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Home My WebLink About2014-00172 (plumb) CITY OF ORONO * z 0 1 4 - 0 0 1 7 z * 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2014 ORONO, MN 55356- � (952 249-4600 FAX: (952) 249-4616 ADDRESS : 3568 BAYSIDE RD PIN : OS-117-23-13-0041 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 0.75 BENJAMIN FKANKLIN PLUMBING MAIL-IN FEE 2.00 1424 3RD STREET N MINNEAPOLIS, MN 5541 1- TOTAL 52.75 (763)755-6468 Payment(s) CHECK 21 13] 52.75 OWNER BARTLETT,JEFFERY & JOANNE 3568 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and specitica[ions,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended Yor a period of 1 AO days at any time after work has commenced. The applicant is responsible tbr assuring all required inspections are requcsted in conformance with the State Quilding Code.This permit may be revoked at any time for due cause. �� / / Applicant Permitee Signature Date Issued By ignature Date ��r�-� �� Z�1 c�K � �2 :�-� �Qt�� 5y l . � l FOR CITY USE ONLY ' City of Orono J��-O�O P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main �� y� � (952)249-4616—F� � CITY OF ORONO—PLUMBING PERMIT ��kEs�o�'� (All Commercial Permits Must be Approved by the State Prior to City Approval) � l�tt :llr��w�v.dli.►t�u.fo�/CCLD/1'I)E+!�e 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 S[TE. 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 buiiding 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 A l ) `�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 [V) Job Site /Owner Information: Site Address: ��.�D��S�� _ C��0► S�� j�� _ / � Owner:��C� i'� �X,Uc�"�� Mailing Address: �S�`� s'�'�J�.S�� .-• City: �1'�}��j Zip: J��j� Home Phone: �S�_ ��J"�?`�� Alternate Phone: Contractor Information: ��j(.ih '�.2�.5 lUY1`> �.,��1'?i�� Contractor: C_��'� �t�t'(��"rC.��l.�r� Cont�t Person: ��' �l �,.�� Address: �� --y ��5+ � State Bond#: ��"�� City: �� 5 Zip:`��I 11 Expiration Date: Phone: tc��-�j�'�:`��- Alternate Phone: (�;, Insurance—Current: �-'�5 c� 1 � ' � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1' 2ND OTHER F[XTURE BSMT 1'' 2"D 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 CALCULATION(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;excludinQ the cost of the fixture or appliance: and 3. [s improved, instailed or replaced by the hameowner or licensed piumbing ccntractor. Skip next section, if this applies; Cost of Permit $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 .r �. . 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$50.00) 1�'"� X.oizs$ �� (contract price) (minimum$50.00) 2. STATESURCHARGE �� x.0005 $ '�� (conhact price) 3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �72 �� ■ * 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 AG�EEMENT 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: \-,�l�1�,v�.�s�i �C�--��v� Date: 21 C��i I 3 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ' COMPLETED / • % —/ ADDRESS u�- c�j"j .�6 S3 �c.�s,�,� �p _ OWNER TELEPHONE NO. CONTRACTOR GZi�, �u �� `->��l��i.�19 - j; DESCRIPTION ��t`� ��r . ��-�� /� � � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �LNAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. r�'�OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEF REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ f-0UNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: o� l �"' - .� a �@_j'vvll r� //��a� .� T�s �cv� /d c''.� /� �✓ 4 2 / � - � -t i�9�e f �i✓!S��f c��G�icy-� ). � ° F��c��c w�t�' 1��,'- r�,oC� Q ^ 4�� 54f� � 4ez �le��caL /rlSe��e� z �vW,QGw�te✓_ wi�f �o—cts 5�p �d? He�✓ W 9� �ce._/ � � �C c�rl c�'d'�Gr r!�C /iiS�s!/GQ — � �v�� A��,• u.e�k p!� � W ❑WORKSATISFACTORY:PROCEED �oJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ` ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN �NSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 wn ontractor on site: ��6ctvt/?� /�4V`��'�` Inspector. '� White Copyllnspector's File Canary CopylSite Notice