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Home My WebLink About2012-00074 - plumbing , . � CITY OF ORONO PERMIT NO.: 2012-00074 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/07/2012 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 420 BROWN RD S PIN : 03-117-23-42-0010 � LEGAL DESC : STRONGHOLD : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMB[NG FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB,(1)KITCHEN SINK,(1)DISHWASHER,(1)FLOOR DRAIN AND (1)LAUNDRV"I'RAY VALUATION OF PLUMBING 5000 6 APPLICANT PLUMBING FIXTURE FEE 62.50 NOWTHEN PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.50 19960 FERRET ST. MAIL-IN FEE 2.00 ELK RIVER, MN 55330 (763)753-5216 TOTAL 67.00 PAID WITH CC# 5814 OWNER RASMUSSEN, KARL& KACEY 420 BROWN RD S LONG LAKE, MN 553�6- AGREEMENT AND SWORN STATEMENT i I i�e w�rk for which zhis permit is issued shall be performed according to tl�e approved pians and specifications,applicable City approvals,and the State Buildmg Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permrts. All provisions of laws and ordinances goveming 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 oC 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 a[any time for due cause. �'�2�P G� a l � l/ a-- l l /�-- Applicant Permitee ignature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .0s/06r'2012 64:45 7637535125 NOWTHEN PLUMBING PAGE 62104 �r"�Q'�'. Ci[y of Orona TOR .i 1�3E OIVLY � �(�� P,O.Box G6 f� �atc RcceiveP. Pcrmil#�� s�- OD7 �+ '�:,: 2750 Kclley parkwa �� '�"y g?!- � Crystal IIay,MN 55323 � -� ,��..� 1�',\""".�� (952)249�GfOp-Nfain ARprovcd Ay: nmount g;��.�`� `��' (95Z1249-461h-rax CITX OF ORONO—PLUMBiNG PERM�T (All Commercial Permits Muqt bc Appraved by the 5tate Prior to City Approval} htt :/lwww.dli.mn, ov/CCLD/PDF e lumb lanreva . GFNERAL fNFORMAT�ON I, You may apply for plumbing permits by mail or in person at the City o:fFces. Applica,tions wi11 be reviawed and p permit wifl 6e issued within Swo wo�king dAys. 2. Permit cards will be sent 6y relum mail after a review is complcted. PERMITS ARE NQT VAI,ID[JNT1L VOU RECEIVE A PERMf.T. WORK MU�"f NOT BEGIN UNT1�,THE PERMiT CARI)1�POSTED ON Ti�1 lOB S1TE 3. Plumbing permits may be issucd ONLY to liccnsed plumbing conttactors and to proper[y owners residing in the dwelling. 4. When any new construction or remodcling is involved,a separate building permit must he obtRined. 5. All work must he done in Aecordaace with State Code requiraments. G. All work musY be inspected and air tested before it is co�ered. Call(952)249-4600. (Z4-48 hour notice required) TYP�OF PERMIT Check All That A 1 []Residential ❑Commercial(App�oval R.equired) ❑ New ❑�tdditional ❑Rep�irs Q lte�lacc ❑ Tn Acccssory Structurc7 *You wil need arior 9onroval and may need UP.(Per Orono City Code,Chapter 78,Articic IV) Job Site/Owner informa.tion: s��e Aaar�Ss: 420 Brown Road South, Orono C}wner:`1ohn Gr�eIY 14506 W McGinty Rd Maili.ng Address: �;�,: Minnetonka 55302 Zip: Honie Phone: A,lternate Phone: Contractor Information: Contcactor: Nowthen Plumbing, Inc. Tammy Contact Person: Address: 19960 Ferret Street NW 1lV15�109443 State Bond#: �;�y: Elk River ��p:55330 12131112 Expiration Dat�: Pl,one: (763) 753-5216 A ltecnate,Phone; [�, Insurance—Currcnt: ��ers Insurance Co 1 ,9�/06:2012 04:45 7637535125 NOWTHEN PLUMBING PAGE 04/04 PERI�IIT FEE CAi;CULA'F`I01�T S -;TE�BS.�7VEI�$St��0:00 ►f above does not appiy;follow guidelincs below; l. ONT ACT Ri � *is ].25%of conCract price with a(Minimum Fce of$50.00) 5,000.00 62.50 X .oiiS$ (�ontrac�pricc) (minimum SS(L00) ` 2. STATE SUR HARCE 5�QOO.00 x.0005 $2•�0 (eonvact pricc) — 3. POSTAGE&HANDLTNC(Only on M,ail-In App(ications) g_ �,pp 4. TOTAL P,ERl1�IT FF,E(Add Lines ]�3 Above) $6��00 ' * CONTRACT PRfCF or 70B COST means the actua! or esCimated dollar amount charged for the permitted work including materials, labor,profit, and other fxed cosCs. Tt is the a.tltount Co be charged to the customer for the work done. 1f any materiaJ, equipment, labor or installations are furnished by the owner, tenant or any other party,the reAsonable market valuc of such items must be added to the estimated cost or contract price for permit fee purppses, In tha event thst the�� is a dispute on the amc�unt of the job cost, the Cily may request the submission of a 5igned copy of the actual contract. PLU1ViBa1�TG pERMfT A:1'PL�CATi`OIV ACrRE�11,�IE1�I' .. The undersigned hercby applies to the City for issuance of a Plurnbing Pcrmit, a�rees to do all work in strict aecordance with the ordinanees of the City and the regulations of tlZc State of Minnesota, and certifies that all statements made on this application are co�npiete, true and correct. Applicant's Signature: f Date: 02��6�� Reset,Form 3 � �2/06�?2012 04:45 7637535125 NOWTHEN PLUMBING PAGE 03/64 PLUIVIB�IIVG�'I��"UR�S BEI�1'G X'N�'I'�L�Eb ' . rIXTURE BSMT 1' 2"� OTt-[ER FTXTURE aSMT 1� 2 OTHER TYPE FL FL TYP.E �, p� Water Gloset ,� Floor Drains 1 Lavatory ,� Sewe�Ejector Bathtub ,� Laundry Tr�y 1 Showcr Washcr Kitchen Sink ,� Water Heater Disposal Water Softener bishwa.Sher ,� Wct Bar Sillc�cks Miscellqncous ��xr:�E�c:�r�c�rt,:�m1.�,rr�s��,��;,,..: ... „� ,., HAs.E�J �rF-2002 sT�'1�sT.4T�JE > ' :`;:. . ❑ Yes,this section Applies The replacemcnt of only one Residential fixtttrc or an liance that.mcets all three of the following requiremcnts: 1. D not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; e din the cost of the fixture or app)iance:and 3. Is improved,installed or retilaced by the homeowner or licensed plumUing contraetar. Skip next section,if this applics; Cost of Permit $ 1 00 State Surchargc $ 00 Mail-Tn Fee(!f Applicable) $,� Totul Permit Fec � (Permit Fec�Continued On fYczt pa�c) z �_. � � ``�� j i a TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �/�'''7 SCHEDULED �I a- I �— �� PERMITNO. :�nll�.�-Cil,lJ /�COMPLETED ADDRESS �y a� �j I l L� r l� c,. OWNER TELEPHONE NO. ��'3 �J�T��' CONTRACTOR I�D�-�-� �P� a DESCRIPTION ! � �'��''1��7 I {'�C� �.f�" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � W C � �L_ .r �1- C��,�.l�; 0 a � 0 � W � Q � Z W � w � � a W� �ORK SATISFACTORY:PROCEED f_l PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL RETURN �.:, CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ tNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector. �� ' � White Copyllnspector's File Canary CopylSite Notice �� D E TIME � CITY OF ORONO CALLED IN �- �� INSPECTION NOTICE SCHEDULED � � } �� PERMIT NO.ao�d-o�7�COMPLETED /� � ADDRESS �o� ��'�-e�rl(h'1 �C� OWNER TEL P ONE NO.�� S3 <S��o CONTRACTOR /v��%�� v �: DESCRIPTION �`'��""� ��'�"�''''�'- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � GW �ORKSATISFACTORY:PROCEED PROJECTCOMPLEfE �. ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cali for the next i tion 24 hours in advance. (g52) 249-46�� OwnerlContract n e: Inspector. ite Copy/lnspector's File Canary CopylSite Notice