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Home My WebLink About2015 - 00101 - plumbing CITY OF ORONO � j 11* 01S - 00101 * I 2750 KELLEY PARKWAY DATE ISSUED: 01/23/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2610 WEST LAFAYETTE RD PIN : 21-117-23-24-0043 LEGAL DESC : SHORE HILLS : LOT 011 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(1)LAVATORY AND(1)SHOWER VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.25 SANTEMA PLUMBING,INC. TOTAL 51.25 4407 LOCKE AVE SW COKATO,MN 55321 Payment(s) CREDIT CARD 4719 51.25 Minnesota State License#: BUIL-643774 OWNER ENQUIST,CYNTHIA 2610 WEST LAFAYETTE RD EXCELSIOR,MN 55331 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time,-f rduesc�ause. N Applicant Permitee Signature Date Issu4By Signature Date FOR CITY SE ONLY •• W . City of Orono DateReceived:/ Peit# c— / � 1 �'2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main a (952)249-4616—Fax CITY OF ORONO-PLUMBING PERMIT rsH0 (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.eov/CCLD/PDF/pe plurnbplanrevapp.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 ❑ 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: /'( J u &) j . 7'/ J Owner: % ''( � v �L1 t� i S Mailing Address: City: C/z. �� L1 Zip: Home Phone: Alternate Phone: Contractor Information: c� Contractor: S,K/C--.c,. / Contact Person: �/C✓ `L Address: ifyo 7 k2.e K ,4,e 5 c) State Bond#: 65/3 77V City: �Pc.,/6 Zip:ST3:,) � Expiration Date: "3/ -/S Phone: C/.2- '/G""%? / Alternate Phone: n Insurance-Current: r✓e_, 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 r 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCUTATTON(S)"`' BASED OFF - 2002 STATE STATUE ❑ 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 PERMIT FEE CALCULATION(S) JOBS OVER$500.00 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 ()6 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. PLUMBING PERMIT APPLICATION AGREEMENT 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: ;_,fak Date: 3 DATE TIME \ �J CITY OF ORONO ALLED IN INSPECTION NOTICE SCHEDULED 2—T777-5 /.30 PERMIT NO. 422/ ai/O/ COMPLETED /,� ADDRESS 2-6/0 a) Cl C ,�� C2( k OWNER TELEPHONE NO. -file, -M aZ 7 rn �� b 9 CONTRACTOR Lo {� �� ,� DESCRIPTION , L 7,77 AA. W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL oLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL 0 PROGRESS Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP 14___ 0 AS BUILT-SURVEY 0 SEW R HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE ❑ S IC INSTALL 0 FOUNDATION/REMOVAL Z• OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS cc W a cc O / CC f O i W CC Q 2 W Z W 2 d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW El CORRECT WORK&PROCEED EI 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 El STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adv. • --. '5i, / , '-4600 Owner/Contractor on site: . deg / , de. P' Inspector. / d White Copy/Inspector's File Canary Copy/Site Notice „... .174--- F---/(”` DATE TI E CITY OF ORONO CALLED IN / ✓ /--" INSPECTION NOTICE SCHEDULED / -4 .-/L, /1. _3 C PERMIT NO. --... /,-..)--&'‘-' )/(- i/5-'G )/C,-1 COMPL D ADDRESS c_:>1i::-X L7--- f tF1 -li-)X__ OWNER --- / TE ,NE,NO. '.. -ca----..J / 7 CONTRACTOR ----i /'1 c -/ �_ '' _15L.`C_ ;:: DESCRIPTION f! � ` �l' t _. I, 4, F❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING ct ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ 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 ��`❑��i DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL PLUMBING RI CI SEPTIC FINAL ❑ FOUNDATION/REMOVAL O NERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: Ll•G • cc a ®k/ V coc 6r.t_2.z i, 1,-,-C_ 4 4 U CC cc `SSL` ter !�f i✓l •vS!o4 Co�,44:t.J•s ° — be �selce t / kcl(�. - /fie G/wept 5d — Q v.I5 414-C. - OK Go ve f W Z W Cr J d Lrj CNORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O Ti CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED LI STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. • • - ion 24 hours in advance. (952) 249-4600 Own .Contractor on sit-• 5 r'''. - Inspector. 1 .-- Al Whs a Copy/Inspector's File Canary Copy/Site Notice ,\O CO`" DATE TIME \dr CITY OF ORONO CALLED IN INSPECTION NOTICE ,^i SCHEDULED .,`Y //c I ',- PERMIT NO. Q.01 6—Wit-Jr COMPLETED ADDRESS 2(v i U ( OcHa OWNER TELEPHONE NO. �1Z-8/ /619" CONTRACTOR S• j�«r b DESCRIPTION FKia/ Plums W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE PTIC INSTALL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMEI S: cc W Q. o % 4k4 i - L.L. - >. cc I,Jo/K Co//p/e.-Z-e — W CC Q - _n W Z W cc W ❑WORK SATISFACTORY:PROCEED iWR6dfCT COMPLETE CCW 0 CORRECT WORK&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 ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f. - - - ' . - ion 24 hours in advance. (952) 249-4600 7g Owne • tractor on sit-• fv4e.--- Inspecto"7�� /0"--"111111 / White Copyllnspector's File Canary Copy/Site Notice