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Home My WebLink About2009-00766 - plumbing CITY OF ORONO PERMIT NO.: 2009-00766 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 10/28/2009 ` 952 249-4600 FAX: 952 249-4616 ADDRESS : 200 BEDERWOOD DR PIN : OS-117-23-12-0027 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT MB BLOCK MB PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES -MULTIPLE NOTE: 4 WA7'ER CLOSET, 5 LAVATORY,2 BATHTUB,2 SHOWER, 1 KITCHEN SINK 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS, 1 FLOOR DRAIN, l LAUNDRY TUB 1 WASHER, 1 WA"IER HEATER, 1 WET BAR VALUATION OF PLUMBING 14935 APPLICANT PLUMBING F[XTURE FEE 186.69 HUNTS PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 7.47 15225 CARROUSEL WAY#1 TOTAL 194.16 ROSEMOUNT, MN 5506& (651)322-1130 Minnesota State License#: 58964 OWNER AZAD,ALISHAH 200 BEDERWOOD DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requeste conformance wi[h the State Building Code.This permit may be _ ��J revokejd any time for due ca e. , / ` � ,� � ' � f ' — � '�� "`�� / "��1 �: � cy� v� �� i � � Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . - POR CI'I'Y USE ONLY 0 City of Orono �� ' P O.130�66 Date Received: ___ Pennil# -- 2750 Kelley Parkway .a ,a� ��' Crystal L3ny.MN 55323 �PProved 13Y- Amount$: �� '�°'�:�_;$o`� (952)249-4600 ...�'krexo�� CITY OF OROlvO— PLUMBING PCRMIT (i111 Commcrcial permits must bc approvcd by thc[3uilding Of�icial or InsE�cctor) GENERAL INFORMATION l. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a�ermit will be issued within two worhing days. 2. Permit cards will be sent by return mail after a review is completed. PERMI"TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MCST NOT BEG1N UN7'IL"1'HG PERMI"I'CARD IS POSTGD ON THE J06 SITE. 3. Plumbin�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) TYPH OF PERMIT (Check All That A I ) �Residential ❑ Commercial (Approval Required) � New ❑ Additional ❑ Repairs ❑ Replace � � In Accessory Structure? *You will need prior a1�Droval and may need CUP.(Per Orono City Code, Chapter 78, Article IV) Job Site/ Owner Information: Site Address: o�.�� E'��'I�LU'0 0� ,O1^! lf� _ Owner: �ZaG1 Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: / � / / Contractor: utq�TS ►t,vb� �,IvL Contact Person: G.l�t �v^,7�z 7ar� �S22S �'<.vr^ouse( I.t)�/ �� Address: ��.� I State Bond #: 34��g City: �5e�w� z�p:S e6 Expiration Date: Z, I 0�/ Phone: b.S(- �Z2` �� 3O Alternate Phone: � Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT l� � 2'�D O"I'HER FIXTURE BSMT l�� D OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains � Lavatoiy � Sewer Ejector i ! 3 Qathtub � Laundry Tray I / ( Shower I r Washcr / l ! Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher f Wet Bar ) l � Sillcocks � Miscellaneous PERMIT FLL CALCULAT[ON(S) BASED OFF - 2002 STATE S"l'A"I�UE � Yes,this section applies I�he replacement of a Residential fixture or a�pliance that meets all three of the following requirements: I. Does not require�nodification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�the cost of the tixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed conU�actor. Skip next section, if this applies; Cost of Permit $ I5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Nermit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S)—JOBS OVER $500.00 If above does not apply;follow guidelines below: ]. CONTRACT PRICF, * is 1.25%of contract price with a(Minimum Fee of'�50.00) �93 � l�l��(�- 5, � � x .oi?s �---- (a ntruct pricc) (miniinum�50 00) 3. STATE SURCHARCE ** Add the State Bldg Code Div. Surchar;e(�linimum I�cc o1'S.�(I) I�{, `�3�'� �b X .000s � 7��'b (contract pricc) (minimum$ 50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMI"1' FEE(Add Lines 1-3 Above) $� • � ■ * CON"I'RACT PRICE or JOB COST means the actual or estimated dollar amount charged fior 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 tl�e 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50 — whichever is greater. For valuations over$I,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPL[CATION AGREEMENT "I'he undersigned hereby applies to the City for iss�iance of a Nlumbing 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: �� Uate: � l�� Reset Form 3 (�� DA TIME � � II-�� CITY OF ORONO CALLED IN INSPECTIO NO IC � f� SCHEDULED � � PERMIT N �r�`� COMPLETED ADDRESS ��%� � . � -n OWN ER CONTR. ,�J TELEPHONE NO. � DESCRIPTION �� (�� VZ� ��.�}'fb � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � WALL BD. ❑ WATER HOOK-UP Z ❑ ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTiC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SE TI �FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU _YES_NO � COMMENTS: � W a � � O , � '� S ..�- I � r�.. N 5 �-_, �, � 0 � W Q V � � ��,�'��r � v� � �'1 � Z W � W � � GW�O(ORK SATISFACTORY:PROCEED f i PROJECT COMPLETE �F ` W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CAILTOARRANGEACCESS. Cal1 for the next inspection 2a hours in advance. (J52� 24J-46�� OwnerlContractor on site: Inspector_ � � , (,l �, �� White Copyllnspector's File Canary CopylSite Notice �� c� — TE J TIME , / CITY OF ORONO CALLED IN � Z`U 9 v INSPECTION NOTICE SCHEDULED •�� PERMIT NO� � � COMPLETED ADDRESS � �� OWNER CONTR. /'v ' TELEPHONE NO. — �l— � �a�� DESCRIPTION � ❑ FOOTING � MECHA C L RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHA AL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ �{JMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�S_NO � COMMENTS: � W a O ---� � � � � � l � �, �}� N C��'� S S ,t� �, � � �_(� .� , T Q � z W � W � � a 4�(�VORK SATiSFACTORY:PROCEED C� PROJECT COMPLETE � ` W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on sitef r �l Inspector. l� � � White Copy/inspector's File Canary Copy/Site Notice � I � DATE TIME " � � /U CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��'.,[� -� - ��L PERMIT NO.��('r-�tt» (��n COMPLETED ADDRESS -��C7 ��'�-aLv'z.c �QC�c� � � - OWNER CONTR. ��.�LP�(l�'j'j� • TELEPHONE N0. - , f� � DESCRIPTION � �� l.l i'l1�J � � FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSU ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINA ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINA� , / ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:'!L YES_NO J� � COMMENTS: `" __T� / j� ,��'�'PS.S t.J�'I'�� (3,�1-�#-l � � � O � �.—�� .. � � —�S , ��1 C i� S� l fi S`�.�S � �'-��- ,. W � Q � �ti �°T A t ( I�i A d�n, --s�,..�,`p i. ..Je� � �ti� �� C ,.�� ('� � �'!� j —�_v-�� c l �� 'T �- �� .� 1 a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ��6ARRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice