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Home My WebLink About2012 - 00024 - plumbing CITY OF ORONO PERMIT NO.: 2012-00024 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 01/10/2012 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4550 WOLVERTON PL PIN : 31-118-23-31-0005 LEGAL DESC : FOXFYRE ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 PREFERRED PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 0.75 6400 HIGH POINT TRAIL PRIOR LAKE,MN 55372- TOTAL 50.75 (952)447-5761 PAID WITH CC# 0791 Minnesota State License#: RL10549229 OWNER STEPHENSON,REVIS L 4550 WOLVERTON PL MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for du e. �ppkic�tit PG rt ' ee Sign r Date � Issued By Sig ature ��,,� ,,((,, Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE 1 FOR CITY USE ONLY ,'¢' `►'\0 City of Orono // P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway ' ;-.. Crystal Bay,MN 55323 Approved By: Amount$: iset (952)249-4600—Main xoi_ (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt•://vvvvw.dli.mn.o ov/CCLD/PDF/•e •lumb•lanreva 1.•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 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 XI 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: C S Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Pc z r ` 9 b ' ��Contact Person: C 1 u JL- Address: Liao µ � ('c. --k- State Bond#: ( L- \ City: rr•- °-1 t Zip:s-3-3'11 Expiration Date: Phone: - S-11. I Alternate Phone: b H Insurance—Current: '-1 t S t3ly('t2 6 cL\ 1 r)1 ' te r, FIXTURE BSMT 1s1 2ND OTHER FIXTURE BSMT 11 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower I Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 1� i111 �.y k 7r1 *.,, s 1 ;1 E�1 [110 I I I�i I�1 s ` -$ �.. hs r,* p 1,1°0101114 tl'`01 111 JI B I i t,(` e ❑ 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 > _. , If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) COO koe) x.0125$ —C.) ° (contract price) (minimum$50.00) 2. STATE SURCHARGE k5-00,oc) x.0005 $ 1S (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5"0 ■ * 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. int3st rTAT r7' '..t :7M-i,',,411-,377-71A111 � " �� 1 1; 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– i C)' I D-- 3 DATE TIME CITY OF ORONO CALLED IN 1 -10 INSPECTION NOTICE ' / SCHEDULED 11- 1 Z 0):00 PERMIT NO. a°!�-�C COMPLETED ADDRESS 50 ti--) O/ Ver l�n l [/ OWNER rr,�, � TELEPHONE NO. (i'2- T13 92(-/-q CONTRACTOR (9 �'"P� �� DESCRIPTION 9(cV1/4 0 FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS Cl) ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION 4't ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP • ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc • PV POWA) 5740--RS CC EX• � � CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑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 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice se-t— DATE TIME 1 CITY OF ORONO CALLED IN -10 INSPECTION NOTICE I SCHEDULED ' l l- /2- c):00 PERMIT NO. a0/� �Cla—`t COMPLETED ADDRESS '/550 iJo/ V COY P1 �q OWNER TELEPHONE NO. i'i'2 5153 4 Z T/ CONTRACTOR CPA-e-TCX I"P 1 190-1-4'14-45 DESCRIPTION Pt te,tytie W ❑ FOOTING ❑ PLUMBING FINAL cj EXCAV/GRADING/FILLING cz LL. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Cr ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc Q. 0• .14) I. )(A)/() 5T1tS 1? 14 W CC W W CZ O iJd W W2 ORK SATISFACTORY:PROCEED E PROJECT COMPLETE W C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT C CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 12 s� Inspector. lit/ White Copy/Inspector's File Canary Copy/Site Notice