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Home My WebLink About2016-01241 - plumbing CITY OF ORONO * 2 0 1 6 - 0 1 2 4 1 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: REPLACE: 1 WATER CLOSET,4 LAVATORY, 1 SHOWER VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 2.00 JANECKY PLUMBING INC. MAIL-IN FEE 2.00 720 PONTIAC PLACE MENDOTA HEIGHTS,MN 55120- TOTAL 54.00 Payment(s) (651)454-9297 Minnesota State License#:plbg-PC643115 CREDIT CARD 8056 54.00 OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR 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 A� _ revoked at any time for due cause. �(J� Applicant Permitee Signature Date Issued By Signature Date 09/29/2016 04:28 6519948701 JANECKYPLUMBING PAGE 01 i �pN City of Orono FOR CITY USE O P.O. Box 66 Date Received: 'L 2750 Keiley Parkway Permit Crystal Bay.MN$5323 (952)249-4600 Main \kFSNo�L Approved By:_ (952)248-4616—Fax Ll� _ Amount$: qoU CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http:I/www.dli.mn. ov/CCLDIPDFI lumb lanreva df 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 IJEGIN UNTIL THE PERMIT CARD IS POSTED ON jL4.R 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)2494600. (2448 hour notice required) TYPE OF PERMIIT(Check All That Apply) ..Residential ❑ Commercial (Approval Required) [Backflow Device:❑AVB ❑PVB] ❑ New ❑Additional ❑ Repairs QOeplace ❑ 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: oc —trw City: Zip: Home Phone: Alternate Phone: Contractor Information: Contract . !�'f S.4" U"'.C–i7on at ct Person: Address:?--')0 State Band#: City: Y ' L , �� n Zip: /-)--o Expiration Date: Phone: b5( W-4/ Alternate Phone: ❑ Insurance –Current: page 09/29/2016 04:28 6519948701 JANECKYPLUMBING PAGE 02 Y? FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 15T __2N5__ OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor brains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 1. CONTRACT PRICE *is 1.25% of contract price with a(Minimum Fee of$50,00) G ' 06x .012.5 $ •EJU 2. STATE SURCHARGE (contract price) (minimum$50.00) LtUw - U <S x.0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-in Applications) $ 2.00 00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ U CONTRACT PRICE or JOS 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 rrpde on this p cation are complete, true and correct. 4�Applicant's Signature: Date: Building Official/Inspector: Date: Page 2 r-_3 &,7�- /D TIME CITY OF ORONO CALLED IN INSPECTION TI of / SCHEDULED /D —L F2_'(_L PERMIT NO. _ T COMPLETED ADDRESS OWNER TEL E NO. S1-7 W . CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO- INA ❑ SEPTIC FINAL Q ❑ POURED WALL MBI I ❑ EXCAV/GRADING/FILLING C El FOUNDATION WATERPROOF >"F.PLMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q [I FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEM ❑ S TIC INSTALL v 2 OW EET YOU: ES_NO O CS To r ►rG t'bclt�`cslic� - o o , W ' aC Q ibK G mac) W W R J Uj >4WK SATISFACTORYPROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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. Can for the next inspection 24 hours In advance. (952) 249-4600 Ownerr,ontrector on site: Inspec White CopyllnspechWa File Canary CopyrMe Notice CITY OF ORONO CALLED IN / DACE // TIME INSPECTION. QTICE SCHEDULED PERMIT NO. (� COMPLETED ADDRESS f OWNER TELE �NO. CONTRACTOR DESCRIPTION i,� bl�cv j7Ayd W ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING `f ❑ FOUNDATION WATERPROOF 0�eLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB f❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL .1 ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 0 0 W Q W 9 Uj ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerrAmWactor on site: Inspector: '-WNte Covrnngmtoes Fla Canary CoprlSlb Notice