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Home My WebLink About2015-01208 - plumbing , CITY OF ORONO * z 0 1 5 - 0 1 z e s * � 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2015 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 3928 CHERRY AVE PIN : 08-117-23-33-0018 LEGAL DESC : CRYSTAL BAY V[EW : LOT 000 BLOCK 004 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTI01�1 TYPE : FIXTURES-MULTIPLE NOTE: NEW FIXTURES: 6 WATER CLOSETS,9 LAVATORY,2 BATHTUBS,4 SHOWERS,2 KITCHEN SINKS,4 S[LLCOCKS,4 FLOOR DRAINS, 1 LAUNDRY TRAl 2 WASHERS, 1 WATER HEATER, 1 WET BAR, 1 MISCELLANEOUS VALUATION OF PLUMBING 38500 APPLICANT PLUMBING FIXTURE FEE 481.25 STATE SURCHARGE PLBG(VALUATION) 19.25 STEWART PLUMBING, INC. TOTAL 500.50 13025 GEORGE WEBER DR Payment(s) SUITE#1 CHECK 13136 500.50 ROGERS, MN 55374 (763)428-1833 Minnesota State License#:plbg-PC000474,mech-MB003262 OWNER GUSTAFSON,J&A 3928 CHERRY ST MOLIND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if wnstruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are I requested in confo ance with the Sta� uilding Code.This permit may be � l� � revoked at any ' e for due cause , �. � �� «_-- �� I �� 1`�>>l �r � �� l`_, Appli�Permite Signature Date Issued By Signature Date � FOR CITY USE ONLY - City of Orono G (� /�O� � Permit# �v��-- � �� O P.O.Box 66 Date Received: O J 2750 Kclley Parkway n,,,, C Crystal Bay,MN 55323 Approved By: T�) Amount$: Sp6• � � (952)249-4600-Main -� > (952)249-4616-Fax �' �` CITY OF ORONO—PLUMBING PERMIT `qKfSHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) litt ://ww-��.dli.mn.�ov/CCLD/PDF/ e lu�nb lanre��a . 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 PERMTT 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 A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need C:li P. (Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: �� 6�:.�Y� � � L ' Owner:�� Z��.S C�,� �Y1 U �Mailing Address: �� a�� J�"�'. City: �'U C�.�C-�t;i c.� Zip: ��`� � Home Phone: Alternate Phone: Contractor Information: � , Contractar: ` ��'�" �,'��t � � ��'1L- Contact Person: ° Address: ��J ��V� �L� 2Q�/�r• State Bond#: (�(l/��7`� 5i,�i ' �- //,, City: 1� Zip��Expiration Date: � !(1� Phone: ll'J` �� Alternate Phone: � Insurance—Current: �ZQ YI � 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 T 2" OTHER FIXTURE BSMT ls 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains I � � Lavatory I � Sewer Ejector Bathtub Laundry Tray j � Shower � I Washer � Kitchen Sink n Water Heater I �C Disposal Water Softener Dishwasher Wet Bar l Sillcocks /�, Miscellaneous I � � PERMIT FEE CALCULATION(S) BASED OFF - 2042 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 elech-ical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. ls 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 a(Minimum Fee of$50.00) �,�Y1, lJv� . �(� x .0125 $ �1,�✓ (contract price) (minimum 550.00) 2. STATE SURCHARGE ��`� �Cf� Ul./ f /�� ) �� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -l'0�� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ✓D� . �� • * 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, labar 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 Signatur . � �� Date: � �C./ 3 � '� S(� DATE TIME�f V CITY OF ORONO CALLED IN —/s INSPECTION NO��s_v�Za�CHEDULED 3 n3v PERMIT NO. o� COMPLETED �D--13—� ADDRESS ��a' � ' OWNER TE E ONE NOT�3 ��83-3 CONTRACTOR ��L'��J /� � DESCRIPTION � v� � � lt� ❑ FOOTING ❑ DEMO- I AL ❑ SEPTIC FINAL Q ❑ POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: I1 kl I�' p`C SGi�- Z� a S� f��r �CS� — ��J /`0��5 � o ��t��it�< - u�• 6,�,c''c�o.�,o�� o-- „ � � J`�k�ai•tG�/'�� — N'1•G• �7s�.�...� c.��!/ �o. 3 ` ° (� y t,.,�,p ' ,3"Gc K6 - h/(.L . I w �.Yi . —(- 3 " �ro�.�t W Q e..�r7 - � 2 /�`��H�S�, /K3K• l�� c..r..t�r / r K�s � � LD��b-c ��'- � GaiG✓ w � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��ACRt19ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O��O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlConVactor on site: Inspector. � White Copyflnsp tor's File Canary CopylSite Notice �y '� � V y� �TIM C�� S ,4�. CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULED '✓� PERMIT NO. ��v `"��z�/COMPLETED ADDRESS ��_� C� C'�t� �1,'1�� OWNER TE HONE NO. �� " '�� CONTRACTOR '� � DESCRIPTION � � Y "'" ti tL ❑ FOOTING DEMO-FINAL SEPTIC FINAL ' lR}'�� 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE SEPTIC INSTALL 2 OWNERICONTMCTOR TO MEET Y�0 • YES_NO � n � v�i COMMENTS: `—� ` � /htaC� �D� I� y� a (�. �J • ✓. G �iG- C� � � � � 1 - - /� _ � �� T�S� �S �O ldi��e� � O � � a Vc.�t s K e¢o� �S !J- c �c�e� �✓�;erF 414 �� Q , 2 Of�.t,��it5�n5 4�� A�`ovtr.les� � D� � Ga��✓ �ft�� v�.s�s �� _ � - � •'' G ��c� GJ/ G�•G. /2Z ' � d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE ��6AARE�T W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECTYYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or the next m ion 24 hours in advance. (g52) 249-46�� ctor on site: inspector: `-' ts CopyflnspectoPs File Cenary CopylSite Notke � c -� �_ �-��%C� TIME CITY OF ORONO CALLED IN INSPECTION NOIJ��S.,�`� HEDULED �/7=I� . � PERMIT NO. �`� MPLETED ADDRESS '2� OWNER T�PH NE NO. � �SJ� CONTRACTOR �� L � DESCRIPTION ��'� � 4� ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: /�'� " f1ol��e � � � - �wi�w c c� l��K'E � O � ,��ry�r� Lpn1lec��A� ,1+G5, � G�- E(- '� �r� �C� r�.� �o�� i� ��- ��►�. � � �c� �rv��b.e I�.C� �a� SA�;e� d n !� K• �f- �o� 5�� a�'► o�,.-t,�Pao� S IEoc.�e� - Q � aZ ,S�nlu no� �:�s�.t i�.� — k��dr�� c�S — b -�r.� W � � cs'�of GJar� l�b�/Jl�L�2 — J d � ❑WORK SATISFACTORY:PROCEED ,`�PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. C�►�7� White Copyllnspector's File Canary CopylSfte Notice