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Home My WebLink About2015-01478 - plumbing � � CITY OF ORONO * z 0 1 5 - 0 1 4 7 B * 2750 KELLEY PARKWAY DATE ISSUED: 1U18/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3575 CHRISTINE DR PIN : OS-117-23-12-0018 LEGAL DESC : BETZ ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER VALUATION OF PLUMBING 3500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.75 PRECISION PLUMBING&HEATING INC. TOTAL 51.75 4124 MACKENZIE CT Payment(s) ST. MICHEAL,MN 55376 CREDIT CARD 9766 51.75 (763)497-7486 Minnesota State License#: plbg-PC643806,mech-MB004099 OWNER SHIELDS, MR.&MRS. MICHEAL 3575 CHRISTINE DR MAPLE PLAIN,MN 55359- AGREEME1vT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ' / /� /s- // l /Frl /S p icant ermitee Signature Dat [ssued B ignature Date f � FOR CITY USE ONLY �O A rO City of Orono i�/ P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main �� (952)249-4616—Fax yF �` CITY OF ORONO—PLUMBING PERMIT ��kfsHo��' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�:/h��i°.dli.n�u.«o��/CCLD/PDF/�c �lumb�lanrc��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 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 wark 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 ) esidential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aqaroval and may need CUP. (Per Orono City Code,Chapter 78,Article N) Job Site/ Owner Information: Site Address: �� R��F ��, Owner: ��;�,� ��'�l•1.� Mailing Address: �� C�{n�l�"lv`Q_ �`'. City: �C'C�1�,� Zip: 5�3SQ Home Phone: Alternate Phone: �p�� -�� 111�1i�C'� Contractor Information: Contractor:� � t -+�(,. Contact Person: �-I�a�l �rnuc.k'e,�zte,�- Address: ��,1/�.l tLln��2,��_ State Bond #: City: ��.�►."v�1�� Zip:�j(�Expiration Date: Phone: �(�i,�� -�1�-t� Alternate Phone: �1�-�1,�( �-l�c\Co ��,� t ❑ Insurance—Current: �S 1 . PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT ls' 2�D OTHER FIXTURE BSMT 1'T 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 Tbe 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;excluding 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 $ I5.00 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) 35 �� •� 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 tbe 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 Signatur Date: �� 8 �S 3 � � �— DATE TIME � CITY OF ORONO CALLED IN ��`/ ��5 INSPECTION SCHEDULED �� 9�—S � PERMIT NO.��rd� ��co L ED . ADDRESS �- L�7� �,��C�7�t.v--�� OWNER T ONE NO. �°�"�SD'� CONTRACTOR ��1C ' � �Q �Sh iel�S �; DESCRIPTION � l� ❑ FOOTING ❑ DEMO- IN L S C FINAL Q ❑ POURED WALL ❑ PLUMBIN 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 Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 952 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite otice �� TIME Y C�� CJ1LlED IN BCHEDIJLED � o�s -o�Sr?�' co�o -tl-� ApppE$g 3�'j Jr' G�i�cstsii� [�r• OMINER TEL.EPHONE NO. CONTEiACTOR � ��`s�•1, 1��.�f �. , � DE8Cf�PTION w��" �a�.�.� s.�t�uK. W 0 FOOTIN� O DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑�UMBIN(i RI ❑ EXCAV/(iRADINOIFILLINO Q � FOUNDATION WATERPROOF O PLUMBIN(i FINAL ❑TREE REMOVAL Z � RADON SLAB � MECHANICAL RI ❑SfTE INSPECTION � Q FRAMINO � MECWWICALFINAL ❑ RATED WALLS � Q INSULATION ❑1NOOD BURNER/FIREPLACE ❑COMPLAINT � � FINAL ❑WATER FI001C-UP �Q�1.OW-UP W ❑AS BUILT-SURVEY ❑SEWER FIOOK-UP 0 FOIMIDATIOWREMOVAL = 0 DEMO-SI7'E 0 SEPTIC INSTALL .1 $ TO II�T YOIF._Y�._NO � COMMENT8t � j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. � � t � w W � � W ❑WORK SATIBFACTORY:PROCE� ❑PfiOJECT COMPLETE � ❑oo�rwa�c a�oc�o ❑issuE ce�n�rr►�oF ooa�,c.w 0 O�CT WDF�C,CAL.L FOR iiE1N3PECT10N TENAPORARY V �� P�iM11H19dT O OOF�ECT UNSAFE OOND1T10N WRHIN HOUR3. O PHOTO TAKEN MISPECfOR WILL RETUfMI ❑CITATION�BIJED ❑STOP ORDEN P08TER CALL M18PECfOR O Ni8PBC710N i�GllIRER CALL TO ARRAN�iE ACCESS. c,ll br ni.n�a raPsdloe u no�,rs In ad�ano.�(952) 249-4600 o�si� ��; Q�w � wMw�o�P.c1,r.FN. c��1►oevf�.MoMo.