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Home My WebLink About2015-00059 - plumbing NIMMMEMM CITY OF ORONO * 2 0 1 S — 0 0 0 5 9 2750 KELLEY PARKWAY DATE ISSUED: 01/20/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 1000 WILLOW DR S PIN 10-117-23-21-0004 LEGAL DESC UNPLATTED 10 117 23 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(2)SHOWERS AND(1)FLOOR DRAIN VALUATION OF PLUMBING 10000 APPLICANT PLUMBING FIXTURE FEE 125.00 PRESSNALL PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 TOTAL 130.00 2339 280TH STREET W Payment(s) RANDOLPH,MN 55065- CREDIT CARD 8743 130.00 Minnesota State License#:plbg-644158 OWNER KLOMBIES,LINDSAY&ANNA 1000 WILLOW DR S WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is nsible for uring all required inspections are requested in c fo ce wi a State Building Code.This permit may be revok an time or du use. rc a itee Signature Date Issue Signature Date City of Orono FOR CFFY USE ONLY • ��1 VO P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main y > (952)249-4616—Fax CITY OF ORONO-PLUMBING PERMIT C�kfSHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.niii.eov/CCLD/PDF/pe 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 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: 1 Site Address: 6 1 ' ®�/ Dy- -5 Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: P tch Contact Person: Address: � t Zg0State Bond#: Llgl�-0 City: /1 Zip: Expiration Date: j Z -3) ` 147' Phone: � 7-7 .3 00 Alternate Phone: Insurance-Current: 1 ; `"; PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet 2— Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower 2 Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 3 -` e PERMIT FEE CALCULATIO 40-51-z - 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 OBS 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$50.00) r 0,006) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 10�O90/) X.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' ac). OD— CONTRACT vCONTRACT 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. { fi; 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 a s tements made on this application are complete, true and correct. Applicant's Signature: Date: 3 TIM CITY OF ORONO CALLED IN DATE INSPECTION qQTI SCHEDULED PERMIT NO. a! �oCOMPLETED ADDRESS 1 66 Wa!/d'J A-- 5- OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Cot ❑ FOUNDATION WATERPROOF 6E5:-PWMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_XES_NO y COMMENTS: V,S k4`G CC Qc �j�— iJCLt:t�GS rjGti ♦ 5 O O W W CCQ 2 W W CC j W ❑WORK SATISFACTORY:PROCEEDRpJECT COMPLETE QcW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED (3STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContmctor n site: Inspector. v White Copylinspector's File Canary CopylSite Notice /-20-1-5 TIM&/ CITY OF ORONO CALLED IN �� TIM y INSPECTION NOTICESCHEDULED PERMIT Na��S�«'-7�co LEr ADDRESS 710 OWNER7O9"7 JTE7M NO �' 730CONTRACTOR /n DESCRIPTION r l ❑ FOOTINGUMBING FINAL ❑ EXCAV/GRADING/FILLING Q El POURED WALL MECHANICAL RI ElLAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL E-1 SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP T ❑ DEMO-FINAL ElSEPTIC INSTALL ElHARD COVER REMOVAL v A%tZLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS- Cca Cc LO O 2 Lu �nn /� Q /D'� �{r /`L'�c/Fbr rQ&. S-0- Qr r ts�r D ;/Q6,( —O" ` W tie 00' W Cc 1 LuSATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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. Ca;tracFtor ext inspection 24 hours in advance. (952) 249-4600 Owner n s' ' C le Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME C OF ORONO CALLED IN IN PECTION NOJI SCHEDULED PERMIT NO. % ` COMPLETED ADDRESS V I I I I n lti� f7 OWNER TELEPHON O._01 Z -749- CONTRACTOR 3Z DESCRIPTION16. W ❑ FOOTING ❑ D --FINAL EPTIC FINAL W Q ❑ POURED WALL PLIIMRIN( RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ElFOLLOW-UP W ❑ AS BUILT-SURVEY ❑EYIES ER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO SITE ❑ TC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: _NO y COMMENTS: a �Owv - 96-5 sGA- 3 vo J T lm Ar 6 e-56 O W cc root --t- eq,4p/• !✓y c�Y Q ircs W W rc J 41 KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. EI PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1-1 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 Ow (Contractor on site: Inspecto . White Copynnspectoes File Canary CopylSite Notice