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Home My WebLink About2015-01596 - plumbing � . � CITY OF ORONO * Z 0 1 S - 0 1 5 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 100 CREEK RIDGE PASS PIN : 03-117-23-12-0016 LEGAL DESC : CREEKSIDE IN ORONO : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(7)LAVA"I'ORIES,(2)E3ATHTUBS,(3)SHOWERS,(])KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS,(1)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WATER HEATER, (1)WASHER<(1)WET BAR VALUATION OF PLUMBING 30000 APPLICANT PLUMBING FIXTURE FEE 375.00 STATE SURCHARGE PLBG(VALUATION) 15.00 AMERICAN MECHANICAL CO, INC. MAIL-IN FEE 2.00 7120 71ST AVE.N. PO BOX 205 TOTAL 392.00 LORETTO, MN 55357- Payment(s) (612)750-0278 CHECK 16250 392.00 OWNER PETERS, BARRY& KRIS 19210 HACKAMORE ROAD CORCORAN,MN 55340- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. l`�0 �-eL��I� !v2 / 028�/_5 Applicant Permitee Signature Date Issued Signature Date - _ • , _, – p o„e�; �� ;— . FQR ITY SE ONLY � � '- ��fy af Orana � _u t ; � � �S� C,' ^�� ,r��. P.O.$�x n6 .,.�i ii�tie RCcrived: ��I`�'�errmi� ��%_,S I,/� ��--;�, � I l� �.�1 2750 Kc7Yey Parkway I��;?.� � r, LQ�� Cry•stal Bay,MN 55323 � Approvcd By: Amount�:��I CI� � : (952)249-4600–Main C� �� (952)249-4616–Fax ��F QRp O �F, =`'' CITY OF ORON� —PLUMBING PERMIT �`��`��'��'�� fAll Corm�terez��ermcts 11�1eest 6e A��aravec�by tbe State Fruor to City Approvak) ,_'---___...-- htt :/i�ti-�v��-.dli.mn.�oviCCi.D/PDF/ c lumb� lanreka . df GENERAL 1NFORMATI�N 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 UNTI��'OU RECEIVE A PE��VIIT. �ORK MUST NOT BEGiN UNTIL THE P£�W�I�'�CAI�D IS POSTED�O�THE.�(OB;�IT E. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residrn�in the dwelTing. �. W''.lZl:wr�'r�W CiJv::5iP1CitQ:�O"":e:Y:O��ilfla;S:t.Vl;'VZ�`�,�'�. 52r3;3tZ 1JYt�'t"�it�,��:112ii::?SSI l�� obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspecled and air tested before it is covered. Call (952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check,�11 That;A�ppl�� Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑Replace '� In Accessory Structure'? *You w�ll neec!urior apu�'oval and may need CUP. �Per Orono City Code,Cl�apter 78,Article IV) J�b Site /Owner Informationc Site Address: �/�,� ��P_�{�j��S Owner: ��-,� MaiTing Ad'd'ress: ��'��c��/;G�/¢-� :��: ��p: Home Phone: Alternate Phone: Cc��trtr,ac2o�-:��t:�f�arcrra't i��: � � Contractar: � ,. C � ��" 7 ^ '�ti�� Contact Person: GZlry'�.�G�,,��el�" �4dclress: �' �� l State �ond�#: �� / � , City: ��' � Zip��`�� Expiration Date: �i�� ,�� P�one: �� `��'1 A�lt�rnate Ph�o��: �� Irsur��ce—Curr�nt: � 1 PLUMBING FIXTLTRES BEING INSTALLED � FIXTT�J&E �� BS1�fT � 1'�� 2:�' ' OTI-3ER �� I?�TU�I�E �� B�Sl�T � �''� � 2,�� f�TiIEY� �� TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains � Lava�rnry / / � 5ewen�j�ec�mr , Bathn�� i , � , Laundry Tray , i � ! i Shower ' Washer / Kitchen Sink � Water Heater � Dis�p�sa� / 'ti'Vat�er'Sc�ftca�er D1S11WaShP�:' � i � i W0i B�uL i � � � i i Sillcocks Miscellaneous � 2jo PERMIT FEE CALCULATION(S) � � R 1 C�.'F"1 (�l�F' _ '� /��1'��T�TF �T�TT��'�F: � I Ll 1��r y�,�_V \✓1 ,i,�l,lw:.�-V A:�.,f J 1/ Ld ❑ Yes,this section applies The replacement of only one Residential fixture or ap�liance that meets all three of the following requircr�ents: I. Does not require modification to electrical or gas service. 2. Has a totaP cost af�50().df�or tess;excPud'in�Che ecrst oP'tP�e�xt�re or appFian�ce: and 3. Is zir_rrove`,:i�sta!'e� �*r r�-Y1ae,ed Ly:.ze':��e�w��:or l:c�::sed pl�;:zb�i�a e�a�ti-u��r. Skip next section, if this applies; Cost of Permit $ l 5.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ Z.00 Tatal Ferm�f Fee � (Permit Fees Continued On Next Page) 2 � PERMIT F�E CALCULATION(S —JC)BS QVER$500.00�� £abave does not apply; fotiow guideytines beiow: 1. CONTRACT PRiCE * is 1.25%of contract price with a(Minimum Fee of�50.00) / � G�G'J� �" X .ai2s � �� ,, �carvtra�ce p�re,ce) (m»�iam�ra+�50i089� 2. STATE SURCHARGE /� ,�u/� x :�'d03 $ � (�tr.tna�et��ri�cl 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �� i 4. TOTAL,PE1�I►�i��'EE(Add Lines 1-3 Above) � �,� ■ * CONTRACT PRICE or JOB COST means the actual or estirnated dollar amount charged for the permitted work incl�d'ing i�aceriaPs, PaY�ar,prafit, a�i1d'ot�er fixed'ccrsCs. l�t is rIhe amaunt to�re charged . r � t. r{� ' i '.� _ i�i _ „ttu.; t te r,e c�s:�i;�_; :or t�e�avo�-:� d,�2�e. �. ��;a_�:w:�:;a:, eyw'Yr:_��:: w��. �. .._..k.: ::��ns u:e �.��:;s`�ti� �y 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 puiposes. 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 t a 1 state e��ts made on this application are complete, true and correct. i Applicant's Signature: �� Date: ,� �—�� 3 , �`� � � "-- DATE/� TIME CITY OF ORONO CALLED IN p7--� INSPECTION NO�� _��,�SCHEDULEDp? -` �✓�'30 PERMIT NO. '�� COMPLEfED ADDRESS ��Q �� OWNER ELEPHONE .�a—�� '�7�/ CONTRACTOR ' � v( �� DESCRIPTION / ty ❑ FOOTING ❑ DEMO- I L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI 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 4� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYVNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a os�`l'/.�y v'�"� �� 1- . � �t, �, � o � `ls � � � Prt � � �'�' �s��1 C�`��!� Q z rlf� I ,:i�ff�� nu / }�C 5 T"� ��c�, � %�1� W � J W • RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORR CT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER P05TED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContrac�pr on site: Inspector. �71�' ff� White Copyllnspector's Ffle Canary CopylSite Notice �� DATE TIME CITY OF ORONO CALLED IN INSPECTION OTI ��5.� SCHEDULED � �-� PERMfT NO. - C �� COMPLETED ADDRESS _ � OWNER TELEPHO�IE NO. � ' � CONTRACTOR ��h � /�� DESCRIPTION � L�� f 4� ❑ FOOTING ❑ MO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ LUMBING 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 OWNERlCONTRACTOR TO MEET YOU:�..,L YES_NO ��'_'-- ��t � COMMENTS: � W a J � , O ,� � � o J' W � Q � 2 W � W � � , d W 1NORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours�'n,advance. (g52) 249-46�� > OwnerfContractor on site: ' Inspector: d White Copyllnapecto�'s File C�nary CopylStte Notiee � /� DATE TIME ` CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � PERMIT NO. �6►�'�� conn ED ADDRESS C�G �C"�-�- �� - ��-�`' OWNER TELEPHO NO. CONTRACTOR �` �imo t�C:� „� `�1�-�'r�� DESCRIPTION � � " �n� �=�� '�3fr3`� ll� ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ LUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF �FLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FtREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTIUCTOR TO MEET YOU:_YES_NO c�n COMMENTS: o� W � � — �✓ � l� 0 � � � ° ��( � �? i U�/'/'ey W � 1 / c� �v, �k�i�� Q � � ��L � �5�� C' -'�°.C�,�,—� � �K�t� � � � a W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE � CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE C01/ERING PERMAN ENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlCon on site: � Inspector. W 'te Copyllnspector's File Canary CopyfSite Notice