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Home My WebLink About2013-01229 - plumbing CITY OF ORONO * 2 1 3 -II IIIII1II12111II21111119111111*II t 2750 KELLEY PARKWAY DATE ISSUED: 11/19/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1850 FOX RIDGE RD PIN 03-117-23-13-0008 LEGAL DESC FOX RIDGE LOT 004 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: BSMT: 1 WC, 1 LAV, 1 TUB, 1 LAUNDRY TRAY, 1 WATER HEATER I ST FLOOR: I KITCHEN SINK, 1 DISHWASHER, 1 WET BAR 2ND FLOOR:3 WC,4 LAV,3 TUB, 1 LAUNDRY TRAY VALUATION OF PLUMBING 8160 APPLICANT PLUMBING FIXTURE FEE 102.00 M& S PLUMBING STATE SURCHARGE PLBG(VALUATION) 4.08 2505 223RD LN NW OAK GROVE, MN 55011- TOTAL 106.08 (763)258-7488 PAID WITH CC# 9569 Minnesota State License#: PC643819 OWNER STEPHENSON III ET AL, REVIS L 1850 FOX RIDGE RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. // / /' �/ 0- Applicant Permitee Signature Date Issued By Sknature -Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED E. FOR CITY USE ONLY qT City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT Fs H � (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.tlli.nw. ov/CCLD/PDFI ie _)1umb 1anreva) .pd1' 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: Irs c) Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: /'V45 Contact Person: M 1 Address: a-SOS 22-3')(-k-) ti State Bond #: Pe C��3g el J City: CAtiL C&q\e— Zip: n-r-J Expiration Date: li Phone: �L'3'�-S�" � Alternate Phone: Insurance—Current: 1 t a +1, FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory l �/ Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 11 on ❑ 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) K /660) x .0125 $ (contract price) (minimum 550.00) 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. Date. 3 -5C�/J + DA E TIME CITY OF ORONO CALLED IN c2" INSPECTION NOTI ESCHEDULED 2Z PERMIT NO. "dry l COMPLETED ADDRESS I SSf) EEO 9T OWNER TELEPHONE NO. �O Z G7 3 CONTRACTOR MtS DESCRIPTION T ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES HORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL _ ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP W ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ,PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Q. S r o .. cc 4A!5 W cc Q ZtW W cc J Q! WO ATISFACTORY:PROCEED ❑ PROJECT COMPLETE CrCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oj 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. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner) ontractor on / l/ Inspector_ Whit Copyllnspectm's File Canary Copy/Site Notice DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 215/3 - f COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTORS DESCRIPTION 4/0000' ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL [IPLUMBING 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 FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 3 `✓_CcG oCt 2 e4 Jr� �� - /4 ` iso I�l�. d� s,•�� •- �.�t.E� _ W Q �e S, 6 2yaT,.�.t✓S G� 2 Uj cc j GW ❑WORK SATISFACTORY:PROCEED 014:!�ROJECT COMPLETE CC .A CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY Cj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C inspection 24 hours in advance. (952) 249-4600 Owne Contractor on site, �' Inspeor. ct / White Copylinspector's File Canary Copy/Site Notice DATE TIME g_a�- CITY OF ORONO CALLED IN INSPECTION NOTICE q, SCHEDULED g — PERMIT NO. o� "Q/ / COMP ED ADDRESS 'l OWNER E L E P aNE N07 CONTRACTOR >` DESCRIPTION W El FOOTING PLUMBIeCRI' L ❑ EXCAV/GRADING/FILLING W ❑ POURED WALL ❑ E C H AI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP Ll COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W W cc J O cc O W W 17 cc Q 2 W z W cc Z) O W ❑WORK SATISFACTORY:PROCEED ❑ P JECT COMPLETE cc L1 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. Call for the next inspection 24 h rs in adva '$2) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Cop Site Notice DATE TIME CITY OF ORONO fALLED IN INSPECTION N CE SCHEDULED PERMIT NO. �/ COMRLETE ADDRESS OWNER LEPHONE N - rRADINING CONTRACTOR DESCRIPTION ❑ FOOTING PL G FINAL ❑ EXCAWG❑ POURED WALL ❑ C ANICALRI ❑ LAKESH C:1 ❑ FRAMING ❑ M HANICAL FINAL ❑ TREE REMOVA Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-U ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COV R REMOVAL v ❑ PLUMBING RI El SEPTIC FINAL ❑ FOUNDAT N/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a C ' 0 / i l �� W cc W W C Z) d W ❑WORK SATISFACTORY:PROCEED Ll PROJECT COMPLETE C ❑ RRECT WORK 8 PROCEED Ll ISSUE CERTIFICATE OF OCCUPANCY W OCORRECT WORK,CALL FOR REINSPECTION TEMPORARY EFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Ll PHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR Ll CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 24 4600 Owner/Contractor on site: A " Inspector. _ J; White CopylInspector's File nary Copy/Site Notice