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Home My WebLink About2016-01389 - plumbing CITY OF ORONO * 2 0 1 6 — 0 1 3 8 9 2750 KELLEY PARKWAY DATE ISSUED: 11/0112016 • ORONO,MN 55356- ` (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1175 MOONEY LAKE DR PIN : 25-118-23-41-0017 LEGAL DESC : MOONEY LAKE PRESERVE : LOT 8 BLOCK 1 PERMIT TYPE PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW:5 WATER CLOSETS,6 LAVATORY,4 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,3 SILLCOCKS, 1 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR,BACKFLOW DEVICE: PVB VALUATION OF PLUMBING 14000 APPLICANT PLUMBING FIXTURE FEE 175.00 STATE SURCHARGE PLBG(VALUATION) 7.00 KRG PLUMBING INC TOTAL 182.00 1168 IFFERT AVE SE BUFFALO,MN 55313- Payment(s) (612)282-5041 CREDIT CARD 6188 182.00 Minnesota State License#:plbg-PC644046 OWNER ADELMAN,TIMOTHY 4545 TRILLIUM DRIVE MEDINA,MN 55340- 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. (1V7 1sc.. , / Applicant '-rmi ee Signature Date Issued By Signature Date ..cLpAr City of Orono FOR CITY USE ONLY �j O P.O. Box 66 Date Received: / c�/.�,`-y 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# /, / / - • ti�`q ��o` (952)249-4600—Main Approved By: /� kEsuo (952)249-4616—Fax Amount$: /V 2 , n6/ CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.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) V Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB 0 PVB] 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: Il 1 uAu-1,,.el i 4�� 11Z.ILJC Owner: --r,-.- A i.et,....4.,.-. Mailing Address: 11 -7-— .4A.00,--e-7 L4L,.. l- ,-?,vc- City: 0cz Zip: Ss 3zs Home Phone: wiz- .17,5ii r- ic, Alternate Phone: Contractor Information: Contractor: �( . P I o .---`,0,.-, i-c- Contact Person: 1--- -e,NA- .\-,ki.)‘,� Address: ‘qz,c ,CcCvzr 41 sC.: State Bond #: PC 6,1-Moc7c, City: .c' (. Zip: - 3 Expiration Date: i Z-3; - I Phone: C-)17-0b7 - 5 o 4-i I Alternate Phone: ❑ Insurance — Current:' -kyzc 47 - ,;,, 6-r 2t:,6,796-s U° Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet 2 �j Floor Drains / Lavatory - 4/ Sewer Ejector Bathtub Laundry Tray / Shower 2 Z Washer I Kitchen Sink 1 Water Heater / Disposal r Water Softener Dishwasher / Wet Bar / Sillcocks 3 Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) / Wp. 0-) 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: /� Date: //"/-/ 6 Building Official/ Inspector: Date: Page 2 (._, :„., 4_._ DATE TIME \\7 CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ///��j L / , (r/1,-- PERMIT NO. C 1(e- (/ t / COMPLETED ---,-.7.— ADDRESS —�J) �L,/ (_ (T/. `' / 6__ ///'f //' . II OWNERTELEPHONE NO.4(-/J '—' J J(''1 CONTRACTOR ��(7 7/' 7)i fr---) DESCRIPTION /C ', /)7 I> ' / %'C/ '1C" ,(.('(7 /• , tu ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINN L f 5c ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Q ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION ct 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP ElFOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:.YES,NO H COMMENTS: cc .z J O C – ScA L/O A/c /./yip � d 6DI 0 W —0v '/ Oc7' Q Z 2 / W IX 'WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC W CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING _PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owne,Contractor on site: Inspector. o/76- White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN • INSPECTION NOTICE SCHEDULED PERMIT NO. .'KL%(jG "(1�j COMPLETED / -31 - /7 7/ 'e la ADDRESS // 75 ry100'1 e 7 ke /✓r OWNER TELEPHONE NO. CONTRACTOR l< 26 "f ' 32 DESCRIPTION f C C. Pi", 22 Ly ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 4.Q 0 POURED WALLUMBING 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 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: cr 4, "G'. f�/ LAc) k/ - A/c 5c - - CC o S- sem, �e s -6- S l!.-/' ', oc ° ,%�IC/CcX45-iiLo-e'r.S� / 4-r 711 C/G rC ,r-G.‹. /4,K .ti- 5-40' rrl/� W / Z IQ d CO, ✓)e c >< y of s c'cgit., W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC RECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY 0 CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY t.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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. .'...,-1/er— White Copyllnspector's File Canary CopylSite Notice