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Home My WebLink About2015-01529 (plumbing) CITY OF ORONO * Z pJ 1 5 - 0 1 5 2 9 * 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 , ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 3348 BAYSIDE RD PIIV : OS-117-23-14-0064 LEGAL DESC : N/A : LOT MB BLOCK 006 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: REPLACE WATER HEATER VALUATION OF PLUMBING 1400 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.70 MR. ROOTER PLUMBING TOTAL 50.70 5155 E. RIVER ROAD FRIDLEY,MN 55421- Payment(s) (763)551-0555 CREDIT CARD 7060 50.70 Minnesota State License#:plbg-PC 647331 OWNER SELANDER,LORl 3348 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORIv STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due se. � �'�� ,� /" � � '/ 1-� � �'�� I��E_1 � i� ��, --� , , _ Applican rmitee Si ature Date Issued By Signature Date FOR CTTY USE O Y � , � City of Orono n (�j l� �� 1 / , � �O P.O.Box 66 Date Received: 4-��5� Permit# �2-��—/� , 2750 Kelley Pazkway � Crystal Bay,MN 55323 Approved By: —�� Amount$:�D " (952)249-4600—Main � (952)249-4616—Fax �' �� CITY OF ORONO—PLUMBING PERMIT �'�KESHo4�` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/I��ww�.dli.mn, av/CCLDIPDF/ e �lurtab lanreva� . df GENERAL 1NFORMATION 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 RECENE 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 contractars 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 Q'Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site /Owner Information: Site Address: �?��c��Q��.�n,4-tY . � Owner:�L�� Mailing Address: �G�Z ��7` �� . /� City: ��_�1�»��P'�f Zip: S S�Z� Home Phone: 7G��G �2 38 Alternate Phone: Contractor Information: Contractor�� jyt Contact Person: �},/u�Jt GUL.LG�2�^ Address: ,��j� � '�-Bofid#Z ��5��.3.�� City: � Zip��,�Expiration Date: Phone: �� / `D �S Alternate Phone: �( Z ��}��(,3 ❑ Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floar 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 secrion applies The replacement of only one Residential fixture or a�pliance 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. 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 $ 1.00 � 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�Minimum Fee of$50.00) 1�C� � ` �� X .oi2s$ � (contract price) (minimum$50.00) 2. STATE SURCHARGE ' �'/� x.0005 $ � (co�tract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ .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: Z 7 JS 3 � / � D TE TIME CITY OF ORONO C ED IN ✓� - � �,,,��, INSPECTION N ICE �, `S�c�EDULED � � __L1� PERMIT NO. � COMPLET — ADDRESS ` D �� OWNER I�� T LEPHONE O?�3 � ! �� CONTRACTOR � T�� DESCRIPTION V�/ ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �Ffkflt ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C O ��s _ (/`r' �-f' rC��4�d�"'t G�rc'� � ' P_X� �� 5 �i?� � � '' �x•�l�S i'1�v✓a L �i¢�6 (/e.�� ..��= W � � _ Q ^ �O�c�4S� h+1 4. � �D vl�e� � � 2 � (e�f!,C �. �,�tjOl� 'L�c — W ' j �i-s,. .� �ilL�� ❑WORK SATISFACTORY:PROCEED JECT COMPLETE W ❑CORRECTVYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector.Ci�/'"' � White Copyllnspector's File Canary CopyfSite Notice