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Home My WebLink About2014-01335 - plumbing ^ CITY OF ORONO * 2 0 1 4 — B 1 3 3 5 * � 2750 KELLEY PARKWAY naTE rssuE�: 11/1a/2o1a ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1000 COX FARM RD PIN : 27-118-23-32-0018 LEGAL DESC : SHADOWOOD FARM : LOT 008 BLOCK 001 PERMIT TYPE ; PLUMBING (> $500) PROPERTY TYI'F, : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WE7'I3AR VALUATION OF PLUMBING 1500 APPLICANT PLUMB[NG FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 0.75 HUBER PLUMB[NG CO LLC TOTAL SOJS 2751 LAMPHERE DRIVE NEW HOPE, MN 55427-8 Payment(s) Minnesota State License#: PLUM-58913,mech-5901 CREDIT CARD 6648 50.75 OWNER NARUM, DAVID& CAROL 1000 COX FARM ROAD LONG LAKF,, MN 55356- AGREEMENT AND SWORN STATEMENT The�vork t�or which this permit is issucd shall be performed according to the approved plans and specifiicalions,applicable City approvals,and tlic State Building Code. "I�his permit is for only the work describcd and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governina this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authori�ed is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I he applicant is responsible 1�or assuring all required inspec[ions are requcsted in conlormance with the State[3uilding Code.This permit ma��be rev k�d at any timc for uc cause. �� ` ll� 1 � � �-' � �l�_,L �_ ; ��-,�� , �� - p icant mitee Signature Dal Issued By Signature � Date .r . FOR CITY USE ONLY , � �O�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway Crys[al Bay,MN»323 Approved By: Amount$: (952)249-4600—Main � � (952)249-4616—Fax � y�' �� CITY OF ORONO — PLUMBING PERMIT ��Kes H o�`` (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://H�w��.dli.�un. ov/CCLD/PUF/�e �lumb�lanre�°a f ._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 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) 0'I�Zesidential ❑ Commercial(Approval Required) ❑ New [t�—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: l�C;'� �c�,X (/�f� �Cd Owner: Mailing Address: City: (��/��/ Zip: � Home Phone: Alternate Phone: Contractor Information: Contractor: '�_ L-l� �� ContactPerson: ��D Ll�� Address: ��l G��(r'f�� State Bond #: City: /�CCC� ZipS��7 Expiration Date: Phone: 7�.3`d�� `��5 Alternate Phone: �l��":5�� [- Insurance— Current: �3 1 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT I � 2� OTHER FIXTURE BSMT 1 2` � OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar i i� Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the followinb requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractar. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) � r . PERMIT FEE CALCULATION S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: I. CONTRACT PRICE * is ].25%of contract price with a(Minimum Fee of$50.00) 1.�� "�' X .o�zs $ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE �` �P� �r 1�� X .0005 $ .��. (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 � 7S 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 wark including materials, labor, profit, and other fixed costs. It is the amount to be char�ed 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 sibned 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: �� __ 3 �'� �� DATE TIME � CITY OF ORONO CALLED IN � INSPECTIONZU/��--D<�,�5 SCHEDULED ��_ PERMIT NO. COMPLETED �� ADDRESS l0 a6 �QK ICi¢-/e. � OWNER TEL PHONE NO. G - � �6�� CONTRACTOR � >`; DESCRIPTION � - � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWN RfCONTHACTOR TO MEET YOU:_YES_NO � CGMMENTS: ' a L �L• �•� -�a� / �� - r/'Cf4t.�►E.r � J � � - � �11 ul ✓ !�!/G .sr�- � �� 5�'�� ° �a� l k� v — W � l.vG.?�ev li•c o-�) — O� Q � 2 � �lL � l6 c�1'/ � j GW TISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call fo ion 24 hours in advance. (J52) 249-4600 OwnerfCo tractor on site: �e�-� Inspector. White Copyllnspector's File Canary CopylSite Notice t(�----- DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED — ' � PERMIT NO - ��COMPLETED ADDRESS OWNER PHONE CONTRACTOR � � DESCRIPTION ��,� ` 4 � " ' W ❑ FOOTING ❑ D -FINAL ❑ IC FINAL Q ❑ POURED WALL ❑ BING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRA G ❑ MECHANICAL FINAL ❑ PROGRESS � . SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEEf YO :_YES_NO y COMMENTS: �%+��hL��LI � W a � � � �� o , a� � 0 � � W � i Q � - 2 W � � _��,1. �� 'v„�� .� i; , �� 'V� '� � � � � ' . � � � , d ✓ W ❑WORKSATISFACTORY:PROCEED - PROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiT10NWITHIN HOURS. � pHOTOTAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. ( 52� 249-4600 OwnerfContractor on site: -'�' Inspector. White Copyllnspector's File Canary CopylSite Notice