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Home My WebLink About2014-00220 - plumbing CITY OF ORONO *� 4 - 0 0 2 2 0 * . � 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 35 CRYSTAL CREEK RD PIN : 33-118-23-33-0002 LEGAL DESC : CRYSTAL CREEK : LOT 001 BLOCK OOl PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURES: (l)LAVA"CORY,(1)BATI3TUB,AND(1)SE{OWER VALUATION OF PLUMBING 3000 APPLICAI�IT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 1.50 KOEHLER, STEVEN&ANNE TOTAL 51.50 35 CRYSTAL CREEK RD Payment(s) LONG LAKE, MN 55356 CREDIT CARD 6705 51.50 OWNER KOEHLER, STEVEN &ANNE 35 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according�to � Ihe approved plans and specifica[ions,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate � permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specif ied herein.This permit will expire and become null and void if construction audiorized is not commenced within 180 days of the date of issuance,or if construction is suspended tbr a period of 180 days at any time after work has commenced. l he applicant is responsible for assuring all required inspections are requested in contormance with the State Building Code.This permit may be revoked at any time for duc cause. , � �� l�- � /� � �' � �� Applicant Permitee Signature Date Issue y Signature Date i I FOR CITY USE ONLY ., �O� City of Orono P,O.Box 66 Date Received: Permit# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y��q �c,` CITY OF ORONO - PLUMBING PERMIT KssNo� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://w��«�.dli.mn. ov/CC,LD/PDF/ e �lumb ilanre��a� . 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) � Residential ❑ Commercial(Approva] Required) �� ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need arior ap�roval and may need CUP. (Per Orono City Code, Chapter 78,Article N) Job Site/ Owner Information: Site Address: � J� � C?��-1 S�� Ct/--P Q �� l- �� p Owner: �=�✓-�-- ��z �1 � Mailing Address: 3 S �`��a � �� 4-�1, City: ��G� zip: �5�`35 �G Home Phone: �15a- � 7 �C -�';�S 7 Alternate Phone: �.V�1--- �-��' -l`Z � �D� Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 ` � 1 PLUMBING FIXTURES BE1NG 1NSTALLED FIXTURE BSMT 1' 2 OTHER FIXTURE BSMT 1 2` 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 The replacement of only one Residential fixture ar 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; excludinQ 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 $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 i 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) � `, ��'G . �v 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 PWCE 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 application are complete, true and correct. ' �31�7 Applicant's Signature: ;�;,; �� Date: 3 �+ l DAT TIME � cmr oF oRo� - .5= � INSPECTION NOTICE SCHEDULED ' — ��f'.3� PERMIT NO � ��a COMPLETED ADDRE � OWNE LEPHONE NO��O / CONTRACTOR � DESCRIPTION ` — � � � FOOTING ❑ PL BI G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M ICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ��UMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a �C ��4�e - �4 v. �Q r�...,, � G.tQ7�2 r �i�t�r J o �- f'U.� �r4�w �- �tJ.��Q v �! �S — �. � ° Ti e �t _x�s�w 1� tt� V - P G�' sc.�. �ls - W � Q ? �� W � W � � J � �VORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlCo ctorpn site: Inspecto . White Copyllnspector's File Canary CopylSite Notice ��i l/' E TIME ✓ CITY OF ORONO CALLED IN � INSPECTION OT!�E SCHEDULED — ' � PERMIT NO. ! 7� z�O COMPLETED �`� ADDRESS OWNER TELEPHONE NO. �I J�Z ��T CONTRACTOR � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/ ADING/FILLIN Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ AL ❑ FOUNDATION/REMOVAL 2 OWNE ONTRACTOH TO ME YOU: Y NO c�.� COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � � d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK$PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAILINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a ance. 49-46QQ OwnedContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSfte Notice