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Home My WebLink About2016-00250 - plumbing � " CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 P1 2 5 0 * DATE ISSUED: 03/15/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 770 BROWN RD N PIN : 34-118-23-12-0006 LEGAL DESC : REG. LAND SURVEY NO. 1275 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBWG PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(7)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK,(I)DISHWASHER,(2)SILLCOCKS,(2) LAUNDRY TRAYS,(2)WASHERS,AND(I)WATER HEATER VALUATION OF PLUMBING 7500 APPLICANT PLUMBING FIXTURE FEE 93.75 STATE SURCHARGE PLBG(VALUATION) 3.75 PPS PLUMBING LLC TOTAL 97.50 985 CENTURY AVE N Payment(s) MAPLEWOOD,MN 55109- CREDIT CARD 7625 97.50 (612)868-7278 Minnesota State License#:plbg-PC645354,mech-MB004246 OWNER HUTTER, ROBI&ALIC[A 770 BROWN RD N LONG LAKE,MN 55356- 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 docs 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 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 ermit may be revoked at a � e r ' 4 �� ' � �S / � � -e l i i Applicant Permitee Signature Issued B ignature Date `� �pN City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: '�I I� I L� 2750 Kelley Parkway Permit# n (D "��4� � Crystal Bay, MN 55323 � � yF�q �c,� (952) 249-4600—Main Approved By: iM,Y kesHo`� (952) 249-4616—Fax /Yj Amount$: �`�`� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf 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 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) �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: ',� Site Address � '�v ��4�> ��-��'� —�__ I\_ K-�� _ Owner: �-2 � Mailing Address: �� City: �C_�V � �--J Zip: �� z 5 � Home Phone: �-f' �,`�2 �5 J �� `l>��Alternate Phone: Contractor Information: 1��--L �,�-�r�� Z�-�-�(l��U Contractor: '� � �� I� Contact Person: Address: ^ �—� V� State Bond #: �� 5 � �� City: �'—c.�X�c7� � Zip: ✓ � � Expiration Date: � � � r i � Phone: �� f �� ` /�_Alternate Phone: ❑ Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED �� FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � z Floor Drains Lavatory y 3 Sewer Ejector Bathtub � Laundry Tray � I Shower � � Washer 1 � Kitchen Sink Water Heater I Disposal Water Softener Dishwasher 1 Wet Bar Sillcocks 2 Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �5 �f-' 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 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 appli�ion are complete, true and correct. � � �� ,- Applicant's Signature: ; - _ _ _ Date: � � �� ,. � Building Official/ Inspector: Date: Page 2 a ✓ � �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � _�� PERMIT NO. 2(�I(p'L�71$C7 COMPLEfED ADDRESS �� Ol�c�!'� ��/ /� . OWNER TELEPHONE NO��2� lo d -7a 7� CONTRACTOR �� 1,��'Y�� ; DESCRIPTION / � k� ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL Q ❑ POURED WALL �LUMBING 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . a �c.�� — U• G . --E !I . l� � ��4C o - d��t/ - JPvC 5� • �.a - � _ Ci C S� /�j �� ► q � � � 4 a�, � � � Q — K�. K c� Q�.,,�,o�eL�e/y �a�.��9..;, ��5f�. z '�i».�� - W � �u • � �� 0 r-o.,c6 � r14 e J ��OVORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor Qn Site: a G Inspector. White Copyllnspector's File Canary CopylSite Notice �� - ^,p � TIME CITY OF ORONO CALLED IN �- INSPECTION TICE ��EDULED - D/ - /(i � PERMIT NO. � ��'�-�'c6MPLETED ADDRESS � OWNER TELEPHONE NO. �Z a �� 7� CONTRACTOR � DESCRIPTION �/ � � ly ❑ FOOTING D MO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL P UMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF r❑ 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 �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: a� W a J O �. � O � W � Q � 2 W � W � j d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou � advance 49-46�� OwnerfContractor on site: Inspector. L� � 1 White Copyllnspector's File Canary CopyfSite Notice � " _� � � ��`' ..�- ._ ..__ 1�j6 DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC� �z�SCHEDULED ` — 1 �� PERMfT NO. COMPLEfED ADDRESS � �� I�L/�1v2/�I�� _ �� S/ OWNER TELEPHONfi NO.�� g��7�7 � CONTRACTOR � DESCRIPTION � � t~y ❑ FOOTING ❑ DEMO-F AL ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERKANTRACTOR TO MEET Y�U:_YES_NO � COMMENTS: / / / �' ' �' ! � a � l�� C'J�.�,i � v�-`-'l /�'1G'l./�L� 2t�.i �./ � O � ( 1 1 ( � � 1 • lJ /•-..iZ - � �� ,� ��TI ' "'1E� � � ° y. c �� c� v ; � 1'�� -� . W � � � �� W � W � � J � ❑WORK SATISFACTORY:PROCEED ,�RaECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdNERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p p�{OTO TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca8 tor the next inspection 24 hours in advanoe. (952) 249-4600 OwnedContractor on s�e: Inspector: ��'J White CopyAnapector's FHs Canary CopylSib NWIe�