLA Address: 123-34 94'0LkW0Q9 QtL State Bond#: l-1451 G-V {y City: i-lL %'A"E(- Zip:1953� Expiration Date: 2009 Phone: ell 3q3 Alternate Phone: ❑ Insurance-Current: 60\ft AL �1gyuA �► 1 I 1 FIXTURE BSMT 1 2 N13 OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet Z Floor Drains Lavatory 3 Sewer Ejector Bathtub t Laundry Tray ! Shower '2, Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of a 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 contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25% toff contract price with a(Minimum Fee of$50.00) _ v06 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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: I Z Z7z-x3q 3 DAT TIME LITY&ORONO i�'cr -- CALLED IN - `� l Cvvv INSPECTION NO E SCHEDULED I -� l� f Z2 ' LL- PERMIT NEC COMPLETED ADDRESS 'I ZC) -Ff)r'1 � OWNER_bC�j jcTL2-bE!!, CONTR...� TELEPHONE NO. �� - 3 3 tL3 I l DESCRIPTION F1 FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL 2 ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP mLUMBING RI EJSEPTIC FINAL ElHARD COVER REMOVAL v El PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: cc W C J O a cc O LL W cc Q f2 2 W z W d WeWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Uj W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 1-1 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/Con e: Inspec r. White Copylinspector's File Canary Copy/Site Notice C, �15 56, — DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE T�IICE �j�' SCHEDULED PERMIT NO. al,/"/— !i 15 COMPLETED ADDRESS OWNERTELEP ONE N0723 -3 CONTRACTOR � �— DESCRIPTION ❑ FOOTING .1�'FLUMBa FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z El INSULATION El 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO «� COMMENTS: W C o [All AAn cc 0 W cc Q 2 W W W C1 LU ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE cc 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 E)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 rsite: Inspector. 1 -A ,T White CopylInspector's File Canary Copy/Site Notice